Impact of COVID-19 pneumonia on interstitial lung disease: semi-quantitative evaluation with computed tomography.
Eur Radiol
; 33(7): 4758-4766, 2023 Jul.
Artigo
em Inglês
| MEDLINE | ID: covidwho-2240320
ABSTRACT
OBJECTIVES:
To evaluate the CT scores and fibrotic pattern changes in interstitial lung disease (ILD) patients, with and without previous COVID-19 pneumonia.METHODS:
Patients with ILD (idiopathic pulmonary fibrosis (IPF) and connective tissue disease-associated ILD (CTD-ILD)) were retrospectively enrolled in the study which consisted of patients who had COVID-19 pneumonia while the control group had not. All patients had two CT scans, initial and follow-up, which were evaluated semi-quantitatively for severity, extent, and total CT scores, fibrosis patterns, and traction bronchiectasis.RESULTS:
A total of 102 patients (pneumonia group n = 48; control group n = 54) were enrolled in the study. For both groups, baseline characteristics were similar and CT scores were increased. While there was a 4.5 ± 4.6 point change in the total CT score of the COVID-19 group, there was a 1.2 ± 2.7 point change in the control group (p < 0.001). In the IPF subgroup, the change in total CT score was 7.0 points (95% CI 4.1 to 9.9) in the COVID-19 group and 2.1 points (95% CI 0.8 to 3.4) in the control group. Seven patients (14.6%) in the COVID-19 group progressed to a higher fibrosis pattern, but none in the control group.CONCLUSIONS:
Semi-quantitative chest CT scores in ILD patients demonstrated a significant increase after having COVID-19 pneumonia compared to ILD patients who had not had COVID-19 pneumonia. The increase in CT scores was more prominent in the IPF subgroup. There was also a worsening in the fibrosis pattern in the COVID-19 group. KEY POINTS ⢠The impact of COVID-19 pneumonia on existing interstitial lung diseases and fibrosis is unclear. ⢠COVID-19 pneumonia may worsen existing interstitial lung involvement with direct lung damage and indirect inflammatory effect. ⢠COVID-19 pneumonia may affect existing lung fibrosis by triggering inflammatory pathways.Palavras-chave
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
MEDLINE
Assunto principal:
Pneumonia
/
Doenças Pulmonares Intersticiais
/
Fibrose Pulmonar Idiopática
/
COVID-19
Tipo de estudo:
Estudo de coorte
/
Estudo experimental
/
Estudo prognóstico
/
Ensaios controlados aleatorizados
Limite:
Humanos
Idioma:
Inglês
Revista:
Eur Radiol
Assunto da revista:
Radiologia
Ano de publicação:
2023
Tipo de documento:
Artigo
País de afiliação:
S00330-023-09441-2
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