COVID-19
Conditions
Keywords
Lung function, Diaphragm ultrasonography, Chronic Inflammatory Rheumatism
Brief summary
The current state of knowledge shows the presence of respiratory sequelae after acute infection with COVID-19 and the importance of these long-term respiratory dysfunctions have to be determined. Aim of our study is describe diaphragmatic amplitude using diaphragm ultrasonography in patients recovering from SARS-CoV-2 pneumonia at 3 and 6 months after the acute episode.
Detailed description
patients with confirmed COVID-19 who had been discharged from CHRU Hospital in Limoges (France) will be included to follow the impact of severe acute respiratory syndrom coronavirus 2 on pulmonary function, diaphragm function and exercice capacity. Surviving patients will be evaluated at 3 and 6 months after hospital discharge. The assesment will include diaphragm ultrasonography, spirometry (FEV1,FVC), carbon monoxide transfert (TLCO adjusted for haemoglobin), inspiratory an expiratory respiratory muscle strength (Pimax and Pemax) and 6 minutes walk distance (6MWD).The main outcome will be diaphragm excursion assessed by ultrasound.
Interventions
For all patients with confirmed COVID-19 who had been discharged from CHRU Hospital in Limoges (France) : diaphragm ultrasonography at 3 (M0) and 6 months (M3) after the end of his hospitalisation
Sponsors
Study design
Eligibility
Inclusion criteria
* SARS-CoV-2 infection proven by RT-PCR. * Patient hospitalised for the management of SARS-CoV-2 infection and included 3 months after the end of his hospitalisation at the CHU of Limoges. * Patient of legal age. * Patient affiliated to a social security regime. * Patient having given informed consent
Exclusion criteria
* Known pregnancy. * Patients who are contraindicated to perform the 6-minute walk test. * Patients unable to understand or adhere to the protocol. * Patients deprived of liberty. * Patients under court order, tutorship or curatorship. * Minor patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change diaphragmatic amplitude using diaphragm ultrasonography in patients recovering from SARS-CoV-2 pneumonia. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | Diaphragmatic amplitude assessed by ultrasound at M0 and M3. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the correlation between the values of diaphragmatic travel and Pi max and Pe max at M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | Diaphragmatic amplitude, PI max and PE max |
| the difference in diaphragmatic amplitude between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | Diaphragmatic amplitude at M0 and M3 |
| the difference in FEV1 between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | FEV1 at M0 and M3. |
| the difference in FVC between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | FVC at M0 and M3. |
| the difference in DLCO between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | DLCO at M0 and M3. |
| the difference in Pi max and Pe max between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | PI max and PE max at M0 and M3 |
| dyspnoea between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | mMRC dyspnoea scale at M0 and M3. |
| the functional capacity between M0 and M3. | at 3 (M0) and 6 months (M3) after the end of his hospitalisation at the CHU of Limoges | 6-minutes walk test distance at M0 and M3. |
Countries
France
Contacts
CHU Limoges