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