Evidence map›Paper›PMID 33662544›Full record

ArticleClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2021

Pulmonary long-term consequences of COVID-19 infections after hospital discharge.

Jose-Ramon Blanco, Maria-Jesus Cobos-Ceballos, Francisco Navarro, Isabel Sanjoaquin, Francisco Arnaiz de Las Revillas, Enrique Bernal, Luis Buzon-Martin, Miguel Viribay, Lourdes Romero, Simona Espejo-Perez and 8 more

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In one paragraph

Article in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
14.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 1 country.

Jose-Ramon BlancoServicio de Enfermedades Infecciosas, Hospital Universitario San Pedro, Logroño, La Rioja, Spain; Centro de Investigación Biomédica de La Rioja, Logroño, La Rioja, Spain. Electronic address: jrblanco@riojasalud.es.
Maria-Jesus Cobos-CeballosInstituto Maimónides de Investigación Biomédica de Córdoba, Universidad de Córdoba, Spain; Servicio de Neumología, Hospital Universitario Reina Sofía, Córdoba, Spain.
Francisco NavarroServicio de Medicina Interna, Hospital Costal de Sol, Marbella, Málaga, Spain.
Isabel SanjoaquinServicio de Enfermedades Infecciosas, HCU Lozano Blesa, Zaragoza, Spain.
Francisco Arnaiz de Las RevillasServicio de Enfermedades Infecciosas, H Universitario Marqués de Valdecilla, Santander, Spain.
Enrique BernalSección de Enfermedades Infecciosas, Hospital General Universitario Reina Sofía de Murcia, Universidad de Murcia, Spain.
Luis Buzon-MartinServicio de Medicina Interna, Hospital Universitario de Burgos, Spain.
Miguel ViribayVitro, Labora, Spain.
Lourdes RomeroCentro de Investigación Biomédica de La Rioja, Logroño, La Rioja, Spain.
Simona Espejo-PerezInstituto Maimónides de Investigación Biomédica de Córdoba, Universidad de Córdoba, Spain; Servicio de Radiología, Hospital Universitario Reina Sofía, Córdoba, Spain.
Borja ValenciaServicio de Neumología, Hospital Costal de Sol, Marbella, Málaga, Spain.
David IbañezServicio de Radiología, HCU Lozano Blesa, Zaragoza, Spain.
Diego Ferrer-PargadaServicio de Neumología, H Universitario Marqués de Valdecilla, Santander, Spain.
Damian MaliaServicio de Neumología, Hospital General Universitario Reina Sofía de Murcia, Spain.
Fernando-Gustavo Gutierrez-HerreroServicio de Neumología, Hospital Universitario de Burgos, Spain.
Julian OlallaServicio de Medicina Interna, Hospital Costal de Sol, Marbella, Málaga, Spain.
Bernabe Jurado-GamezInstituto Maimónides de Investigación Biomédica de Córdoba, Universidad de Córdoba, Spain; Servicio de Neumología, Hospital Universitario Reina Sofía, Córdoba, Spain.
Javier UgedoServicio de Neumología, Hospital Universitario San Pedro, Logroño, La Rioja, Spain.
Hospital Costa del Sol · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ESHospital Clínico Universitario Lozano Blesa · ESHospital Reina Sofía de Murcia · ESHospital San Pedro · ESHospital Universitario de Burgos · ESCenter for Biomedical Research of La Rioja · ESFundación Marques de Valdecilla · ESMarqués de Valdecilla University Hospital · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCoronavirus disease 2019 (COVID-19) survivors are reporting residual abnormalities after discharge from hospital. Limited information is available about this stage of recovery or the lingering effects of the virus on pulmonary function and inflammation. This study aimed to describe lung function in patients recovering from COVID-19 hospitalization and to identify biomarkers in serum and induced sputum samples from these patients.

methodsPatients admitted to Spanish hospitals with laboratory-confirmed COVID-19 infection by a real-time PCR (RT-PCR) assay for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were recruited for this study. Each hospital screened their lists of discharged patients at least 45 days after symptom onset. SARS-CoV-2-infected patients were divided into mild/moderate and severe disease groups according to the severity of their symptoms during hospitalization. Patients' epidemiological and medical histories, comorbidities, chronic treatments, and laboratory parameters were evaluated. Pulmonary function tests, the standardized 6-minute walk test (6MWT) and chest computed tomography (CT) were also performed. The levels of proteases, their inhibitors, and shed receptors were measured in serum and induced sputum samples.

resultsA total of 100 patients with respiratory function tests were included in this study. The median number of days after the onset of symptoms was 104 (IQR 89.25, 126.75). COVID-19 was severe in 47% of patients (47/100). CT was normal in 48% of patients (48/100). Lung function was normal forced expiratory volume in one second (FEV1) ≥80%, forced vital capacity (FVC) ≥80%, FEV1/FVC ≥0.7, and diffusing capacity for carbon monoxide (DLCO) ≥80% in 92% (92/100), 94% (94/100), 100% (100/100) and 48% (48/100) of patients, respectively. Multivariate analysis showed that a DLCO <80% (OR 5.92; 95%CI 2.28-15.37; p < 0.0001) and a lower serum lactate dehydrogenase level (OR 0.98; 95%CI 0.97-0.99) were associated with the severe disease group of SARS-CoV-2 cases during hospital stay.

conclusionsA diffusion deficit (DLCO <80%) was still present after hospital discharge and was associated with the most severe SARS-CoV-2 cases.

Indexed as

AdultAgedBiomarkersComorbidityCOVID-19COVID-19 Nucleic Acid TestingFemaleFollow-Up StudiesHumansLungMaleMiddle AgedPatient DischargeProspective StudiesRespiratory Function TestsSARS-CoV-2BiomarkersCOVID-19Intracellular adhesion moleculeLung diffusion capacityOsteoprotegerinPlasminogen activator inhibitorTissue inhibitor of matrix metalloproteinasesTomography

Identifiers

PMID33662544
PMCPMC7920814
OpenAlexW3133718453

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.