Research Article

Long-Term Home Noninvasive Mechanical Ventilation Increases Systemic Inflammatory Response in Chronic Obstructive Pulmonary Disease: A Prospective Observational Study

Table 4

Blood and sputum biomarkers concentrations according to pH .

Long-term oxygen therapy Noninvasive ventilationP value

pH < 7.35

Sputum
 Human neutrophil peptides ( g/mL)33.2 (30.8–35.3)33.0 (30.0–36.0)0.952
 Interleukin-6 (pg/mL)40.0 (19.8–56.0)50.0 (23.0–75.5)0.311
 Interleukin-10 (pg/mL)11.0 (5.3–18.0)5.0 (4.0–24.0)0.499
 Tumor necrosis factor-alpha (pg/mL)56.0 (26.5–113.8)45.0 (22.0–115.0)0.858
Blood
 Human neutrophil peptides ( g/mL)2.3 (1.1–9.6)11.0 (5.4–11.5)0.040
 Interleukin-6 (pg/mL)4.7 (2.9–6.9)7.0 (4.0–18.4)0.049
 Interleukin-10 (pg/mL)7.0 (5.9–8.5)1.0 (0.7–6.0)0.001
 Tumor necrosis factor-alpha (pg/mL)6.5 (4.8–8.3)8.0 (3.4–10.0)0.617
Sputum/blood ratio
 HNP16.8 (3.6–39.3)3.1 (2.8–10.6)0.032
 Interleukin-67.9 (5.0–13.6)7.5 (2.7–11.9)0.475
 Interleukin-101.7 (0.8–2.9)4.1 (0.9–9.0)0.068
 Tumor necrosis factor-alpha9.5 (3.6–16.0)8.5 (2.9–17.5)0.953

pH ≥ 7.35

Sputum
 Human neutrophil peptides ( g/mL)34.5 (33.0–35.4)34.0 (33.0–37.2)0.677
 Interleukin-6 (pg/mL)40.0 (16.0–50.0)35.0 (16.0–58.0)0.592
 Interleukin-10 (pg/mL)14.0 (6.0–25.0)5.0 (4.0–18.0)0.113
 Tumor necrosis factor-alpha (pg/mL)30.0 (20.0–110.0)50.0 (31.0–96.0)0.207
Blood
 Human neutrophil peptides ( g/mL)3.5 (1.0–10.5)9.4 (7.8–11.8)0.002
 Interleukin-6 (pg/mL)3.5 (2.9–6.0)8.4 (6.3–10.6)<0.001
 Interleukin-10 (pg/mL)7.0 (1.0–8.0)3.6 (0.9–7.0)0.097
 Tumor necrosis factor-alpha (pg/mL)7.0 (2.0–10.0)8.0 (5.4–14.8)0.095
Sputum/blood ratio
 HNP9.4 (3.5–35.1)3.7 (2.9–5.4)0.002
 Interleukin-66.7 (3.8–15.0)3.3 (1.8–7.5)0.010
 Interleukin-103.0 (1.1–4.4)3.3 (0.8–5.0)0.751
 Tumor necrosis factor-alpha7.8 (3.7–14.0)6.1 (3.9–12.5)0.683

reported as median (1st–3rd quartile) or (%) and compared with Mann-Whitney -test, chi-squared test, or Fisher’s exact test.