Evidence map›Paper›PMID 41929909›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2026

VE-VCO2 Slope During Cardiopulmonary Exercise Test Predicts Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Retrospective Cohort Study.

Xiaona Li, Fang Lin, Jingxuan Wu, Jianxiong Zhang, Siqi Liu, Mengmeng Qiu, Wei Yuan, Shan Nie, Fugui Yan, Bo Xu and 1 more

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Xiaona LiDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.ORCID 0009-0007-7444-931X
Fang LinDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Jingxuan WuResearch Ward, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Jianxiong ZhangResearch Ward, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Siqi LiuDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Mengmeng QiuDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Wei YuanDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Shan NieDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Fugui YanDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Bo XuDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.
Yunxiao LiDepartment of Respiratory Medicine, Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiopulmonary Exercise Test (CPET) serves as an integrative assessment tool to evaluate cardiac function, respiratory responses, and neuromuscular capacity in patients with chronic obstructive pulmonary disease (COPD) during incremental cycling exercise. VE-VCO2 slope during CPET was not fully understood in predicting acute exacerbations of COPD (AECOPD). This study aims to establish a predictive model for AECOPD based on the VE-VCO2 slope. Methods: In total, 79 patients with COPD were recruited between 2013 and 2019. All participants underwent baseline pulmonary function tests and CPET and were followed up for 5 years thereafter. Independent two-sample Results: The AECOPD group contains 62 participants and the Non-AECOPD group contains 17 participants. Groups comparisons revealed significant differences in VE-VCO2 slope, age, BMI, FEV1%predicted, FEV1/FVC ratio, and EqCO2. Multivariate Cox regression analysis identified VE-VCO2 slope (OR = 1.19, 95% CI: 1.09-1.29, p < 0.001), age (OR = 1.05, 95% CI: 1.02-1.09, p = 0.005), and FEV1%predicted (OR = 0.96, 95% CI : 0.94-0.99, p = 0.015) as significant predictors of AECOPD. The ROC curve analysis results about the above predictors found that the AUC of VE-VCO2 slope is highest independently in 1 year, 3 years and 5 years, with the optimal cutoff values = 28.42 in 5 years (hazard ratio = 3.18, 95% CI: 1.639-6.2, p < 0.001). Conclusion: The stratification of VE-VCO2 slope ≥28.42 was an independent predictor of AECOPD. Our study established VE-VCO2 slope as a novel stratified clinical biomarker for predicting AECOPD.

Indexed as

Carbon DioxideExercise TestExercise ToleranceLungOxygen ConsumptionPulmonary Disease, Chronic ObstructiveAgedDisease ProgressionFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesTime FactorsCarbon DioxideCOPDCPETexacerbationventilation-perfusion mismatchVE-VCO2 slope

Identifiers

PMID41929909
PMCPMC13041537

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.