{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:03:24Z","timestamp":1791821004048,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,4]],"date-time":"2020-10-04T00:00:00Z","timestamp":1601769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002865","name":"Chongqing Science and Technology Commission","doi-asserted-by":"publisher","award":["cstc2019jscx\u2010msxmX0184"],"award-info":[{"award-number":["cstc2019jscx\u2010msxmX0184"]}],"id":[{"id":"10.13039\/501100002865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The feasibility of pneumothorax following low\u2010dose CT\u2010guided puncture lung biopsy in different severities of COPD has not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The data of the patients with pulmonary lesion who underwent low\u2010dose CT\u2010guided lung biopsy by one experienced operator in our hospital from January 1st to September 30th in 2019 were retrospectively collected. They were divided into COPD group and non\u2010COPD group. The risk factors, incidence and severity of pneumothorax with the severity of COPD and changes in MMRC score, treatment way and discharge time after pneumothorax were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred and nineteen patients were retrospectively enrolled in this study with 64 in the COPD group and 155 in the non\u2010COPD group. The average age, MMRC score and the incidence of pneumothorax after biopsy were significantly higher in the COPD group (64.7\u00a0\u00b1\u00a01.27\u00a0years, 1.02\u00a0\u00b1\u00a00.13, 31.3%) than in the non\u2010COPD group (58.8\u00a0\u00b1\u00a01.16\u00a0years, 0.35\u00a0\u00b1\u00a00.06, 17.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). The incidence of pneumothorax between I\u2010II and III\u2010IV in COPD did not reach the significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.863). COPD was the only independent risk factor for pneumothorax after biopsy in a multivariable regression (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). MMRC score was significantly increased at post\u2010pneumothorax in the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). There was no significant difference in diagnostic rate, severity of pneumothorax, the proportion of delayed pneumothorax, the changes in treatment way and discharge time between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&gt;\u00a00.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although the incidence of pneumothorax after low dose CT\u2010guided lung biopsy is increased in COPD, there was no difference in the severity of pneumothorax amongst the different severities of COPD and it is well\u2010tolerated without increasing medical burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/crj.13272","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T03:09:16Z","timestamp":1600916956000},"page":"84-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Incidence, severity and tolerability of pneumothorax following low\u2010dose CT\u2010guided lung biopsy in different severities of COPD"],"prefix":"10.1111","volume":"15","author":[{"given":"Mi","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine the First Affiliated Hospital of Chongqing Medical University Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Critical Care Medicine the First Affiliated Hospital of Chongqing Medical University Chongqing 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