Research Article

Blood Eosinophil Count as a Predictive Biomarker of Chronic Obstructive Pulmonary Disease Exacerbation in a Real-World Setting

Table 3

Univariate and multivariate analysis of the exacerbation risk factor.

UnivariateMultivariate
Odds ratio (95% CI) valueOdds ratio (95% CI) value

Age<602.54 (0.78–8.24)0.120
60∼700.13 (0.01–1.04)0.055
70∼800.72 (0.29–1.74)0.468
≥802.74 (1.08–6.93)0.034

BMI<18.51.27 (0.35–4.59)0.710
18.5∼251.10 (0.41–2.95)0.835
≥250.70 (0.19–2.47)0.582
Smoking historyPack-year ≥ 501.03 (0.43–2.47)0.952

%FEV1≥80%0.48 (0.13–1.70)0.259
50%∼80%0.28 (0.10–0.78)0.016
<50%5.27 (2.11–13.17)<0.0015.05 (1.80–14.09)0.002

%VC<70%1.99 (0.68–5.77)0.203
70%∼80%0.90 (0.25–3.21)0.877
80%∼100%1.26 (0.52–3.03)0.602
≥100%0.46 (0.15–1.40)0.173

Blood eosinophil<150 (μL)0.86 (0.34–2.13)0.750
150∼350 (μL)0.57 (0.22–1.46)0.244
≥350 (μL)2.57 (0.98–6.74)0.0544.00 (1.33–12.06)0.014
WBC≥9000 (μL)3.61 (1.07–12.14)0.0374.43 (1.07–18.26)0.039
CRP≥0.3 mg/dl1.43 (0.57–3.59)0.439

ComorbidityHT1.12 (0.44–2.87)0.805
DM1.15 (0.32–4.12)0.827
BA1.93 (0.67–5.57)0.227
IP0.52 (0.07–4.04)0.529
HOT6.49 (2.51–16.76)<0.0014.86 (1.63–14.50)0.005

%FEV1 <50%, blood eosinophil ≥350 (μL), WBC >9000 (μL), and HOT were included in the multivariate analysis. Statistical significance is marked using the bold font. FEV1, forced expiratory volume in 1 s; WBC, white blood cell; CRP, C-reactive protein; HT, hypertension; DM, diabetes mellitus; BA, bronchial asthma; IP, interstitial pneumonia; HOT, home oxygen therapy.