Table 4

Auscultation of crackles at the initial clinic visit in patients according to symptoms (n=290) and lung function*

NoneFine cracklesCoarse cracklesBothP value†
IPF, n (%)
 With no dyspnoea (MRC=1)0 (0.0%)21 (80.8%)2 (7.7%)3 (11.5%)0.549
 With dyspnoea (MRC >1)2 (1.9%)76 (73.8%)5 (4.9%)20 (19.4%)
Non-IPF, n (%)
 With no dyspnoea (MRC=1)9 (22.5%)23 (57.5%)2 (5.0%)6 (15.0%)0.255
 With dyspnoea (MRC >1)16 (13.2%)75 (62.0%)16 (13.2%)14 (11.6%)
IPF, n (%)
 With no cough0 (0.0%)15 (83.3%)1 (5.6%)2 (11.1%)0.710
 With cough2 (1.8%)82 (73.9%)6 (5.4%)21 (18.9%)
Non-IPF, n (%)
 With no cough8 (20.5%)21 (53.9%)5 (12.8%)5 (12.8%)0.722
 With cough17 (13.9%)77 (63.1%)13 (10.7%)15 (12.3%)
IPF, n (%)
 With no dyspnoea (MRC=1) or cough0 (0%)6 (66.7%)1 (11.1%)2 (22.2%)0.817
 With dyspnoea (MRC >1) or cough2 (1.7%)91 (75.8%)6 (5.0%)21 (17.5%)
Non-IPF, n (%)
 With no dyspnoea (MRC=1) or cough4 (25.0%)8 (50.0%)1 (6.2%)3 (18.8%)0.531
 With dyspnoea (MRC >1) or cough21 (14.5%)90 (62.1%)17 (11.7%)17 (11.7%)
IPF, n (%)
 With predicted FVC ≥80%2 (3.1%)51 (79.7%)2 (3.1%)9 (14.1%)0.158
 With predicted FVC <80%0 (0%)45 (71.5%)5 (7.9%)13 (20.6%)
Non-IPF, n (%)
 With predicted FVC ≥80%17 (18.5%)55 (59.8%)9 (9.7%)11 (12%)0.649
 With predicted FVC <80%8 (11.8%)42 (61.8%)9 (13.2%)9 (13.2%)
IPF, n (%)
 With predicted TLC ≥80%2 (3.7%)41 (75.9%)2 (3.7%)9 (16.7%)0.262
 With predicted TLC <80%0 (0%)55 (76.4%)5 (6.9%)12 (16.7%)
Non-IPF, n (%)
 With predicted TLC ≥80%18 (20.2%)47 (52.8%)13 (14.6%)11 (12.4%)0.053
 With predicted TLC <80%6 (8.7%)49 (71.0%)5 (7.3%)9 (13.0%)
IPF, n (%)
 With predicted DLco ≥80%1 (6.3%)12 (75.0%)1 (6.3%)2 (12.4%)0.623
 With predicted DLco <80%1 (1.0%)80 (76.2%)6 (5.7%)18 (17.1%)
Non-IPF, n (%)
 With predicted DLco ≥80%5 (18.5%)15 (55.6%)4 (14.8%)3 (11.1%)0.879
 With predicted DLco <80%18 (14.9%)74 (61.2%)13 (10.7%)16 (13.2%)
  • *Three patients were unable to perform spirometry at the time of initial visit, 6 unable to perform lung volumes and 21 unable to perform DLco.

  • †P value obtained by χ2 test (likelihood ratio) comparing the column proportions for fine crackles, coarse crackles, both and none.

  • DLco, carbon monoxide diffusing lung capacity (n=269); FVC, forced vital capacity; FVC, forced vital capacity (n=287 patients); IPF, idiopathic pulmonary fibrosis; MRC, British Medical Research Council Dyspnoea Score (1 to 5); TLC, total lung capacity (n=284).