Evidence map›Paper›PMID 42068967›Full record

ArticleRespiratory medicine and research2026

Real-world evidence on hospitalization, infection, and vascular outcomes among interstitial lung disease subtypes.

Wen-Cheng Chao, Shu-Yi Liao

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Article in Respiratory medicine and research, 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

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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

2 authors.

Wen-Cheng ChaoDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Department of post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taiwan; Big Data Center, Chung Hsing University, Taichung, Taiwan.
Shu-Yi LiaoDepartment of Medicine, University of California-Los Angeles, Los Angeles, CA, USA. Electronic address: shuyiliao@mednet.ucla.edu.

Funding

Integrative Metabolomics of Sarcoidosis Diagnosis and ProgressionR01HL173239 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Shu-Yi Liao · 2025 to 2026
$1.5M
Common and distinct metabolic pathways of pulmonary sarcoidosis phenotypes and endotypesR21HL175174 · NHLBI · NATIONAL JEWISH HEALTH · PI LIAO, SHU-YI · 2025 to 2025
$249k
NHLBI NIH HHS R01 HL173239NHLBI NIH HHS R21 HL175174
6 · The paper itself

Abstract

BACKGROUND AND

objectiveInterstitial lung diseases (ILDs) consist of idiopathic pulmonary fibrosis (IPF) and non-IPF ILDs. While pulmonary complications in IPF are relatively well-studied, there is a need for research on non-IPF ILDs, including connective tissue disease-associated ILDs (CTD-ILDs), and non-pulmonary outcomes of ILDs. We compare hospitalization, infection, and pulmonary/cardiac vascular event outcomes in patients with various ILDs.

methodsWe used data from 82 healthcare organizations between 2014 and 2023 on the TriNetX Research Network. In addition to IPF, we included patients with rheumatoid arthritis (RA)-ILD, systemic sclerosis (SSc)-ILD, myositis-ILD, hypersensitivity pneumonitis (HP) and pulmonary sarcoidosis. We employed propensity score matching (PSM) and assessed outcomes, including hospitalization, infection, and pulmonary/cardiac vascular events within one year of diagnosis.

resultsA total of 66,771 patients met the inclusion criteria, with 15,228 diagnosed with IPF and 51,543 with non-IPF ILDs. Anti-fibrotic agents were used in 30.4% of IPF patients. IPF patients had higher risks of hospitalization, cytomegalovirus disease, aspergillosis, and pulmonary/cardiac vascular event compared to those with non-IPF ILDs. Within CTD-ILDs, RA-ILD was associated with increased risks of sepsis, bacteremia, and pneumonia, while SSc-ILD had higher risks of pulmonary vascular events. Myositis-ILD showed elevated risks of hospitalization and mortality compared to RA-ILD, whereas patients with HP and pulmonary sarcoidosis experienced more favorable outcomes.

conclusionsWe identified distinct risk profiles across ILD subtypes, with increased infection risks in RA-ILD and heightened pulmonary/cardiac vascular event risks in SSc-ILD and IPF. These findings emphasize the need for targeted surveillance/management strategies for different ILD subtypes.

Indexed as

HospitalizationInfectionsLung Diseases, InterstitialAgedConnective Tissue DiseasesFemaleHumansIdiopathic Pulmonary FibrosisMaleMiddle AgedScleroderma, SystemicCardiac eventsConnective tissue disease-associated ILDHospitalizationIdiopathic pulmonary fibrosisInfectionInterstitial lung diseaseReal-world data

Identifiers

PMID42068967
PMCPMC13271361

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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 OpenQuestion graph.