Table 5– Longitudinal hazard ratios (HRs) for mortality associated with absolute increases in composite physiologic index (CPI) and relative decreases in individual pulmonary function tests over 6 and 12 months in patients with combined pulmonary fibrosis and emphysema
6-month change12-month change
n (%)HR (95% CI)p-valuen (%)HR (95% CI)p-value
None-to-mild empysema#
10% decline FEV131 (24.4)1.4 (0.8–2.6)0.26826 (30.2)2.5 (1.2–5.1)0.012
10% decline FVC36 (28.3)1.4 (0.8–2.6)0.20929 (33.7)2.8 (1.4–5.9)0.005
15% decline DL,CO31 (24.4)2.4 (1.3–4.4)0.00533 (38.4)2.9 (1.4–5.7)0.003
+5 increase CPI33 (26.0)2.4 (1.3–4.4)0.00334 (39.5)3.6 (1.7–7.7)0.001
Moderate-to-severe emphysema
10% decline FEV14 (9.5)8.4 (1.9–37.8)0.0066 (18.8)3.7 (1.0–13.7)0.046
10% decline FVC5 (11.9)4.1 (1.2–14.0)0.0259 (28.1)2.1 (0.8–6.0)0.154
15% decline DL,CO13 (31.0)2.1 (0.8–5.5)0.14012 (37.5)2.1 (0.7–6.0)0.174
+5 increase CPI11 (26.2)1.9 (0.6–5.7)0.27915 (46.8)2.4 (0.8–7.9)0.135
  • FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; DL,CO: diffusing capacity of the lung for carbon monoxide. #: n = 127 for 6-month change and n = 86 for 12-month change; : n = 42 for 6-month change and n = 32 for 12-month change.