P153 Associates of, and time to recovery from, eosinopenia in severe exacerbation of COPD (A-TREC)

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Bourke, Stephen
Steer, John
Prasad, Arun
Ireland, Peter
Mussell, G
Scott, M
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2023
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Article
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en
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Introduction Blood eosinophil count (BEC) guides selection for inhaled corticosteroid (ICS) and emerging biologics in COPD. Neither GOLD nor NICE specify measuring BEC during clinical stability. 50% of patients admitted with severe exacerbation of COPD have transient eosinopenia (BEC <50 cells/uL).1 Aims This preliminary analysis from the A-TREC study (clinicaltrials.gov NCT06188065) examines time to recovery in BEC in the subgroup with admission eosinopenia and an uneventful recovery; this will not alter target recruitment. We aim to recruit 200 patients to identify 69 with admission eosinopenia and an uneventful recovery. Methods atients with a severe exacerbation of COPD and admission eosinopenia were assessed with measurement of BEC on days 3, 7, 14, 21, 28 and 42 following admission. Patients with an eventful recovery (further systemic corticosteroids or emergency hospital admission during follow up) were excluded. Stable-state was defined as day 42 BEC.
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Bourke, S., Steer, J., Prasad, Arun. et al. (2023) P153 Associates of, and time to recovery from, eosinopenia in severe exacerbation of COPD (A-TREC). Thorax Journal; 80 : A234
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Thorax
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