Research Article

Anti-Myxovirus Resistance Protein-1 Immunoglobulin A Autoantibody in Idiopathic Pulmonary Fibrosis

Table 5

Univariate and multivariate Cox proportional hazard regression analyses to evaluate prognostic factors.

ParametersHR95% CI value

Univariate analysis
 Gender, male vs. female0.9880.405–2.4100.979
 Age1.0230.977–1.0720.328
 Smoking, y/n0.8770.337–2.2830.788
 Diagnosis of IPF, clinical vs. SLB1.4740.732–2.9670.277
 BMI0.9570.855–1.0710.444
 mMRC, 2≤ vs. <24.9462.411–10.021<0.001
 %FVC0.9500.930–0.970<0.001
 %DLco0.9610.939–0.9830.001
 Neutrophils in BAL, %1.0931.020–1.1720.012
 Lymphocytes in BAL, %0.9620.913–1.0140.152
 GAP stage, II vs. I6.7992.960–15.617<0.001
 GAP stage, III vs. I11.0552.113–57.8400.004
 KL-6, x100 U/mL1.0561.019–1.0950.003
 SP-D, x10 ng/mL1.0201.005–1.0360.009
 HRCT pattern
 Possible UIP vs. UIP1.0060.476–2.1290.987
 Inconsistent with UIP vs. UIP1.2590.292–5.4230.758
Multivariate analysis using background parameters except for GAP stage
 mMRC, 2≤ vs. <22.9231.366–6.2510.006
 %FVC0.9560.936–0.9840.001

HR, hazard ratio; CI, confidence interval; IPF, idiopathic pulmonary fibrosis; BMI, body mass index; mMRC, modified Medical Research Council score for shortness of breath; %FVC, percent predicted value of forced vital capacity; %DLco, percent predicted value of diffusing capacity of carbon monoxide; GAP stage, gender, age, and physiology stage; KL-6, Krebs von den Lungen-6; SP-D, surfactant protein; HRCT, high-resolution computed tomography; UIP, usual interstitial pneumonia. Prognostic significance of each parameter was evaluated by univariate Cox proportional hazard regression analysis. Multivariate analysis with the stepwise method was performed using all significant parameters except for GAP stage to clarify prognostic factors specific for our cases other than GAP stage. HRs of %FVC and %DLco less than 1 suggest patients with higher %FVC and higher %DLco survive longer.