COVID-19 and COPD: a narrative review of the basic science and clinical outcomes

The 2019 coronavirus disease (COVID-19) pandemic is caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). Clinical outcomes, including mortality, are worse in males, older individuals and patients with comorbidities. COPD patients are included in shielding strategies due to their s...

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Main Authors: Andrew Higham, Alexander Mathioudakis, Jørgen Vestbo, Dave Singh
Format: Article
Language:English
Published: European Respiratory Society 2020-11-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/29/158/200199.full
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author Andrew Higham
Alexander Mathioudakis
Jørgen Vestbo
Dave Singh
author_facet Andrew Higham
Alexander Mathioudakis
Jørgen Vestbo
Dave Singh
author_sort Andrew Higham
collection DOAJ
description The 2019 coronavirus disease (COVID-19) pandemic is caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). Clinical outcomes, including mortality, are worse in males, older individuals and patients with comorbidities. COPD patients are included in shielding strategies due to their susceptibility to virus-induced exacerbations, compromised pulmonary function and high prevalence of associated comorbidities. Using evidence from basic science and cohort studies, this review addresses key questions concerning COVID-19 and COPD. First, are there mechanisms by which COPD patients are more susceptible to SARS-CoV-2 infection? Secondly, do inhaled corticosteroids offer protection against COVID-19? And, thirdly, what is the evidence regarding clinical outcomes from COVID-19 in COPD patients? This up-to-date review tackles some of the key issues which have significant impact on the long-term outlook for COPD patients in the context of COVID-19.
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spelling doaj.art-8482c72645fc46c2934f1bf7ab638ef02022-12-21T19:50:54ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172020-11-012915810.1183/16000617.0199-20200199-2020COVID-19 and COPD: a narrative review of the basic science and clinical outcomesAndrew Higham0Alexander Mathioudakis1Jørgen Vestbo2Dave Singh3 Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, UK Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, UK Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, UK Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester and Manchester University NHS Foundation Trust, Manchester, UK The 2019 coronavirus disease (COVID-19) pandemic is caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). Clinical outcomes, including mortality, are worse in males, older individuals and patients with comorbidities. COPD patients are included in shielding strategies due to their susceptibility to virus-induced exacerbations, compromised pulmonary function and high prevalence of associated comorbidities. Using evidence from basic science and cohort studies, this review addresses key questions concerning COVID-19 and COPD. First, are there mechanisms by which COPD patients are more susceptible to SARS-CoV-2 infection? Secondly, do inhaled corticosteroids offer protection against COVID-19? And, thirdly, what is the evidence regarding clinical outcomes from COVID-19 in COPD patients? This up-to-date review tackles some of the key issues which have significant impact on the long-term outlook for COPD patients in the context of COVID-19.http://err.ersjournals.com/content/29/158/200199.full
spellingShingle Andrew Higham
Alexander Mathioudakis
Jørgen Vestbo
Dave Singh
COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
European Respiratory Review
title COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
title_full COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
title_fullStr COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
title_full_unstemmed COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
title_short COVID-19 and COPD: a narrative review of the basic science and clinical outcomes
title_sort covid 19 and copd a narrative review of the basic science and clinical outcomes
url http://err.ersjournals.com/content/29/158/200199.full
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