Lung function six months after severe covid-19: does time, in fact, heal all wounds?
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1016/j.bjid.2022.102352 http://hdl.handle.net/1843/60102 |
Resumo: | Background: COVID-19 has been associated with persistent symptoms and functional changes, especially in those surviving severe disease.Methods: We conducted a prospective multicenter study in patients with severe COVID-19 to determine respiratory sequelae. Patients were stratified into two groups: ward admission (WA) and intensive care unit (ICU) admission. In each follow-up visit, the patients where inquired about cough and dyspnea, and performed spirometry, lung volumes, carbon mon oxide diffusion capacity (DLCO), 6-minute walk test (6MWT), and respiratory muscle strength (MIP and MEP). Results of pulmonary function tests at 45 days and 6 months after hospital admission were compared using paired analysis.Results: 211 patients were included, 112 in WA and 99 in ICU. Dyspnea persisted in 64.7% in the WA and 66.7% in the ICU group after 6 months. Lung function measures showed signifi cant improvement between 45 days and 6 months, both in WA and ICU groups in VC, FVC,FEV1, total lung capacity, and 6MW distance measures. The improvement in the propor tions of the altered functional parameters was significant in the ICU group for VC (44.2% 45 d; 20.8% 6 m; p = 0,014), FVC (47.6% 45 d; 28% 6 m; p = 0,003), FEV1 (45.1% 45 d; 28% 6 m;p = 0,044), DLCO (33.8% 45 d; 7.7% 6 m; p < 0,0001).Conclusion: Six months follow-up of patients with the severe forms of COVID-19 showed significant improvement in the lung function measures compared to 45 days post hospital dis charge. The difference was more evident in those requiring ICU admission. |
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2023-10-26T19:39:58Z2023-10-26T19:39:58Z20222617https://doi.org/10.1016/j.bjid.2022.10235214138670http://hdl.handle.net/1843/60102Background: COVID-19 has been associated with persistent symptoms and functional changes, especially in those surviving severe disease.Methods: We conducted a prospective multicenter study in patients with severe COVID-19 to determine respiratory sequelae. Patients were stratified into two groups: ward admission (WA) and intensive care unit (ICU) admission. In each follow-up visit, the patients where inquired about cough and dyspnea, and performed spirometry, lung volumes, carbon mon oxide diffusion capacity (DLCO), 6-minute walk test (6MWT), and respiratory muscle strength (MIP and MEP). Results of pulmonary function tests at 45 days and 6 months after hospital admission were compared using paired analysis.Results: 211 patients were included, 112 in WA and 99 in ICU. Dyspnea persisted in 64.7% in the WA and 66.7% in the ICU group after 6 months. Lung function measures showed signifi cant improvement between 45 days and 6 months, both in WA and ICU groups in VC, FVC,FEV1, total lung capacity, and 6MW distance measures. The improvement in the propor tions of the altered functional parameters was significant in the ICU group for VC (44.2% 45 d; 20.8% 6 m; p = 0,014), FVC (47.6% 45 d; 28% 6 m; p = 0,003), FEV1 (45.1% 45 d; 28% 6 m;p = 0,044), DLCO (33.8% 45 d; 7.7% 6 m; p < 0,0001).Conclusion: Six months follow-up of patients with the severe forms of COVID-19 showed significant improvement in the lung function measures compared to 45 days post hospital dis charge. The difference was more evident in those requiring ICU admission.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE CLÍNICA MÉDICAThe Brazilian Journal of Infectious DiseasesCOVID-19Respiratory Function TestsFollow-Up StudiesPost-Acute COVID-19 SyndromeCOVID-19Lung FunctionFollow-UpPost-COVID conditionLung function six months after severe covid-19: does time, in fact, heal all wounds?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articledoi:10.1016/j.bjid.2022.102352Daniel Cruz BretasCarolina Coimbra MarinhoArnaldo Santos LeiteEliane Viana MancuzoTarciane Aline PrataBruno Horta AndradeJacqueline Das Graças Ferreira OliveiraAline Priscila BatistaGeorge Luiz Lins Machado CoelhoValéria Maria Augustoapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/60102/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALLung function six months after severe COVID-19 Does time, in fact, heal all wounds pdfa.pdfLung function six months after severe COVID-19 Does time, in fact, heal all wounds pdfa.pdfapplication/pdf305411https://repositorio.ufmg.br/bitstream/1843/60102/2/Lung%20function%20six%20months%20after%20severe%20COVID-19%20Does%20time%2c%20in%20fact%2c%20heal%20all%20wounds%20pdfa.pdf97b724231e595b3336288d80a0499495MD521843/601022023-10-26 17:13:07.639oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-10-26T20:13:07Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
title |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
spellingShingle |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? Daniel Cruz Bretas COVID-19 Lung Function Follow-Up Post-COVID condition COVID-19 Respiratory Function Tests Follow-Up Studies Post-Acute COVID-19 Syndrome |
title_short |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
title_full |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
title_fullStr |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
title_full_unstemmed |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
title_sort |
Lung function six months after severe covid-19: does time, in fact, heal all wounds? |
author |
Daniel Cruz Bretas |
author_facet |
Daniel Cruz Bretas Carolina Coimbra Marinho Arnaldo Santos Leite Eliane Viana Mancuzo Tarciane Aline Prata Bruno Horta Andrade Jacqueline Das Graças Ferreira Oliveira Aline Priscila Batista George Luiz Lins Machado Coelho Valéria Maria Augusto |
author_role |
author |
author2 |
Carolina Coimbra Marinho Arnaldo Santos Leite Eliane Viana Mancuzo Tarciane Aline Prata Bruno Horta Andrade Jacqueline Das Graças Ferreira Oliveira Aline Priscila Batista George Luiz Lins Machado Coelho Valéria Maria Augusto |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Daniel Cruz Bretas Carolina Coimbra Marinho Arnaldo Santos Leite Eliane Viana Mancuzo Tarciane Aline Prata Bruno Horta Andrade Jacqueline Das Graças Ferreira Oliveira Aline Priscila Batista George Luiz Lins Machado Coelho Valéria Maria Augusto |
dc.subject.por.fl_str_mv |
COVID-19 Lung Function Follow-Up Post-COVID condition |
topic |
COVID-19 Lung Function Follow-Up Post-COVID condition COVID-19 Respiratory Function Tests Follow-Up Studies Post-Acute COVID-19 Syndrome |
dc.subject.other.pt_BR.fl_str_mv |
COVID-19 Respiratory Function Tests Follow-Up Studies Post-Acute COVID-19 Syndrome |
description |
Background: COVID-19 has been associated with persistent symptoms and functional changes, especially in those surviving severe disease.Methods: We conducted a prospective multicenter study in patients with severe COVID-19 to determine respiratory sequelae. Patients were stratified into two groups: ward admission (WA) and intensive care unit (ICU) admission. In each follow-up visit, the patients where inquired about cough and dyspnea, and performed spirometry, lung volumes, carbon mon oxide diffusion capacity (DLCO), 6-minute walk test (6MWT), and respiratory muscle strength (MIP and MEP). Results of pulmonary function tests at 45 days and 6 months after hospital admission were compared using paired analysis.Results: 211 patients were included, 112 in WA and 99 in ICU. Dyspnea persisted in 64.7% in the WA and 66.7% in the ICU group after 6 months. Lung function measures showed signifi cant improvement between 45 days and 6 months, both in WA and ICU groups in VC, FVC,FEV1, total lung capacity, and 6MW distance measures. The improvement in the propor tions of the altered functional parameters was significant in the ICU group for VC (44.2% 45 d; 20.8% 6 m; p = 0,014), FVC (47.6% 45 d; 28% 6 m; p = 0,003), FEV1 (45.1% 45 d; 28% 6 m;p = 0,044), DLCO (33.8% 45 d; 7.7% 6 m; p < 0,0001).Conclusion: Six months follow-up of patients with the severe forms of COVID-19 showed significant improvement in the lung function measures compared to 45 days post hospital dis charge. The difference was more evident in those requiring ICU admission. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-10-26T19:39:58Z |
dc.date.available.fl_str_mv |
2023-10-26T19:39:58Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/60102 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1016/j.bjid.2022.102352 |
dc.identifier.issn.pt_BR.fl_str_mv |
14138670 |
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https://doi.org/10.1016/j.bjid.2022.102352 http://hdl.handle.net/1843/60102 |
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14138670 |
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eng |
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eng |
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The Brazilian Journal of Infectious Diseases |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
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MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
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Universidade Federal de Minas Gerais |
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