4.6 Article

A prospective study of 12-week respiratory outcomes in COVID-19-related hospitalisations

Journal

THORAX
Volume 76, Issue 4, Pages 402-404

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/thoraxjnl-2020-216308

Keywords

interstitial fibrosis; lung physiology; respiratory infection

Funding

  1. Michael Smith Foundation for Health Research
  2. TB Vets charitable foundation
  3. Vancouver Coastal Health Research Institute
  4. University of British Columbia's Strategic Investment Fund

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The long-term respiratory morbidity of COVID-19 remains unclear. A study found that a significant percentage of previously hospitalized patients had persisting abnormalities in clinical, radiological, and pulmonary function, highlighting the importance of developing treatment strategies and long-term respiratory follow-up.
The long-term respiratory morbidity of COVID-19 remains unclear. We describe the clinical, radiological and pulmonary function abnormalities that persist in previously hospitalised patients assessed 12 weeks after COVID-19 symptom onset, and identify clinical predictors of respiratory outcomes. At least one pulmonary function variable was abnormal in 58% of patients and 88% had abnormal imaging on chest CT. There was strong association between days on oxygen supplementation during the acute phase of COVID-19 and both DLCO-% (diffusion capacity of the lung for carbon monoxide) predicted and total CT score. These findings highlight the need to develop treatment strategies and the importance of long-term respiratory follow-up after hospitalisation for COVID-19.

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