Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis

To retrospectively analyze whether traction bronchiectasis was reversible in coronavirus disease 2019 (COVID-19) survivors with acute respiratory distress syndrome (ARDS), and whether computed tomography (CT) findings were associated with the reversibility, 41 COVID-19 survivors with ARDS were follo...

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Autores principales:	Qiongjie Hu, Yiwen Liu, Chong Chen, Ziyan Sun, Yujin Wang, Min Xiang, Hanxiong Guan, Liming Xia
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	reversible bronchiectasis COVID-19 pneumonia acute respiratory distress syndrome follow-up Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/04e4982783d4477c8a096f523fc472aa
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spelling	oai:doaj.org-article:04e4982783d4477c8a096f523fc472aa2021-12-01T16:55:20ZReversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis2296-858X10.3389/fmed.2021.739857https://doaj.org/article/04e4982783d4477c8a096f523fc472aa2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.739857/fullhttps://doaj.org/toc/2296-858XTo retrospectively analyze whether traction bronchiectasis was reversible in coronavirus disease 2019 (COVID-19) survivors with acute respiratory distress syndrome (ARDS), and whether computed tomography (CT) findings were associated with the reversibility, 41 COVID-19 survivors with ARDS were followed-up for more than 4 months. Demographics, clinical data, and all chest CT images were collected. The follow-up CT images were compared with the previous CT scans. There were 28 (68%) patients with traction bronchiectasis (Group I) and 13 (32%) patients without traction bronchiectasis (Group II) on CT images. Traction bronchiectasis disappeared completely in 21 of the 28 (75%) patients (Group IA), but did not completely disappear in seven of the 28 (25%) patients (Group IB). In the second week after onset, the evaluation score on CT images in Group I was significantly higher than that in Group II (p = 0.001). The proportion of reticulation on the last CT images in Group IB was found higher than that in Group IA (p < 0.05). COVID-19 survivors with ARDS might develop traction bronchiectasis, which can be absorbed completely in most patients. Traction bronchiectasis in a few patients did not disappear completely, but bronchiectasis was significantly relieved. The long-term follow-up is necessary to further assess whether traction bronchiectasis represents irreversible fibrosis.Qiongjie HuYiwen LiuChong ChenZiyan SunYujin WangMin XiangHanxiong GuanLiming XiaFrontiers Media S.A.articlereversible bronchiectasisCOVID-19pneumoniaacute respiratory distress syndromefollow-upMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	reversible bronchiectasis COVID-19 pneumonia acute respiratory distress syndrome follow-up Medicine (General) R5-920
spellingShingle	reversible bronchiectasis COVID-19 pneumonia acute respiratory distress syndrome follow-up Medicine (General) R5-920 Qiongjie Hu Yiwen Liu Chong Chen Ziyan Sun Yujin Wang Min Xiang Hanxiong Guan Liming Xia Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
description	To retrospectively analyze whether traction bronchiectasis was reversible in coronavirus disease 2019 (COVID-19) survivors with acute respiratory distress syndrome (ARDS), and whether computed tomography (CT) findings were associated with the reversibility, 41 COVID-19 survivors with ARDS were followed-up for more than 4 months. Demographics, clinical data, and all chest CT images were collected. The follow-up CT images were compared with the previous CT scans. There were 28 (68%) patients with traction bronchiectasis (Group I) and 13 (32%) patients without traction bronchiectasis (Group II) on CT images. Traction bronchiectasis disappeared completely in 21 of the 28 (75%) patients (Group IA), but did not completely disappear in seven of the 28 (25%) patients (Group IB). In the second week after onset, the evaluation score on CT images in Group I was significantly higher than that in Group II (p = 0.001). The proportion of reticulation on the last CT images in Group IB was found higher than that in Group IA (p < 0.05). COVID-19 survivors with ARDS might develop traction bronchiectasis, which can be absorbed completely in most patients. Traction bronchiectasis in a few patients did not disappear completely, but bronchiectasis was significantly relieved. The long-term follow-up is necessary to further assess whether traction bronchiectasis represents irreversible fibrosis.
format	article
author	Qiongjie Hu Yiwen Liu Chong Chen Ziyan Sun Yujin Wang Min Xiang Hanxiong Guan Liming Xia
author_facet	Qiongjie Hu Yiwen Liu Chong Chen Ziyan Sun Yujin Wang Min Xiang Hanxiong Guan Liming Xia
author_sort	Qiongjie Hu
title	Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
title_short	Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
title_full	Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
title_fullStr	Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
title_full_unstemmed	Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis
title_sort	reversible bronchiectasis in covid-19 survivors with acute respiratory distress syndrome: pseudobronchiectasis
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/04e4982783d4477c8a096f523fc472aa
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Reversible Bronchiectasis in COVID-19 Survivors With Acute Respiratory Distress Syndrome: Pseudobronchiectasis

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