Evidence map›Paper›PMID 39008969›Full record

ArticleRespiration; international review of thoracic diseases2024

Bronchodilator Response in Post-COVID-19 Patients Undergoing Pulmonary Rehabilitation.

Simon Alexander Krooss, Isabel Klefenz, Michael Ott, Frank Klawonn, Daniela Leitl, Tessa Schneeberger, Inga Jarosch, Claus Franz Vogelmeier, Marek Lommatzsch, Rainer Gloeckl and 1 more

Abstract read
In one paragraph

Article in Respiration; international review of thoracic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Simon Alexander KroossDepartment of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany.
Isabel KlefenzDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.
Michael OttDepartment of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany.
Frank KlawonnDepartment of Computer Science, Ostfalia University of Applied Sciences, Wolfenbüttel, Germany.
Daniela LeitlInstitute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königsee, Germany.
Tessa SchneebergerInstitute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königsee, Germany.
Inga JaroschInstitute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königsee, Germany.
Claus Franz VogelmeierDepartment of Pulmonary Rehabilitation, German Center for Lung Research (DZL), University Medical Center Giessen and Marburg, Philipps-University Marburg (UMR), Marburg, Germany.
Marek LommatzschDepartment of Pneumology, Center for Internal Medicine, Rostock University Hospital, Rostock, Germany.
Rainer GloecklInstitute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königsee, Germany.
Andreas Rembert KoczullaInstitute for Pulmonary Rehabilitation Research, Schön Klinik Berchtesgadener Land, Schönau am Königsee, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSARS-CoV-2 infections can result in a broad spectrum of symptoms from mild to life-threatening. Long-term consequences on lung function are not well understood yet.

methodsIn our study, we have examined 134 post-COVID patients (aged 54.83 ± 14.4 years) with dyspnea on exertion as a leading symptom 6 weeks to 24 months after a SARS-CoV-2 infection for bronchodilator responsiveness during their stay in our pulmonary rehabilitation clinic.

resultsPrior to bronchial dilation, 6 out of 134 patients (4.47%) presented an FEV1/FVC ratio below lower limit of normal (Z-score = -1.645) indicative of an obstructive airway disease. Following inhalation of a β2-adrenergic agonist we measured a mean FEV1 increase of 181.5 mL in our cohort, which was significantly elevated compared to a historical control group (ΔFEV1 = 118 mL). 28.7% of the patients showed an increase greater than 200 mL and 12% displayed a significant bronchodilation response (>200 mL ΔFEV1 and >12% FEV1 increase). Interestingly, no significant difference in bronchial dilation effect was observed when comparing patients hospitalized and those non-hospitalized during the course of their SARS-CoV-2 infection.

conclusionOur data provide evidence for increased prevalence of obstructive ventilatory defects and increased bronchodilator responsiveness in patients with persisting symptoms after COVID-19. Depending on the extent of this complication, post-COVID patients may benefit from an adapted β2-inhalation therapy including subsequent reevaluation.

Indexed as

Bronchodilator AgentsCOVID-19SARS-CoV-2Adrenergic beta-2 Receptor AgonistsAdultAgedDyspneaFemaleForced Expiratory VolumeHumansMaleMiddle AgedAdrenergic beta-2 Receptor AgonistsBronchodilator AgentsAirway inflammationBronchodilator responsivenessPost-COVIDViral infection

Identifiers

PMID39008969
PMCPMC11446304

What OpenQuestion holds

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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.