Lung function and exercise capacity 6 months after hospital discharge for critical COVID-19

BMC Pulm Med. 2022 Jun 22;22(1):243. doi: 10.1186/s12890-022-02023-w.

Abstract

Background: The significant morbidity caused by COVID-19 necessitates further understanding of long-term recovery. Our aim was to evaluate long-term lung function, exercise capacity, and radiological findings in patients after critical COVID-19.

Methods: Patients who received treatment in ICU for COVID-19 between March 2020 and January 2021 underwent pulmonary function tests, a 6MWD and CXR 6 months after hospital discharge.

Results: A restrictive ventilatory defect was found in 35% (23/65) and an impaired diffusing capacity in 52% (32/62) at 6 months. The 6-minute walk distance was reduced in 33% (18/55), and 7% (4/55) of the patients had reduced exercise capacity. Chest X-ray was abnormal in 78% (52/67) at 6 months after hospital discharge.

Conclusion: A significant number of patients had persisting lung function impairment and radiological abnormalities at 6 months after critical COVID-19. Reduced exercise capacity was rare.

Keywords: ARDS; COVID-19; Critical care; Exercise capacity; Lung function.

MeSH terms

  • COVID-19*
  • Exercise Tolerance
  • Hospitals
  • Humans
  • Lung / diagnostic imaging
  • Patient Discharge