Evidence map›Paper›PMID 36882791›Full record

ArticleBMC pulmonary medicine2023

Three-month follow-up after severe COVID-19 infection: are chest CT results associated with respiratory outcomes and respiratory recovery in COVID-19 patients?

Marlou Thf Janssen, Mark Gh Thijssen, Jasenko Krdzalic, Michiel Hm Gronenschild, Sofia Ramiro, César Magro-Checa, Robert Bm Landewé, Rémy Lm Mostard

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
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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

8 authors at 4 institutions in 2 countries.

Marlou Thf JanssenDepartment of Pulmonology, Zuyderland Medical Centre, Henri Dunantstraat 5, 6419 PC, Heerlen, Limburg, The Netherlands. marl.janssen4@zuyderland.nl.
Mark Gh ThijssenDepartment of Pulmonology, Zuyderland Medical Centre, Henri Dunantstraat 5, 6419 PC, Heerlen, Limburg, The Netherlands.
Jasenko KrdzalicDepartment of Radiology, Zuyderland Medical Centre, Heerlen, Limburg, The Netherlands.
Michiel Hm GronenschildDepartment of Pulmonology, Zuyderland Medical Centre, Henri Dunantstraat 5, 6419 PC, Heerlen, Limburg, The Netherlands.
Sofia RamiroDepartment of Rheumatology, Zuyderland Medical Centre, Heerlen, Limburg, The Netherlands.
César Magro-ChecaDepartment of Rheumatology, Zuyderland Medical Centre, Heerlen, Limburg, The Netherlands.
Robert Bm LandewéDepartment of Rheumatology, Zuyderland Medical Centre, Heerlen, Limburg, The Netherlands.
Rémy Lm MostardDepartment of Pulmonology, Zuyderland Medical Centre, Henri Dunantstraat 5, 6419 PC, Heerlen, Limburg, The Netherlands.
Zuyderland Medisch Centrum · NLCenter for Rheumatology · USLeiden University Medical Center · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCT Severity Score (CT-SS) can be used to assess the extent of severe coronavirus disease 19 (COVID-19) pneumonia. Follow-up CT-SS in patients surviving COVID-19-associated hyperinflammation and its correlation with respiratory parameters remains unknown. This study aims to assess the association between CT-SS and respiratory outcomes, both in hospital and at three months after hospitalization.

methodsPatients from the COVID-19 High-intensity Immunosuppression in Cytokine storm Syndrome (CHIC) study surviving hospitalization due to COVID-19 associated hyperinflammation were invited for follow-up assessment at three months after hospitalization. Results of CT-SS three months after hospitalization were compared with CT-SS at hospital admission. CT-SS at admission and at 3-months were correlated with respiratory status during hospitalization and with patient reported outcomes as well as pulmonary- and exercise function tests at 3-months after hospitalization.

resultsA total of 113 patients were included. Mean CT-SS decreased by 40.4% (SD 27.6) in three months (P < 0.001). CT-SS during hospitalization was higher in patients requiring more oxygen (P < 0.001). CT-SS at 3-months was higher in patients with more dyspnoea (CT-SS 8.31 (3.98) in patients with modified Medical Council Dyspnoea scale (mMRC) 0-2 vs. 11.03 (4.47) in those with mMRC 3-4). CT-SS at 3-months was also higher in patients with a more impaired pulmonary function (7.4 (3.6) in patients with diffusing capacity for carbon monoxide (DLCO) > 80%pred vs. 14.3 (3.2) in those with DLCO < 40%pred, P = 0.002).

conclusionPatients surviving hospitalization for COVID-19-associated hyperinflammation with higher CT-SS have worse respiratory outcome, both in-hospital and at 3-months after hospitalization. Strict monitoring of patients with high CT-SS is therefore warranted.

Indexed as

COVID-19DyspneaFollow-Up StudiesHospitalizationHospitalsHumansCOVID-19CT severity scoreHyperinflammation

Identifiers

PMID36882791
PMCPMC9990568
OpenAlexW4323535284

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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.