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Long-term cardiopulmonary exercise outcomes among COVID-19 survivors: preliminary insights from an Italian study

A Baccelli, R F Rinaldo, F Marchetti, B Re, M Degrassi, E M Parazzini, F Di Marco, S Centanni
European Respiratory Journal 2022 60: 4633; DOI: 10.1183/13993003.congress-2022.4633
A Baccelli
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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R F Rinaldo
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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F Marchetti
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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B Re
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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M Degrassi
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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E M Parazzini
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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F Di Marco
2Respiratory Unit, ASST Papa Giovanni XXIII Hospital, Department of Health Sciences, University of Milano, Bergamo, Italy
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S Centanni
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, University of Milano, Milano, Italy
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Abstract

Introduction: Early studies on the short- and medium-term cardiopulmonary sequalae of COVID-19 have shown a certain degree of exercise capacity impairment among survivors (Naeije R, Caravita S. Eur Respir J 2021;58:2101763). Whether such condition is reversible at longer follow-up is unknown.

Aims: To assess the long-term cardiopulmonary exercise outcomes of COVID-19 in survivors who displayed a reduced exercise capacity shortly after recovery. We tested the hypothesis that physical reconditioning following hospital discharge would improve the aerobic performance and exercise capacity.

Methods: In this observational study 19 COVID-19 survivors who displayed a reduced exercise capacity 6 months after discharge (Rinaldo RF et al. Eur Respir J 2021;58:2100870) underwent reevaluation with CPET between April – May 2022. Lung function and CPET data were recorded.

Results: At 2 year follow-up, the proportion of patients with a normal exercise capacity (12/19) was statistically significantly different from baseline (0/19), p-value 0.000 (exact McNemar’s test). Among the parameters of oxygen delivery/utilization there was an overall statistically significant improvement of the anaerobic threshold (47% vs 54%).

Conclusions: On a small group of patients, our study supports the hypothesis that exercise capacity impairment after COVID-19 is reversible at longer follow-up, with signs of an improved aerobic performance.

  • Covid-19
  • Physical activity

Footnotes

Cite this article as Eur Respir J 2022; 60: Suppl. 66, 4633.

This article was presented at the 2022 ERS International Congress, in session “-”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2022
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Long-term cardiopulmonary exercise outcomes among COVID-19 survivors: preliminary insights from an Italian study
A Baccelli, R F Rinaldo, F Marchetti, B Re, M Degrassi, E M Parazzini, F Di Marco, S Centanni
European Respiratory Journal Sep 2022, 60 (suppl 66) 4633; DOI: 10.1183/13993003.congress-2022.4633

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Long-term cardiopulmonary exercise outcomes among COVID-19 survivors: preliminary insights from an Italian study
A Baccelli, R F Rinaldo, F Marchetti, B Re, M Degrassi, E M Parazzini, F Di Marco, S Centanni
European Respiratory Journal Sep 2022, 60 (suppl 66) 4633; DOI: 10.1183/13993003.congress-2022.4633
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