21. Sputum Cellularity and MRI Ventilation Defects in Severe Asthma.
作者: Hana Serajeddini.;Ashutosh Thakar.;Melanie Kjarsgaard.;Chynna Huang.;Nandhitha Ragunayakam.;Ekamdeep Sandhu.;Carmen Venegas Garrido.;Yonni Friedlander.;Norm Konyer.;Kayla Zhang.;Nadia Suray Tan.;Katherine Radford.;Manali Mukherjee.;Parameswaran Nair.;Sarah Svenningsen.
来源: Chest. 2025年
Airway inflammation is a hallmark feature of asthma characterized by elevated eosinophils and/or neutrophils. Eosinophils in sputum can contribute to ventilation defects. The functional consequence of other types of cellularity on ventilation is unknown.
22. Diagnosing Pulmonary Embolism During Pregnancy.
作者: Meriem Hammache.;Camille Simard.;Sandrine Hamel.;Suzie Ouellet.;Gisèle Jolicoeur.;Karen Wou.;Kate Sellen.;Ramy El-Jalbout.;Jayson Potts.;Ghada Bourjeily.;Maral Koolian.;Vicky Tagalakis.;Leslie Skeith.;Grégoire Le Gal.;Isabelle Malhamé.
来源: Chest. 2025年
Pulmonary embolism (PE) is one of the leading causes of pregnancy-related deaths in high-income countries. Maternal mortality from PE has been attributed to delayed recognition and investigations. The diagnosis of PE may be challenging, as its early signs and symptoms may overlap with physiological changes of pregnancy. As such, promptly ruling out suspected PE using diagnostic testing is of paramount importance. This narrative review provides a contemporary overview of risk assessment tools, diagnostic modalities, counseling needs, and existing best practice guidance for the diagnosis of PE in pregnancy.
23. Prediction Pathway for Severe Asthma Exacerbations: A Bayesian Network Analysis.
作者: Chandra Prakash Yadav.;Atlanta Chakraborty.;David B Price.;Laura Huey Mien Lim.;Yah Ru Juang.;Richard Beasley.;Mohsen Sadatsafavi.;Christer Janson.;Mariko Koh Siyue.;Eileen Wang.;Michael E Wechsler.;David J Jackson.;John Busby.;Liam G Heaney.;Paul E Pfeffer.;Bassam Mahboub.;Diahn-Warng Perng.;Borja G Cosio.;Luis Perez-de-Llano.;Riyad Al-Lehebi.;Désirée Larenas-Linnemann.;Mona S Al-Ahmad.;Chin Kook Rhee.;Takashi Iwanaga.;Enrico Heffler.;Giorgio Walter Canonica.;Richard W Costello.;Nikolaos G Papadopoulos.;Andriana I Papaioannou.;Celeste M Porsbjerg.;Carlos A Torres-Duque.;George C Christoff.;Todor A Popov.;Mark Hew.;Matthew J Peters.;Peter G Gibson.;Jorge Máspero.;Celine Bergeron.;Saraid Cerda.;Elvia Angelica Contreras.;Wenjia Chen.
来源: Chest. 2025年168卷2期301-316页
Accurate risk prediction of exacerbations is pivotal in severe asthma management. Multiple risk factors are at play, but the pathway of risk prediction remains unclear.
24. Health and Utilization Burden of OSA Among US Active-Duty Military Personnel.
作者: Emerson M Wickwire.;Vincent F Capaldi.;Jeph Herrin.;Benoit Stryckman.;Connie Thomas.;Scott G Williams.;J Kent Werner.;Wendy Funk.;Thomas Nassif.;Jennifer S Albrecht.
来源: Chest. 2025年
Despite the significant health and economic burden associated with OSA among civilians, little is known about this burden among active-duty military personnel.
25. Lung Function Decline and Airflow Limitation Risk in Preserved Ratio Impaired Spirometry Subtypes by Smoking Status.
作者: Cuiqiong Dai.;Fan Wu.;Jia Tian.;Jiangyu Cui.;Zhishan Deng.;Heshen Tian.;Peiyu Huang.;Huajing Yang.;Youlan Zheng.;Zihui Wang.;Shan Xiao.;Xiang Wen.;Lifei Lu.;Ningning Zhao.;Changli Yang.;Shuqing Yu.;Shengming Liu.;Dali Wang.;Xiaoping Wang.;Jiachun Lu.;Nanshan Zhong.;Yumin Zhou.;Pixin Ran.
来源: Chest. 2025年
Preserved ratio impaired spirometry (PRISm) is regarded as a COPD precursor, but whether this varies by smoking status remains unclear.
27. A 7-Year-Old Girl With Multiple Pulmonary Nodules.
作者: Jie Jiang.;Yamin Rao.;Chenglei Liu.;Shih-Jen Chang.;Yajing Qiu.;Xiaoxi Lin.
来源: Chest. 2025年167卷5期e161-e165页
A 7-year-old girl was referred to our vascular anomaly center for further evaluation of multiple lung nodules. These nodules were incidentally detected on a CT scan during hospitalization for treatment of mycoplasma pneumonia at another hospital. The biopsy results suggested the possibility of vascular tumors. Physical examination revealed clear breath sounds without rales. Furthermore, no skin lesions or other positive signs were observed. The patient was not receiving supplemental oxygen. Before she came to our center, the patient had received antibiotic treatment for mycoplasma pneumonia. The CT scan after recovery revealed that the multiple nodules in both lungs persisted despite the resolution of the infection.
28. Practice Patterns and Patient Travel Distances for Lung Cancer Surgery in the United States: Analyses of the Veterans Health Administration and the National Cancer Database.
作者: Steven Tohmasi.;Daniel B Eaton.;Nikki E Rossetti.;Brendan T Heiden.;Theodore S Thomas.;Martin W Schoen.;Ana A Baumann.;Su-Hsin Chang.;Yan Yan.;Mayank R Patel.;Whitney S Brandt.;Bryan F Meyers.;Benjamin D Kozower.;Varun Puri.
来源: Chest. 2025年 29. Lung Cancer Screening Adherence in Centralized vs Decentralized Screening Programs: A Meta-Analysis of US Cohort Studies Among Individuals With Negative Baseline Results.
With rising interest in centralized lung cancer screening (LCS), synthesizing evidence to estimate its impact on annual adherence is critical for aligning practice with guideline recommendations.
30. Oxygen Saturation Targets and Neurologic Outcomes Following Cardiac Arrest: A Secondary Analysis of the Pragmatic Investigation of Optimal Oxygen Targets Trial.
作者: Stephanie C DeMasi.;Alexander T Clark.;Amelia L Muhs.;Jin H Han.;Kipp Shipley.;Jared J McKinney.;Li Wang.;Todd W Rice.;Ari Moskowitz.;Matthew E Prekker.;Nicholas J Johnson.;Wesley H Self.;Jonathan D Casey.;Matthew W Semler.;Kevin P Seitz.; .
来源: Chest. 2025年
More than 600,000 adults in the United States experience an out-of-hospital or in-hospital cardiac arrest each year. Following resuscitation from cardiac arrest, most patients receive mechanical ventilation. The oxygenation target that optimizes neurologic outcomes following cardiac arrest is uncertain.
31. A Prospective, Multicenter Evaluation of Safety and Diagnostic Outcomes With Robotic-Assisted Bronchoscopy: Results of the Transbronchial Biopsy Assisted by Robot Guidance in the Evaluation of Tumors of the Lung (TARGET) Trial.
作者: Septimiu Murgu.;Alexander C Chen.;Christopher R Gilbert.;Daniel H Sterman.;Damaris Pederson.;Samaan Rafeq.;Balaji Laxmanan.;Michael L Schwiers.;Jaime Connelly.;Heather L Benz.;Kazuhiro Yasufuku.;Gerard A Silvestri.; .
来源: Chest. 2025年168卷2期539-555页
It remains challenging to safely and reliably biopsy peripheral pulmonary lesions (PPLs). Robotic-assisted bronchoscopy (RAB) is gaining adoption for navigation to PPLs. However, evidence from large studies remains limited.
32. XALOC-1: Clinical Remission Over 2 Years With Benralizumab in Severe Eosinophilic Asthma.
作者: Girolamo Pelaia.;David J Jackson.;Parameswaran Nair.;Benjamin Emmanuel.;Trung N Tran.;Andrew Menzies-Gow.;Michael Watt.;Sheena Kayaniyil.;Silvia Boarino.;Javier Nuevo.;Marisa Pardal.;Anat Shavit.;Vivian H Shih.;David Cohen.;Claudia Loureiro.;Alicia Padilla-Galo.
来源: Chest. 2025年168卷1期19-32页
Long-term real-world data on clinical remission in patients with severe eosinophilic asthma (SEA) receiving biologics are lacking. We describe clinical remission over 2 years in patients with SEA receiving benralizumab.
33. Forecasting the Global Economic and Health Burden of COPD From 2025 Through 2050.
作者: Elroy Boers.;Angier Allen.;Meredith Barrett.;Adam V Benjafield.;Mary B Rice.;Jadwiga A Wedzicha.;Leanne Kaye.;Heather J Zar.;Sanjeev Sinha.;Obianuju Ozoh.;Laura E Crotty Alexander.;Atul Malhotra.
来源: Chest. 2025年
Studies have reported estimates of the economic and health burden of COPD. They have been limited largely to current-day estimates or relatively short-term future projections.
34. Local Anesthetic Use in Pleural Procedures: Time to Reconsider the Guidelines?
作者: Craig A Mounsey.;Imogen R Mechie.;Dinesh N Addala.;Rhea Suribhatla.;Zara O Small.;Ella M Smith.;Robyn A E Gould.;Grace A Annetts.;Daniela Krouzkova.;Nikolaos I Kanellakis.;Najib M Rahman.
来源: Chest. 2025年 35. Machine Listening for OSA Diagnosis: A Bayesian Meta-Analysis.
作者: Benjamin Kye Jyn Tan.;Esther Yanxin Gao.;Nicole Kye Wen Tan.;Brian Sheng Yep Yeo.;Claire Jing-Wen Tan.;Adele Chin Wei Ng.;Zhou Hao Leong.;Chu Qin Phua.;Maythad Uataya.;Liang Chye Goh.;Thun How Ong.;Leong Chai Leow.;Guang-Bin Huang.;Song Tar Toh.
来源: Chest. 2025年168卷2期520-530页
Among 1 billion patients worldwide with OSA, 90% remain undiagnosed. The main barrier to diagnosis is the overnight polysomnogram, which requires specialized equipment, skilled technicians, and inpatient beds available only in tertiary sleep centers. Recent advances in artificial intelligence (AI) have enabled OSA detection using breathing sound recordings.
36. A New Pulmonary Nodule in a Patient With a History of Lymphoma.
作者: Alexandra Vilaia.;Federica Pezzuto.;Greta Scapinello.;Francesco Piazza.;Dario Marino.;Chiara Giraudo.;Fiorella Calabrese.
来源: Chest. 2025年167卷4期e133-e139页
A 70-year-old woman who formerly used tobacco was referred for evaluation of a lung nodule incidentally discovered during hematologic follow-up. Her medical history was notable for a stage IV follicular lymphoma (G2/G3A stage IV, for pleural and perinephric involvement, FLIPI4) in September 2022, for which she received 6 courses of obinutuzumab plus bendamustine. After the second cycle of therapy, an increase in transaminases was detected; the subsequent diagnostic workup showed a positive real-time polymerase chain reaction blood test for human herpesvirus 6 DNA with more than 13,000 copies/mL. The human herpesvirus 6 infection was successfully treated with acyclovir, followed by normalization of liver enzymes. The treatment was then completed regularly, obtaining a complete metabolic response. One month after completing therapy, the patient developed systemic cytomegalovirus infection with associated pneumonia, requiring 3 weeks of hospitalization. Considering the severity of the infectious event, a further maintenance with obinutuzumab was excluded. Persistent cytomegalovirus-DNA levels necessitated valganciclovir. Sustained neutropenia partially improved with granulocyte colony-stimulating factor administration.
37. Association Between Airway Mucus Plugs and Risk of Moderate-to-Severe Exacerbations in Patients With COPD: Results From a Chinese Prospective Cohort Study.
作者: Xueping Li.;Shengchuan Feng.;Yuqiong Yang.;Zhenyu Liang.;Aiqi Song.;Jiawei Chen.;Zijun Guo.;Zizheng Chen.;Chengyu Miao.;Huajing Yang.;Wenqiang He.;Zifei Zhou.;M Brad Drummond.;Rongchang Chen.;Fengyan Wang.
来源: Chest. 2025年
Airway mucus plugs are frequently identified on CT scans of patients with COPD and are associated with worse airflow obstruction and higher mortality. However, the association between airway mucus plugs and the risk of acute exacerbation of COPD (AECOPD) has not been extensively studied.
38. Effect of Admilparant, a Lysophosphatidic Acid Receptor 1 Antagonist, on Disease Progression in Pulmonary Fibrosis.
作者: Michael Kreuter.;Toby M Maher.;Wim A Wuyts.;Claudia Valenzuela.;Mark Hamblin.;Sinae Kim.;Aditya Patel.;Brandon Elpers.;Luca Richeldi.
来源: Chest. 2025年
Idiopathic pulmonary fibrosis (IPF) and progressive pulmonary fibrosis (PPF) are chronic fibrosing interstitial lung diseases associated with irreversible loss of lung function and early mortality. Admilparant (BMS-986278) is an oral lysophosphatidic acid receptor 1 antagonist under development for treatment of IPF and PPF.
39. Effect of Ventilator Mode on Ventilator-Free Days in Critically Ill Adults: A Randomized Clinical Trial.
作者: Kevin P Seitz.;Bradley D Lloyd.;Li Wang.;Matthew S Shotwell.;Edward T Qian.;Amelia L Muhs.;Roger K Richardson.;J Craig Rooks.;Vanessa Hennings-Williams.;Claire E Sandoval.;Whitney D Richardson.;Tracy L Morgan.;Amber N Thompson.;Pamela G Hastings.;Terry P Ring.;Joanna L Stollings.;Erica M Talbot.;David J Krasinski.;Bailey R DeCoursey.;Tanya K Marvi.;Stephanie C DeMasi.;Kevin W Gibbs.;Wesley H Self.;Amanda S Mixon.;Todd W Rice.;Matthew W Semler.;Jonathan D Casey.; .
来源: Chest. 2025年
Whether the choice of ventilator mode affects outcomes for critically ill patients is unknown.
40. The Association Between Mechanical Power Within the First 24 Hours and ICU Mortality in Mechanically Ventilated Adult Patients With Acute Hypoxemic Respiratory Failure: A Registry-Based Cohort Study.
作者: Stephan von Düring.;Kuan Liu.;Laveena Munshi.;S Joseph Kim.;Martin Urner.;Neill K J Adhikari.;Ken Kuljit S Parhar.;Eddy Fan.
来源: Chest. 2025年
Despite the widespread adoption of lung-protective ventilation strategies, mortality among patients receiving invasive mechanical ventilation (IMV) remains high. Mechanical power (MP) integrates various variables responsible for ventilator-induced lung injury and has been associated with mortality in patients with ARDS. However, the impact of MP on ICU mortality in the larger group of patients with acute hypoxemic respiratory failure (AHRF) has not been well established, and previous studies have reported inconsistent thresholds for predicting outcomes.
|