Research Article

Comparison of Clinical Features between the High and Low Serum KL-6 Patients with Acute Exacerbation of Interstitial Lung Diseases

Table 1

Patients’ characteristics.

CharacteristicsHigh serum KL-6 (N = 38)Low serum KL-6 (N = 57)Total patients (N = 95)P values (high KL-6 vs. low KL-6)

Age, y75 (71–80)76 (70–81)75 (71–80)0.761
Male sex24 (63)44 (77)68 (72)0.137
CCIS2 (1–4)2 (1–4)2 (1–4)0.832
From symptom onset to treatment, days7 (2.5–19)6 (2.5–14)6 (2.8–15)0.840

Diagnosis of AE
 Idiopathic ILDs
  IPF8 (21)9 (16)17 (18)0.589
  Others20 (53)25 (44)45 (47)0.412
 Secondary ILDs
  CTD-ILD6 (16)13 (23)19 (20)0.445
  Drug3 (8)10 (17)13 (14)0.232
  Others1 (2)0 (0)1 (1)0.400

Biomarkers
 P/F ratio274 (218–308)248 (152–311)268 (187–309)0.329
 LDH, IU/L321 (268–446)277 (216–375)282 (235–405)0.013
 SP-D, ng/mL337 (137–541)207 (140–364)233 (138–409)0.112

HRCT scores
 GGO scores10 (6–13.8)10 (8–15.5)10 (7–15)0.729
 Honeycomb3 (0–7)0 (0–4)1 (0–5)0.045

Treatment
 PSL before pulse11 (29)10 (18)21 (22)0.189
 PSL pulse38 (100)57 (100)95 (100)1.000
 PSL after pulse11 (29)23 (40)34 (36)0.256
 Macrolide8 (21)12 (21)20 (21)1.000
 NEI3 (8)8 (14)11 (12)0.360
 Anticoagulant6 (16)12 (21)18 (19)0.521

Outcome
 Six-month mortality12 (32)15 (26)27 (28)0.685

Cause of mortality
 AE11 (29)14 (25)25 (26)0.634
 Lung cancer1 (3)1 (2)2 (2)0.771

Results are shown as medians with 25th–75th percentiles or numbers (%). Serum SP-D could be measured in 92 patients (97%). AE: acute exacerbation; CCIS: Charlson Comorbidity Index score; CVD-IP: collagen vascular disease-related interstitial pneumonia; GGO: ground-glass opacity; HRCT: high-resolution computed tomography; ILD: interstitial lung disease; IPF: idiopathic pulmonary fibrosis; KL-6: Krebs von den Lungen-6; LDH: lactate dehydrogenase; NEI: neutrophil elastase inhibitor; P/F ratio: partial pressure of oxygen in arterial blood/fraction of the inspiratory oxygen; PSL: prednisolone; SP-D: surfactant protein-D.