Evaluation of the Relationship Between Subcarinal Angle Values and
Mortality in COPD Patients
Abstract
Abstract: Abstract Background: We aimed to investigate whether changes
occur in the subcarinal angle (SCA) in chronic obstructive pulmonary
disease (COPD) and examine the effects of such changes on mortality
rates. Materials and Methods: The study included 108 COPD patients; who
were followed up in the intensive care unit (ICU) in the period between
January 2018 and December 2018 and who had available posterior-anterior
chest X-rays (PA-CXRs), APACHE-II (Acute Physiology and Chronic Health
Evaluation-II) scores, and laboratory values in the electronic archiving
system. SCA values on PA-CXRs were recorded in the Picture Archiving and
Communication System (PACS). Patients were divided into two groups as
survivors and nonsurvivors. Results: In our study; congestive heart
failure, as one of the comorbid diseases with COPD, was found to be
associated with mortality (p: 0.011). Furthermore; APACHE-II scores (p:
0.001), SCA values (p: 0.025), elevated CRP levels (p: 0.01),
hypoalbuminemia (p: 0.018), and high creatinine values (p: 0.034) were
associated with mortality. Conclusions: Our results are compatible with
those of previous studies in the literature demonstrating that advanced
age, elevated CRP levels, APACHE-II scores, hypoalbuminemia, and high
creatinine values were all associated with mortality in COPD patients.
Furthermore, SCA was found to be narrower in nonsurvivors in our study.
We think that our study results will contribute to the literature
because this is the first study that demonstrated the association
between SCA and mortality in COPD patients.