Evidence map›Paper›PMID 35226158›Full record

ArticleEuropean radiology2022

Air trapping in COVID-19 patients following hospital discharge: retrospective evaluation with paired inspiratory/expiratory thin-section CT.

Tomás Franquet, Ana Giménez, Loren Ketai, Sandra Mazzini, Andrea Rial, Virginia Pomar, Pere Domingo

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

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  18. Respiratory consequences after COVID-19: outcome and treatment.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Review
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

7 authors at 3 institutions in 2 countries.

Tomás FranquetDepartment of Radiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. tfranquet@santpau.cat.ORCID http://orcid.org/0000-0002-7443-1730
Ana GiménezDepartment of Radiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. agimenez@santpau.cat.
Loren KetaiDepartment of Radiology, University of New Mexico Health Science Center, Albuquerque, NM, USA.
Sandra MazziniDepartment of Radiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Andrea RialDepartment of Pneumology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Virginia PomarDepartment of Medicine, Universitat Autónoma de Barcelona, Barcelona, Spain.
Pere DomingoDepartment of Medicine, Universitat Autónoma de Barcelona, Barcelona, Spain.
Universitat Autònoma de Barcelona · ESHospital de Sant Pau · ESUniversity of New Mexico · US

Funding

instituto de salud carlos iii COV20/00070
6 · The paper itself

Abstract

objectivesThe study reports our experience with paired inspiration/expiration thin-section computed tomographic (CT) scans in the follow-up of COVID-19 patients with persistent respiratory symptoms.

methodsFrom August 13, 2020, to May 31, 2021, 48 long-COVID patients with respiratory symptoms (27 men and 21 women; median age, 62.0 years; interquartile range: 54.0-69.0 years) underwent follow-up paired inspiration-expiration thin-section CT scans. Patient demographics, length of hospital stay, intensive care unit admission rate, and clinical and laboratory features of acute infection were also included. The scans were obtained on a median of 72.5 days after onset of symptoms (interquartile range: 58.5-86.5) and at least 30 days after hospital discharge. Thin-section CT findings included ground-glass opacity, mosaic attenuation pattern, consolidation, traction bronchiectasis, reticulation, parenchymal bands, bronchial wall thickening, and air trapping. We used a quantitative score to determine the degree of air trapping in the expiratory scans.

resultsParenchymal abnormality was found in 50% (24/48) of patients and included air trapping (37/48, 77%), ground-glass opacities (19/48, 40%), reticulation (18/48, 38%), parenchymal bands (15/48, 31%), traction bronchiectasis (9/48, 19%), mosaic attenuation pattern (9/48, 19%), bronchial wall thickening (6/48, 13%), and consolidation (2/48, 4%). The absence of air trapping was observed in 11/48 (23%), mild air trapping in 20/48 (42%), moderate in 13/48 (27%), and severe in 4/48 (8%). Independent predictors of air trapping were, in decreasing order of importance, gender (p = 0.0085), and age (p = 0.0182).

conclusionsOur results, in a limited number of patients, suggest that follow-up with paired inspiratory/expiratory CT in long-COVID patients with persistent respiratory symptoms commonly displays air trapping. KEY POINTS: • Our experience indicates that paired inspiratory/expiratory CT in long-COVID patients with persistent respiratory symptoms commonly displays air trapping. • Iterative reconstruction and dose-reduction options are recommended for demonstrating air trapping in long-COVID patients.

Indexed as

BronchiectasisCOVID-19FemaleHospitalsHumansLungMaleMiddle AgedPatient DischargePost-Acute COVID-19 SyndromeRetrospective StudiesTomography, X-Ray ComputedAir-trappingInspiratoryLong-COVID

Identifiers

PMID35226158
PMCPMC8884095
OpenAlexW4214647624

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.