Impact of the COVID-19 pandemic on the behaviour and health status of patients with COPD: results from the German COPD cohort COSYCONET

التفاصيل البيبلوغرافية
العنوان: Impact of the COVID-19 pandemic on the behaviour and health status of patients with COPD: results from the German COPD cohort COSYCONET
المؤلفون: Kathrin Kahnert, Claus Vogelmeier, Michael Pfeifer, Johanna I. Lutter, Robert Bals, Franziska C. Trudzinski, Peter Alter, Hans-Ulrich Kauczor, Sandra Söhler, Felix J.F. Herth, Jürgen Behr, Tobias Welte, Henrik Watz, Rudolf A. Jörres
المصدر: ERJ Open Res. 7:00242-2021 (2021)
ERJ Open Research, Vol 7, Iss 3 (2021)
ERJ Open Research
article-version (AM) Accepted Manuscript
بيانات النشر: European Respiratory Society (ERS), 2021.
سنة النشر: 2021
مصطلحات موضوعية: Pulmonary and Respiratory Medicine, medicine.medical_specialty, COPD, Remote Consultation, business.industry, media_common.quotation_subject, MEDLINE, medicine.disease, Obstructive lung disease, Hygiene, Internal medicine, Pandemic, Cohort, medicine, Medicine, Infection control, Original Article, business, media_common
الوصف: Background:Infection control measures for coronavirus disease 2019 (COVID-19) might have affected management and clinical state of patients with COPD. We analysed to which extent this common notion is fact-based.Methods:Patients of the COSYCONET cohort were contacted with three recurring surveys (COVID1, 2 and 3 at 0, 3 and 6 months, respectively). The questionnaires comprised behaviour, clinical and functional state, and medical treatment. The responses to the questionnaires were compared amongst themselves and with pre-COVID information from the last visit of COSYCONET.Results:Overall, 594 patients were contacted and 375 patients (58% males, forced expiratory volume in 1 s (FEV1) 61±22% predicted) provided valid data in COVID1 and COVID2. Five patients reported infections with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Most patients – except for patients with higher education – reported compliance with recommended protective measures, whereby compliance to hygiene, contact and access to physicians slightly improved between COVID1 and COVID2. Also, patients obtained more information from physicians than from public media. In the majority of cases, the personal physician could not be substituted by remote consultation. Over time, symptoms slightly increased and self-assessed physical capacity decreased. Results of COVID3 were similar. Women and patients with more exacerbations and dyspnoea avoided medical consultations, whereas Global Initiative for Chronic Obstructive Lung Disease (GOLD) D patients were more amenable to tele-consultation.Conclusion:In well-characterised COPD patients, we observed on average slight deteriorations of clinical state during the period of COVID-19 restrictions, with high and partially increasing adherence to protective measures. The data suggest that in particular, women and GOLD D patients should be actively contacted by physicians to identify deteriorations.
وصف الملف: application/pdf
تدمد: 2312-0541
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b1b5dfcb6af8bd114e68cc321223f6dfTest
https://doi.org/10.1183/23120541.00242-2021Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....b1b5dfcb6af8bd114e68cc321223f6df
قاعدة البيانات: OpenAIRE