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Cardiopulmonary Outcomes in Covid-19 Patients Discharged From a Tertiary Care Center: A Prospective Study.

Authors :
Kattamuri LPV
Sharma V
Sarda R
Sharma K
Ajayababu A
Gupta G
Vyas S
Pandey S
Kumar A
Wig N
Narang R
Sinha S
Source :
National Academy science letters. National Academy of Sciences, India [Natl Acad Sci Lett] 2023 Mar 23, pp. 1-8. Date of Electronic Publication: 2023 Mar 23.
Publication Year :
2023
Publisher :
Ahead of Print

Abstract

To determine the cardiopulmonary changes in the survivors of acute COVID-19 infection at 3-6 month and 6-12 month. We followed up 53 patients out of which 28 (52%) had mild COVID-19 and 25 (48%) had severe COVID-19. The first follow-up was between 3 month after diagnosis up to 6 month and second follow-up between 6 and 12 month from the date of diagnosis of acute COVID-19. They were monitored using vital parameters, pulmonary function tests, echocardiography and a chest computed tomography (CT) scan. We found improvement in diffusing capacity for carbon monoxide (DLCO) with a median of 52% of predicted and 80% of predicted at the first and second follow-up, respectively. There was improvement in the CTSS in severe group from 22 (18-24) to 12 (10-18; p-0.001). Multivariable logistic regression revealed increased odds of past severe disease with higher CTSS at follow-up (OR-1.7 [CI 1.14-2.77]; P  = 0.01). Correlation was found between CTSS and DLCO at second follow-up ( r <superscript>2</superscript>  = 0.36; p  < 0.01). Most of patients recovered from COVID-19 but a subgroup of patients continued to have persistent radiological and pulmonary function abnormalities necessitating a structured follow-up.<br />Competing Interests: Conflict of interestNo conflict of interest reported by any of the authors.<br /> (© The Author(s), under exclusive licence to The National Academy of Sciences, India 2023.)

Details

Language :
English
ISSN :
0250-541X
Database :
MEDLINE
Journal :
National Academy science letters. National Academy of Sciences, India
Publication Type :
Periodical
Accession number :
37363281
Full Text :
https://doi.org/10.1007/s40009-023-01236-9