Persistent Respiratory Failure and Re-Admission in Patients with Chronic Obstructive Pulmonary Disease Following Hospitalization for COVID-19
Figueira-Gonçalves, Juan Marco (Universidad de La Laguna)
García-Bello, Miguel Ángel (Red de Investigación en Cronicidad, Atención Primaria y Prevención y Promoción de la Salud)
Ramallo-Fariña, Yolanda (Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC))
Méndez, Raúl (Universitat de València)
Campos, Ana Latorre (Institut d'Investigació Sanitària La Fe (València))
González-Jiménez, Paula (Universitat de València)
Peces-Barba, Germán (Hospital Universitario Fundación Jiménez Díaz)
Molina Molina, Maria (Hospital Universitari de Bellvitge)
España, Pedro Pablo (Hospital de Galdakao (Usansolo, Biscaia))
García, Estela (Hospital Universitario de Cabueñes (Gijón))
Domínguez-Pazos, Santiago de Jorge (Hospital Universitario de A Coruña)
García Clemente, Marta (Hospital Universitario Central de Asturias)
Panadero, Carolina (Hospital de Getafe)
de la Rosa Carrillo, David (Institut d'Investigació Biomèdica Sant Pau)
Sibila, Oriol (Hospital Clínic i Provincial de Barcelona)
Martínez-Pitarch, María Dolores (Hospital Lluís Alcanyís de Xàtiva)
Toledo-Pons, Nuria (Hospital Universitari Son Espases (Palma de Mallorca, Balears))
López-Ramirez, Cecilia (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Almonte-Batista, Wanda (Complejo Hospitalario Universitario de Albacete)
Macías-Paredes, Abigail (Hospital de Sant Jaume)
Badenes-Bonet, Diana (Hospital del Mar (Barcelona, Catalunya))
Pérez-Rodas, Eli Nancy (Hospital Municipal de Badalona)
Lázaro, Javier (Hospital Royo Villanova)
Quirós Fernández, Sarai (Hospital Universitario de Basurto (Bilbao, Biscaia))
Cano Pumarega, Irene (Instituto Ramón y Cajal de Investigación Sanitaria (Madrid))
Torres, Antoni (Hospital Clínic i Provincial de Barcelona)
Menendez, Rosario (Universitat de València)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Chronic obstructive pulmonary disease (COPD) has been associated with worse clinical evolution/survival during a hospitalization for SARS-CoV2 (COVID-19). The objective of this study was to learn the situation of these patients at discharge as well as the risk of re-admission/mortality in the following 12 months. We carried out a subanalysis of the RECOVID registry. A multicenter, observational study that retrospectively collected data on severe acute COVID-19 episodes and follow-up visits for up to a year in survivors. The data collection protocol includes general demographic data, smoking, comorbidities, pharmacological treatment, infection severity, complications during hospitalization and required treatment. At discharge, resting oxygen saturation (SpO2), dyspnea according to the mMRC (modified Medical Research Council) scale and long-term oxygen therapy prescription were recorded. The follow-up database included the clinical management visits at 6 and 12 months, where re-admission and mortality were recorded. A total of 2047 patients were included (5. 6% had a COPD diagnosis). At discharge, patients with COPD had greater dyspnea and a greater need for prescription home oxygen. After adjusting for age, sex and Charlson comorbidity index, patients with COPD had a greater risk of hospital re-admission due to respiratory causes (HR 2. 57 [1. 35-4. 89], p = 0. 004), with no significant differences in survival. Patients with COPD who overcome a serious SARS-CoV2 infection show a worse clinical situation at discharge and a greater risk of re-admission for respiratory causes.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COPD ; COVID-19 ; RECOVID ; SARS-CoV2 ; SEPAR ; Spanish COVID-19 registry ; Chronic obstructive pulmonary disease ; Coronavirus disease 2019 ; Respiratory failure ; Severe acute respiratory syndrome coronavirus 2
Publicat a:	International journal of COPD, Vol. 18 (2023) , p. 2473-2481, ISSN 1178-2005

DOI: 10.2147/COPD.S428316
PMID: 37955022

9 p, 1.3 MB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats