Associations of k-means clusters with absolute and relative annualised FEV1 and emphysema changes
K-means cluster | Univariable models | Multivariable models | |||
Beta (SE) | P value | Beta (SE) | Beta (SE) | ||
Absolute annualised FEV1 (mL/year) changes | ULE | 3.07 (2.21) | 0.2 | 3.63 (2.23) | 0.1 |
AD | 11.64 (1.86) | <0.0001 | 8.84 (1.90) | <0.0001 | |
SE | 2.84 (2.17) | 0.2 | 4.98 (2.25) | 0.03 | |
Relative annualised FEV1 changes (percent changes from baseline) | ULE | −0.27 (0.11) | 0.01 | −0.18 (0.11) | 0.1 |
AD | 0.09 (0.09) | 0.3 | 0.004 (0.09) | 1.0 | |
SE | −1.35 (0.10) | <0.0001 | −1.24 (0.11) | <0.0001 | |
Absolute annualised emphysema (adjusted Perc15 density) changes | ULE | −0.99 (0.11) | <0.0001 | −0.89 (0.11) | <0.0001 |
AD | −0.69 (0.09) | <0.0001 | −0.82 (0.09) | <0.0001 | |
SE | −0.89 (0.11) | <0.0001 | −0.77 (0.11) | <0.0001 | |
Relative annualised emphysema (adjusted Perc15 density) changes (percent changes from baseline) | ULE | −1.15 (0.16) | <0.0001 | −1.01 (0.16) | <0.0001 |
AD | −0.82 (0.13) | <0.0001 | −0.99 (0.14) | <0.0001 | |
SE | −1.19 (0.16) | <0.0001 | −1.07 (0.16) | <0.0001 |
Absolute annualised changes were computed by subtracting Visit 1 values from Visit 2 values and dividing by the time in years between both visits for each subject. Relative annualised changes were calculated by dividing absolute annualised changes by Visit 1 values and multiplying by 100. Negative values indicate worsening of the disease between visits. Univariable linear regression models included only Visit 1 k-means cluster assignment. Multivariable models also included adjustments for age, sex, race, BMI and smoking pack-years. The reference group was the RSS cluster. P<0.05 are italicised.
AD, airway-predominant disease; BMI, body mass index; FEV1, forced expiratory volume in 1 s; Perc15, 15th percentile; RSS, relatively resistant smoker; SE, severe emphysema; ULE, upper lobe-predominant emphysema.