Impact of COVID-19 infection on lung function and nutritional status amongst individuals with cystic fibrosis: A global cohort study
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
- University of Toronto
- Cystic Fibrosis Trust
- Imperial College London
- Cystic Fibrosis Canada
- Cystic Fibrosis Foundation
- University of Alabama at Birmingham
- University of Washington
- Marmara University
- Universite Paris Descartes
- University of Milan
- Sciensano
- Yerevan State University
- University College Dublin
- Westmead Hospital
- Monash University
- Karolinska Institutet
- Justus Liebig University Giessen
- Hospital Virgen de la Arrixaca
- University of Zurich
- KU Leuven
- University of Oslo
- Dutch Cystic Fibrosis Foundation (NCFS)
- Universidade de São Paulo
- Federal University of Catalão
- University of Cape Town
- University Medical Center of Tirana "Mother Teresa"
- Nafissa Hamoud University Hospital
- Klinik Hietzing
- Innsbruck Medical University
- Medical University of Vienna
- Pyhrn-Eisenwurzen Klinikum Steyr
- Klinikum Wels - Grieskirchen GmbH
- Medical University of Graz
- Johannes Kepler University Linz
- Kepler University Hospital
- ETPI Children Clinical Hospital
- University of Liege
Abstract
Background: Factors associated with severe COVID-19 infection have been identified; however, the impact of infection on longer-term outcomes is unclear. The objective of this study was to examine the impact of COVID-19 infection on the trajectory of lung function and nutritional status in people with cystic fibrosis (pwCF). Methods: This is a retrospective global cohort study of pwCF who had confirmed COVID-19 infection diagnosed between January 1, 2020 and December 31, 2021. Forced expiratory volume in one second percent predicted (ppFEV1) and body mass index (BMI) twelve months prior to and following a diagnosis of COVID-19 were recorded. Change in mean ppFEV1 and BMI were compared using a t-test. A linear mixed-effects model was used to estimate change over time and to compare the rate of change before and after infection. Results: A total of 6,500 cases of COVID-19 in pwCF from 33 countries were included for analysis. The mean difference in ppFEV1 pre- and post-infection was 1.4 %, (95 % CI 1.1, 1.7). In those not on modulators, the difference in rate of change pre- and post-infection was 1.34 %, (95 % CI -0.88, 3.56) per year (p = 0.24) and -0.74 % (-1.89, 0.41) per year (p = 0.21) for those on elexacaftor/tezacaftor/ivacaftor. No clinically significant change was noted in BMI or BMI percentile before and after COVID-19 infection. Conclusions: No clinically meaningful impact on lung function and BMI trajectory in the year following infection with COVID-19 was identified. This work highlights the ability of the global CF community to unify and address critical issues facing pwCF.
Details
| Original language | English |
|---|---|
| Pages (from-to) | 815-822 |
| Number of pages | 8 |
| Journal | Journal of cystic fibrosis |
| Volume | 23 |
| Issue number | 5 |
| Early online date | 26 Aug 2024 |
| Publication status | Published - Sept 2024 |
| Peer-reviewed | Yes |
External IDs
| PubMed | 39191560 |
|---|
Keywords
ASJC Scopus subject areas
Keywords
- Coronavirus, COVID-19, Cystic fibrosis