Oximetry at admission as a predictor of tomographic and functional impairment after 3–6 months in hospitalized patients with COVID-19

Autor: Pedro Maximink Esteves Villar, Paulo Roberto Araújo Mendes, Tatiana Alves Kiyota, Henrique Alcântara Engleitner, Carolina Salem Tamesawa, Mayara Magalhães Morello, Nayara Nobre Basso, Lucas Fileti Arruda, Bruna Scharlack Vian, Lígia dos Santos Roceto Ratti, Laís Bacchin de Oliveira, Ana Lucia Cavallaro Baraúna Lima, Hugo Dugolin Ceccato, Julian Furtado Silva, Wander de Oliveira Villalba, Lucieni de Oliveira Conterno, Mariângela Ribeiro Resende, Mônica Corso Pereira
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of International Medical Research, Vol 51 (2023)
Druh dokumentu: article
ISSN: 1473-2300
03000605
DOI: 10.1177/03000605231177187
Popis: Objective To investigate characteristics that may be associated with radiologic and functional findings following discharge in patients with severe coronavirus disease 2019 (COVID-19). Methods This single-center, prospective, observational cohort study comprised patients aged >18 years who were hospitalized with COVID-19 pneumonia, between May and October 2020. After 3 to 6 months of discharge, patients were clinically evaluated and underwent spirometry, a 6-minute walk test (6MWT), and chest computed tomography (CT). Statistical analysis was performed using association and correlation tests. Results A total of 134 patients were included (25/114 [22%] were admitted with severe hypoxemia). On the follow-up chest CT, 29/92 (32%) had no abnormalities, regardless of the severity of the initial involvement, and the mean 6MWT distance was 447 m. Patients with desaturation on admission had an increased risk of remaining CT abnormalities: patients with SpO 2 between 88 and 92% had a 4.0-fold risk, and those with SpO 2
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