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Post-discharge spirometry evaluation in patients recovering from moderate-to-critical COVID-19: a cross-sectional study.
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- Author(s): Chai CS;Chai CS; Bin Ibrahim MA; Bin Ibrahim MA; Binti Azhar NA; Binti Azhar NA; Binti Roslan Z; Binti Roslan Z; Binti Harun R; Binti Harun R; Krishnabahawan SL; Krishnabahawan SL; Karthigayan AAP; Karthigayan AAP; Binti Abdul Kadir RF; Binti Abdul Kadir RF; Binti Johari B; Binti Johari B; Ng DL; Ng DL; Sim BL; Sim BL; Liam CK; Liam CK; Bin Muttalif AR; Bin Muttalif AR; Bin Rasit AH; Bin Rasit AH; Peariasamy KM; Peariasamy KM; Bin Abdul Rani MF; Bin Abdul Rani MF
- Source:
Scientific reports [Sci Rep] 2024 Jul 16; Vol. 14 (1), pp. 16413. Date of Electronic Publication: 2024 Jul 16.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE
- Publication Information: Original Publication: London : Nature Publishing Group, copyright 2011-
- Subject Terms: COVID-19*/epidemiology ; COVID-19*/diagnosis ; COVID-19*/physiopathology ; Spirometry*/methods ; Patient Discharge*; Humans ; Male ; Female ; Cross-Sectional Studies ; Middle Aged ; Malaysia/epidemiology ; Adult ; SARS-CoV-2/isolation & purification ; Aged ; Lung/physiopathology ; Lung/diagnostic imaging ; Prevalence
- Abstract: Understanding the prevalence of abnormal lung function and its associated factors among patients recovering from COVID-19 is crucial for enhancing post-COVID care strategies. This study primarily aimed to determine the prevalence and types of spirometry abnormalities among post-COVID-19 patients in Malaysia, with a secondary objective of identifying its associated factors. Conducted at the COVID-19 Research Clinic, Faculty of Medicine, University Technology MARA, from March 2021 to December 2022, this study included patients at least three months post-discharge from hospitals following moderate-to-critical COVID-19. Of 408 patients studied, abnormal spirometry was found in 46.8%, with 28.4% exhibiting a restrictive pattern, 17.4% showing preserved ratio impaired spirometry (PRISm), and 1.0% displaying an obstructive pattern. Factors independently associated with abnormal spirometry included consolidation on chest X-ray (OR 8.1, 95% CI 1.75-37.42, p = 0.008), underlying cardiovascular disease (OR 3.5, 95% CI 1.19-10.47, p = 0.023), ground-glass opacity on chest X-ray (OR 2.6, 95% CI 1.52-4.30, p < 0.001), and oxygen desaturation during the 6-min walk test (OR 1.9, 95% CI 1.20-3.06, p = 0.007). This study highlights that patients recovering from moderate-to-critical COVID-19 often exhibit abnormal spirometry, notably a restrictive pattern and PRISm. Routine spirometry screening for high-risk patients is recommended.
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Eur Respir J. 2021 Apr 29;57(4):. (PMID: 33303539) - Grant Information: F05/RISE/2089/2021 Universiti Malaysia Sarawak; F05/RISE/2089/2021 Universiti Malaysia Sarawak; F05/RISE/2089/2021 Universiti Malaysia Sarawak; F05/RISE/2089/2021 Universiti Malaysia Sarawak; F05/RISE/2089/2021 Universiti Malaysia Sarawak; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; GI/F05/LFM/2021 Lung Foundation of Malaysia; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; IRG/F05/PPKP/85316/2022 Persatuan Pendidikan Kesihatan Paru-Paru; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; GI/F05/CMSB/2021 Compass Medical Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; IRG/F05/APMSB/85317/2022 Aliran Pasifik (M) Sdn Bhd; 100 - 3/2/3JLD[25] Selangor State Government; 100 - 3/2/3JLD[25] Selangor State Government
- Contributed Indexing: Keywords: COVID-19; Obstructive; PRISm; Radio-imaging; Restrictive; Spirometry
- Publication Date: Date Created: 20240716 Date Completed: 20240716 Latest Revision: 20240801
- Publication Date: 20240801
- Accession Number: PMC11252397
- Accession Number: 10.1038/s41598-024-67536-2
- Accession Number: 39013943
- Source:
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