Impact of COVID-19 infection on lung function and nutritional status amongst individuals with cystic fibrosis: A global cohort study

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Global CF Registry Collaboration - (Author)
  • Jutta Hammermann - , Department of Paediatrics, University Hospital Carl Gustav Carus Dresden (Author)
  • 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
  • Istituto Superiore di Sanita
  • Sciensano
  • Yerevan State University
  • M.F. Vladimirsky Moscow Regional Research and Clinical Institute
  • 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
  • Clinic Ottakring Wilhelminen Hospital
  • 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 languageEnglish
Pages (from-to)815-822
Number of pages8
JournalJournal of cystic fibrosis
Volume23
Issue number5
Early online date26 Aug 2024
Publication statusPublished - Sept 2024
Peer-reviewedYes

External IDs

PubMed 39191560

Keywords

Keywords

  • Coronavirus, COVID-19, Cystic fibrosis