Risk factors associated with COVID-19 pneumonia in Chinese patients with pre-existing interstitial lung disease during the SARS-CoV-2 pandemic

© 2023 The Authors. Journal of Medical Virology published by Wiley Periodicals LLC..

In China, the emergence of a nationally widespread epidemic infection of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) has appeared within a month since December 7, 2022. To evaluate the risk factors for suffering from coronavirus disease 2019 (COVID-19) pneumonia due to infection with SARS-CoV-2 in different kinds of interstitial lung disease (ILD) patients with diverse immunizations, we conducted this retrospective study on 525 patients with ILDs who underwent regular follow-up in our ILD clinic. Among them, 128 ILD patients (24.4%) suffered from COVID-19 pneumonia after SARS-CoV-2 infection. Patients were older with a male predominance in the pneumonia group than in the nonpneumonia group (65.0 ± 10.0 years vs. 56.4 ± 11.7 years, p < 0.001, 55.5% vs. 39.5%, p = 0.002, respectively). Connective tissue disease-associated ILD (CTD-ILD) (25%), idiopathic pulmonary fibrosis (23.4%), and interstitial pneumonia with autoimmune features (21.1%) were the main pre-existing ILDs in the pneumonia group. In Cox multivariable analysis, only male sex and corticosteroid use were risk factors for COVID-19 pneumonia after infection. Two or three doses of vaccination were a protective factor for pre-existing ILD patients suffering from COVID-19 pneumonia. More than two doses of vaccination were strongly recommended for pre-existing ILD patients, particularly for males who were administered corticosteroids.

Errataetall:

CommentIn: J Med Virol. 2023 Nov;95(11):e29207. - PMID 37916851

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:95

Enthalten in:

Journal of medical virology - 95(2023), 9 vom: 08. Sept., Seite e29098

Sprache:

Englisch

Beteiligte Personen:

Shao, Chi [VerfasserIn]
Shi, Yujie [VerfasserIn]
Chen, Ruxuan [VerfasserIn]
Liu, Xiangning [VerfasserIn]
Huang, Hui [VerfasserIn]
Zhao, Yang [VerfasserIn]
Xu, Kai [VerfasserIn]
Chen, Keqi [VerfasserIn]
Wang, Mengzhao [VerfasserIn]
Xu, Zuojun [VerfasserIn]

Links:

Volltext

Themen:

Coronavirus disease 2019 (COVID-19) pneumonia
Interstitial lung disease
Journal Article
Research Support, Non-U.S. Gov't
Risk factor
Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2)
Vaccination

Anmerkungen:

Date Completed 15.09.2023

Date Revised 10.01.2024

published: Print

CommentIn: J Med Virol. 2023 Nov;95(11):e29207. - PMID 37916851

Citation Status MEDLINE

doi:

10.1002/jmv.29098

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362046557