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Changes in cardiopulmonary exercise capacity and limitations 3-12 months after COVID-19

Ingul, Charlotte Björk ; Edvardsen, Anne ; Follestad, Turid ; Trebinjac, Divna ; Ankerstjerne, Odd Andre Wathne ; Brønstad, Eivind ; Rasch-Halvorsen, Øystein ; Aarli, Bernt ; Dalen, Håvard ; Nes, Bjarne Martens ; Lerum, Tøri Vigeland ; Einvik, Gunnar ; Stavem, Knut ; Skjørten, Ingunn

The European respiratory journal, 2023-02, Vol.61 (2), p.2200745 [Periódico revisado por pares]

England: European Respiratory Society

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  • Título:
    Changes in cardiopulmonary exercise capacity and limitations 3-12 months after COVID-19
  • Autor: Ingul, Charlotte Björk ; Edvardsen, Anne ; Follestad, Turid ; Trebinjac, Divna ; Ankerstjerne, Odd Andre Wathne ; Brønstad, Eivind ; Rasch-Halvorsen, Øystein ; Aarli, Bernt ; Dalen, Håvard ; Nes, Bjarne Martens ; Lerum, Tøri Vigeland ; Einvik, Gunnar ; Stavem, Knut ; Skjørten, Ingunn
  • Assuntos: Cohort Studies ; COVID-19 ; Exercise Test - methods ; Exercise Tolerance ; Female ; Humans ; Middle Aged ; Original ; Oxygen ; Oxygen Consumption ; Prospective Studies
  • É parte de: The European respiratory journal, 2023-02, Vol.61 (2), p.2200745
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
    NFR/237887
  • Descrição: To describe cardiopulmonary function during exercise 12 months after hospital discharge for coronavirus disease 2019 (COVID-19), assess the change from 3 to 12 months, and compare the results with matched controls without COVID-19. In this prospective, longitudinal, multicentre cohort study, hospitalised COVID-19 patients were examined using a cardiopulmonary exercise test (CPET) 3 and 12 months after discharge. At 3 months, 180 performed a successful CPET, and 177 did so at 12 months (mean age 59.3 years, 85 females). The COVID-19 patients were compared with controls without COVID-19 matched for age, sex, body mass index and comorbidity. Main outcome was peak oxygen uptake ( ' ). Exercise intolerance ( ' <80% predicted) was observed in 23% of patients at 12 months, related to circulatory (28%), ventilatory (17%) and other limitations including deconditioning and dysfunctional breathing (55%). Estimated mean difference between 3 and 12 months showed significant increases in ' % pred (5.0 percentage points (pp), 95% CI 3.1-6.9 pp; p<0.001), ' ·kg % pred (3.4 pp, 95% CI 1.6-5.1 pp; p<0.001) and oxygen pulse % pred (4.6 pp, 95% CI 2.5-6.8 pp; p<0.001). ' was 2440 mL·min in COVID-19 patients compared to 2972 mL·min in matched controls. 1 year after hospital discharge for COVID-19, the majority (77%), had normal exercise capacity. Only every fourth had exercise intolerance and in these circulatory limiting factors were more common than ventilator factors. Deconditioning was common. ' and oxygen pulse improved significantly from 3 months.
  • Editor: England: European Respiratory Society
  • Idioma: Inglês;Norueguês
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