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一项针对 COVID-19 相关住院患者 12 周呼吸系统转归的前瞻性研究。

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

机构信息

Division of Respiratory Medicine, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Thorax. 2021 Apr;76(4):402-404. doi: 10.1136/thoraxjnl-2020-216308. Epub 2020 Dec 3.

Abstract

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.

摘要

COVID-19 的长期呼吸系统并发症仍不清楚。我们描述了在 COVID-19 症状出现 12 周后评估的先前住院患者中持续存在的临床、影像学和肺功能异常,并确定了呼吸结局的临床预测因素。至少有一个肺功能变量异常的患者占 58%,88%的患者胸部 CT 异常。在 COVID-19 急性期接受氧气补充的天数与 DLCO-%(一氧化碳弥散量)预测值和总 CT 评分之间存在强烈关联。这些发现强调了需要制定治疗策略以及 COVID-19 住院后进行长期呼吸随访的重要性。

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