Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study

COVID-19 has generated a scenario for global health with multiple systemic impairments. This retrospective study evaluated the clinical, radiological, and pulmonary functional evolution in 302 post-COVID-19 patients. Regarding post-COVID-19 pulmonary symptoms, dry cough, dyspnea, and chest pain were...

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Main Authors: Virgínia Maria Cavallari Strozze Catharin, Tereza Laís Menegucci Zutin, Elen Landgraf Guiguer, Adriano Cressoni Araújo, Lucas Fornari Laurindo, Eduardo F. Baisi Chagas, Cássia Fernanda Gasparotti Zorzetto, Patrícia C. dos Santos Bueno, Manoela dos Santos Bueno, Yandra Cervelim Nunes, Vitor Cavallari Strozze Catharin, Heron Fernando Gonzaga, Sandra Maria Barbalho
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/11/3/113
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author Virgínia Maria Cavallari Strozze Catharin
Tereza Laís Menegucci Zutin
Elen Landgraf Guiguer
Adriano Cressoni Araújo
Lucas Fornari Laurindo
Eduardo F. Baisi Chagas
Cássia Fernanda Gasparotti Zorzetto
Patrícia C. dos Santos Bueno
Manoela dos Santos Bueno
Yandra Cervelim Nunes
Vitor Cavallari Strozze Catharin
Heron Fernando Gonzaga
Sandra Maria Barbalho
author_facet Virgínia Maria Cavallari Strozze Catharin
Tereza Laís Menegucci Zutin
Elen Landgraf Guiguer
Adriano Cressoni Araújo
Lucas Fornari Laurindo
Eduardo F. Baisi Chagas
Cássia Fernanda Gasparotti Zorzetto
Patrícia C. dos Santos Bueno
Manoela dos Santos Bueno
Yandra Cervelim Nunes
Vitor Cavallari Strozze Catharin
Heron Fernando Gonzaga
Sandra Maria Barbalho
author_sort Virgínia Maria Cavallari Strozze Catharin
collection DOAJ
description COVID-19 has generated a scenario for global health with multiple systemic impairments. This retrospective study evaluated the clinical, radiological, and pulmonary functional evolution in 302 post-COVID-19 patients. Regarding post-COVID-19 pulmonary symptoms, dry cough, dyspnea, and chest pain were the most frequent. Of the associated comorbidities, asthma was more frequent (23.5%). Chest tomography (CT) initially showed a mean pulmonary involvement of 69.7%, and evaluation in the subsequent months showed improvement in the evolutionary image. With less than six months post-pathology, there was a commitment of 37.7% from six to twelve months it was 20%, and after 12 months it was 9.9%. As for most of the sample, 50.3% of the patients presented CT normalization less than six months after infection, 23% were normalized between six and twelve months, and 5.2% presented with normalized images after twelve months, with one remaining. A percentage of 17.3% maintained post-COVID-19 pulmonary residual sequelae. Regarding spirometry, less than six months after pathology, 59.3% of the patients presented regular exam results, 12.3% had their function normalized within six to twelve months, and 6.3% had normal exam results twelve months after their post-pathology evaluation. Only 3.6% of the patients still showed some alteration during this period.
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spelling doaj.art-ec9b45ab75214eee911fb7f478a5fa882023-11-19T10:15:27ZengMDPI AGDiseases2079-97212023-08-0111311310.3390/diseases11030113Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational StudyVirgínia Maria Cavallari Strozze Catharin0Tereza Laís Menegucci Zutin1Elen Landgraf Guiguer2Adriano Cressoni Araújo3Lucas Fornari Laurindo4Eduardo F. Baisi Chagas5Cássia Fernanda Gasparotti Zorzetto6Patrícia C. dos Santos Bueno7Manoela dos Santos Bueno8Yandra Cervelim Nunes9Vitor Cavallari Strozze Catharin10Heron Fernando Gonzaga11Sandra Maria Barbalho12Department of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilUNIMED Marilia-R. Bororós, 225-Sen. Salgado Filho, Marília 17502-270, São Paulo, BrazilDepartment of Biochemistry and Nutrition, School of Food and Technology of Marília (FATEC), Avenida Castro Alves, 62, Marília 17500-000, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilDepartment of Dermatology, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, 861, São Paulo 04025-002, São Paulo, BrazilDepartment of Biochemistry and Pharmacology, School of Medicine, University of Marília (UNIMAR), Avenida Hygino Muzzy Filho, 1001, Marília 17525-902, São Paulo, BrazilCOVID-19 has generated a scenario for global health with multiple systemic impairments. This retrospective study evaluated the clinical, radiological, and pulmonary functional evolution in 302 post-COVID-19 patients. Regarding post-COVID-19 pulmonary symptoms, dry cough, dyspnea, and chest pain were the most frequent. Of the associated comorbidities, asthma was more frequent (23.5%). Chest tomography (CT) initially showed a mean pulmonary involvement of 69.7%, and evaluation in the subsequent months showed improvement in the evolutionary image. With less than six months post-pathology, there was a commitment of 37.7% from six to twelve months it was 20%, and after 12 months it was 9.9%. As for most of the sample, 50.3% of the patients presented CT normalization less than six months after infection, 23% were normalized between six and twelve months, and 5.2% presented with normalized images after twelve months, with one remaining. A percentage of 17.3% maintained post-COVID-19 pulmonary residual sequelae. Regarding spirometry, less than six months after pathology, 59.3% of the patients presented regular exam results, 12.3% had their function normalized within six to twelve months, and 6.3% had normal exam results twelve months after their post-pathology evaluation. Only 3.6% of the patients still showed some alteration during this period.https://www.mdpi.com/2079-9721/11/3/113COVID-19post-COVID-19pulmonary manifestationsspirometrychest tomography
spellingShingle Virgínia Maria Cavallari Strozze Catharin
Tereza Laís Menegucci Zutin
Elen Landgraf Guiguer
Adriano Cressoni Araújo
Lucas Fornari Laurindo
Eduardo F. Baisi Chagas
Cássia Fernanda Gasparotti Zorzetto
Patrícia C. dos Santos Bueno
Manoela dos Santos Bueno
Yandra Cervelim Nunes
Vitor Cavallari Strozze Catharin
Heron Fernando Gonzaga
Sandra Maria Barbalho
Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
Diseases
COVID-19
post-COVID-19
pulmonary manifestations
spirometry
chest tomography
title Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
title_full Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
title_fullStr Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
title_full_unstemmed Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
title_short Radiological and Functional Pulmonary Evolution in Post-COVID-19 Patients: An Observational Study
title_sort radiological and functional pulmonary evolution in post covid 19 patients an observational study
topic COVID-19
post-COVID-19
pulmonary manifestations
spirometry
chest tomography
url https://www.mdpi.com/2079-9721/11/3/113
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