Impaired diffusing capacity for carbon monoxide is common in critically ill Covid-19 patients at four months post-discharge

被引:34
作者
Ekbom, E. [1 ]
Frithiof, R. [2 ]
Emilsson, O., I [1 ]
Larson, I. M. [2 ]
Lipcsey, M. [2 ,3 ]
Rubertsson, S. [2 ]
Wallin, E. [2 ]
Janson, C. [1 ]
Hultstrom, M. [2 ,4 ]
Malinovschi, A. [5 ]
机构
[1] Uppsala Univ, Dept Med Sci Resp Allergy & Sleep Res, Uppsala, Sweden
[2] Uppsala Univ, Dept Surg Sci Anaesthesiol & Intens Care Med, Uppsala, Sweden
[3] Uppsala Univ, Hedenstierna Lab, Anaesthesiol & Intens Care Med, CIRRUS, Uppsala, Sweden
[4] Uppsala Univ, Dept Med Cell Biol, Integrat Physiol, Uppsala, Sweden
[5] Uppsala Univ, Dept Med Sci, Clin Physiol, Uppsala, Sweden
基金
瑞典研究理事会;
关键词
COVID-19; Follow up; Lung function; ARDS; Diffusion capacity; ICU treatment;
D O I
10.1016/j.rmed.2021.106394
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There is limited knowledge about the long-term effects on pulmonary function of COVID-19 in patients that required intensive care treatment. Spirometry and diffusing capacity for carbon monoxide (DLCO) were measured in 60 subjects at 3-6 months post discharge. Impaired lung function was found in 52% of the subjects, with reduced DLCO as the main finding. The risk increased with age above 60 years, need for mechanical ventilation and longer ICU stay as well as lower levels of C-reactive protein at admission. This suggests the need of follow-up with pulmonary function testing in intensive-care treated patients.
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页数:3
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