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Key Factors Associated With Pulmonary Sequelae in the Follow-Up of Critically Ill COVID-19 Patients

González, Jessica ; de Batlle, Jordi ; Moncusí-Moix, Anna ; Ceccato, Adrián ; Motos, Anna ; Riera, Jordi ; Peñasco, Yhivian ; Ricart, Pilar ; Aguilera, Luciano ; Rodríguez, Alejandro ; Beteré, Belén ; Solé-Violan, Jordi ; Salvador-Adell, Inmaculada ; Barberán, José ; Amaya Villar, Rosario ; Gómez, José M. ; Blandino Ortiz, Aaron ; Jorge García, Ruth Noemí ; Franco, Nieves ; Gumucio-Sanguino, Víctor D. ; Caballero, Jesús ; Marin-Corral, Judith ; Albaiceta, Guillermo M. ; Loza-Vázquez, Ana ; Vidal, Pablo ; Carbajales Pérez, Cristina ; Socias, Lorenzo ; Diaz, Emili ; de Gonzalo-Calvo, David ; Torres, Antoni ; Barbé, Ferran ; Alcaraz-Serrano, Victoria ; Aldecoa, Cesar ; Aparicio, Maria de Alba ; Ayestarán, J. Ignacio ; Badia, Joan Ramon ; Pravia, Orville Báez ; Segade, Patricia Barral ; Bermejo, Jesus ; Vieiro, María Teresa Bouza ; Bueno, Leticia ; Fernández, Sandra Campos ; Canseco, Joan ; Castellà, Manuel ; Centelles-Serrano, María José ; Ávila, Ramon Cicuendez ; Clar, Luisa ; Díaz, Yolanda ; Dot, Irene ; Giraudo, Pedro Enríquez ; Monjo, Teresa Farre ; García, Beatriz ; Redruello, Carlos García ; Sagastume, Amaia García ; Gómez, Silvia ; Gonzalez, Carmen Gómez ; Gracia, Maria Pilar ; Iglesias, Silvia ; Jiménez, Gabriel ; Álvarez, Juan I. Lazo ; León, Miguel ; Guerrero, Desiree Macias ; Naya, Gregorio Marco ; Barcos, Iris Marco ; Cuadrado, Marta Martín ; Delgado, María Cruz Martin ; Vicente, Paula Martín ; Juan, Maria Dolores Martínez ; Palacios, Basilisa Martínez ; Maseda, Emilio ; Fernández, Eva María Menor ; Minguez, Olga ; Miralbés, Mar ; Montejo-González, Juan Carlos ; Aznar, María Mora ; Morales, Dulce ; Bou, Ramon Nogue ; Ossa, Sergio ; Pérez-García, Felipe ; Prados, Javier ; Pujol, Andrés ; Sanchez-Giron, Gloria Renedo ; Ruiz, Covadonga Rodríguez ; Ruiz-García, Ángela Leonor ; Miralles, Miriam Ruiz ; Murúa, Pablo Ryan ; Sanchez, Miguel ; Sánchez, Ana ; Chinesta, Susana Sancho ; Santacoloma, Bitor ; Pensado, Marta Segura ; Speziale, Carla ; Tormos, Adrián ; Vaca, Rafaela ; Val, Estela ; Martin-Montalvo, Maria Van der Hofstadt ; Vázquez, Nil ; Vilanova, Judit ; Warrington, Tatiana Villada ; Zapatero, Ana

Archivos De Bronconeumologia, 2023-04, Vol.59 (4), p.205-215 [Periódico revisado por pares]

Spain: Elsevier España, S.L.U

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Título:
Key Factors Associated With Pulmonary Sequelae in the Follow-Up of Critically Ill COVID-19 Patients
Autor: González, Jessica ; de Batlle, Jordi ; Moncusí-Moix, Anna ; Ceccato, Adrián ; Motos, Anna ; Riera, Jordi ; Peñasco, Yhivian ; Ricart, Pilar ; Aguilera, Luciano ; Rodríguez, Alejandro ; Beteré, Belén ; Solé-Violan, Jordi ; Salvador-Adell, Inmaculada ; Barberán, José ; Amaya Villar, Rosario ; Gómez, José M. ; Blandino Ortiz, Aaron ; Jorge García, Ruth Noemí ; Franco, Nieves ; Gumucio-Sanguino, Víctor D. ; Caballero, Jesús ; Marin-Corral, Judith ; Albaiceta, Guillermo M. ; Loza-Vázquez, Ana ; Vidal, Pablo ; Carbajales Pérez, Cristina ; Socias, Lorenzo ; Diaz, Emili ; de Gonzalo-Calvo, David ; Torres, Antoni ; Barbé, Ferran ; Alcaraz-Serrano, Victoria ; Aldecoa, Cesar ; Aparicio, Maria de Alba ; Ayestarán, J. Ignacio ; Badia, Joan Ramon ; Pravia, Orville Báez ; Segade, Patricia Barral ; Bermejo, Jesus ; Vieiro, María Teresa Bouza ; Bueno, Leticia ; Fernández, Sandra Campos ; Canseco, Joan ; Castellà, Manuel ; Centelles-Serrano, María José ; Ávila, Ramon Cicuendez ; Clar, Luisa ; Díaz, Yolanda ; Dot, Irene ; Giraudo, Pedro Enríquez ; Monjo, Teresa Farre ; García, Beatriz ; Redruello, Carlos García ; Sagastume, Amaia García ; Gómez, Silvia ; Gonzalez, Carmen Gómez ; Gracia, Maria Pilar ; Iglesias, Silvia ; Jiménez, Gabriel ; Álvarez, Juan I. Lazo ; León, Miguel ; Guerrero, Desiree Macias ; Naya, Gregorio Marco ; Barcos, Iris Marco ; Cuadrado, Marta Martín ; Delgado, María Cruz Martin ; Vicente, Paula Martín ; Juan, Maria Dolores Martínez ; Palacios, Basilisa Martínez ; Maseda, Emilio ; Fernández, Eva María Menor ; Minguez, Olga ; Miralbés, Mar ; Montejo-González, Juan Carlos ; Aznar, María Mora ; Morales, Dulce ; Bou, Ramon Nogue ; Ossa, Sergio ; Pérez-García, Felipe ; Prados, Javier ; Pujol, Andrés ; Sanchez-Giron, Gloria Renedo ; Ruiz, Covadonga Rodríguez ; Ruiz-García, Ángela Leonor ; Miralles, Miriam Ruiz ; Murúa, Pablo Ryan ; Sanchez, Miguel ; Sánchez, Ana ; Chinesta, Susana Sancho ; Santacoloma, Bitor ; Pensado, Marta Segura ; Speziale, Carla ; Tormos, Adrián ; Vaca, Rafaela ; Val, Estela ; Martin-Montalvo, Maria Van der Hofstadt ; Vázquez, Nil ; Vilanova, Judit ; Warrington, Tatiana Villada ; Zapatero, Ana
Assuntos: COVID-19 ; COVID-19 - complications ; Critical Illness ; CT abnormalities ; Disease Progression ; Female ; Follow-Up Studies ; Humans ; ICU ; Lung - diagnostic imaging ; Lung function ; Male ; Middle Aged ; Original ; Pulmonary Emphysema ; Sequelae
É parte de: Archivos De Bronconeumologia, 2023-04, Vol.59 (4), p.205-215
Notas: ObjectType-Article-1
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Jessica González and Jordi de Batlle contributed equally to this manuscript and are first authors
Descrição: [Display omitted] Critical COVID-19 survivors have a high risk of respiratory sequelae. Therefore, we aimed to identify key factors associated with altered lung function and CT scan abnormalities at a follow-up visit in a cohort of critical COVID-19 survivors. Multicenter ambispective observational study in 52 Spanish intensive care units. Up to 1327 PCR-confirmed critical COVID-19 patients had sociodemographic, anthropometric, comorbidity and lifestyle characteristics collected at hospital admission; clinical and biological parameters throughout hospital stay; and, lung function and CT scan at a follow-up visit. The median [p25–p75] time from discharge to follow-up was 3.57 [2.77–4.92] months. Median age was 60 [53–67] years, 27.8% women. The mean (SD) percentage of predicted diffusing lung capacity for carbon monoxide (DLCO) at follow-up was 72.02 (18.33)% predicted, with 66% of patients having DLCO<80% and 24% having DLCO<60%. CT scan showed persistent pulmonary infiltrates, fibrotic lesions, and emphysema in 33%, 25% and 6% of patients, respectively. Key variables associated with DLCO<60% were chronic lung disease (CLD) (OR: 1.86 (1.18–2.92)), duration of invasive mechanical ventilation (IMV) (OR: 1.56 (1.37–1.77)), age (OR [per-1-SD] (95%CI): 1.39 (1.18–1.63)), urea (OR: 1.16 (0.97–1.39)) and estimated glomerular filtration rate at ICU admission (OR: 0.88 (0.73–1.06)). Bacterial pneumonia (1.62 (1.11–2.35)) and duration of ventilation (NIMV (1.23 (1.06–1.42), IMV (1.21 (1.01–1.45)) and prone positioning (1.17 (0.98–1.39)) were associated with fibrotic lesions. Age and CLD, reflecting patients’ baseline vulnerability, and markers of COVID-19 severity, such as duration of IMV and renal failure, were key factors associated with impaired DLCO and CT abnormalities.
Editor: Spain: Elsevier España, S.L.U
Idioma: Inglês;Espanhol

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Key Factors Associated With Pulmonary Sequelae in the Follow-Up of Critically Ill COVID-19 Patients

Spain: Elsevier España, S.L.U

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