Table 2 Follow-up parameters at 6-month time-point.
From: Cardiopulmonary work up of patients with and without fatigue 6 months after COVID-19
Total (n = 60) | Fatigue (n = 17) | No fatigue (n = 43) | p value | |
|---|---|---|---|---|
Height [cm] | 173 [166–178] | 165 [158–176] | 174 [168–179] | 0.12 |
Weight [kg] | 86 [79–98] | 90 [70–102] | 85 [80–96] | 0.73 |
BMI [kg/m2] | 29 [26–31] | 29 [25–41] | 29 [26–31] | 0.51 |
Respiratory rate [bpm] | 17 [16–20] | 17 [16–20] | 17 [16–19] | 0.35 |
Oxygen saturation [%] | 98 [97–98] | 97 [96–98] | 98 [97–99] | 0.79 |
Oxygen flow [l/min] | 0 [0–0] | 0 [0–0] | 0 [0–0] | 0.59 |
Temperature [°C] | 37 [36, 37] | 37 [36, 37] | 37 [36, 37] | 0.87 |
BPsys [mmHg] | 136 [125–150] | 135 [118–142] | 140 [125–150] | 0.39 |
BPdia [mmHg] | 92 [80–100] | 89 [77–97] | 92 [82–102] | 0.52 |
Heart rate [bpm] | 80 [69–90] | 80 [73–80] | 78 [66–91] | 0.28 |
Frailty Score | 3 [2–5] | 3 [3–6] | 3 [2, 3] | 0.02 |
Laboratory findings | ||||
D-dimer [ng/ml] | 356 [268–544] | 425 [268–544] | 313 [241–489] | 0.96 |
LDH [U/l] | 201 [180–236] | 208 [189–236] | 192 [174–230] | 0.59 |
CK [U/l] | 88 [71–123] | 87 [80–98] | 86 [65–142] | 0.01 |
CKMB [U/l] | 2.8 [1.9–3] | 2.4 [1.7–2.9] | 2.9 [1.9–3.1] | 0.84 |
hs-Troponin T [pg/ml] | 8.5 [6–15] | 6 [4–14] | 9 [6–15] | 0.23 |
NTproBNP [pg/ml] | 90 [29–258] | 77.6 [31–203] | 84.8 [25–297] | 0.05 |
Creatinine [mg/dl] | 1 [0.8–1.1] | 1 [0.8–1.1] | 1 [0.8–1.1] | 0.74 |
CRP [mg/l] | 1.9 [1–4, 7] | 2.6 [1, 6, 7] | 1.6 [0.9–2.8] | 0.04 |
PCT [ng/ml] | 0.1 [0–0.1] | 0.1 [0–0.1] | 0.1 [0–0.1] | 0.99 |
Ferritin [ng/ml] | 156 [60–310] | 168.3 [54–360] | 146.5 [60–279] | 0.43 |
Symptoms | ||||
Fatigue | 17 (28) | 17 (100) | 0 (0) | < 0.001 |
Dyspnea | 15 (25) | 8 (47) | 7 (16) | 0.02 |
Cough | 8 (13) | 4 (24) | 4 (9) | 0.20 |
Headache | 16 (27) | 10 (59) | 6 (14) | < 0.001 |
Myalgia | 11 (18) | 7 (41) | 4 (9) | 0.007 |
Rhinorrhea | 6 (10) | 3 (18) | 3 (7) | 0.33 |
Chest pain | 8 (13) | 6 (35) | 2 (5) | 0.004 |
Cognitive disorders | 3 (5) | 3 (18) | 0 (0) | 0.01 |
Loss of taste | 5 (8) | 3 (18) | 2 (5) | 0.13 |
Loss of smell | 6 (10) | 1 (6) | 5 (12) | 0.66 |
Sore throat | 5 (8) | 5 (29) | 0 (0) | 0.001 |
Nausea | 4 (7) | 4 (24) | 0 (0) | 0.004 |
Emesis | 3 (5) | 3 (18) | 0 (0) | 0.01 |
Questionnaires at follow up | ||||
PHQ-9 | 5 [2–8] | 11 [7–16] | 3 [1–6] | < 0.001 |
GAD-7 | 3 [0–7, 25] | 8 [6–14] | 1 [0–4] | < 0.001 |
SGRQ | ||||
Symptoms Score | 17.6 [3–43] | 45.4 [2–64] | 8.7 [0–22] | < 0.001 |
Activity Score | 41.2 [3–77] | 79.8 [1, 7–86] | 9.4 [0–47] | < 0.001 |
Impacts Score | 5.2 [0–29] | 31.3 [7–44] | 0 [0–5] | 0.001 |
Total Score | 13.1 [1, 6–45] | 50.2 [1–63] | 3.9 [0, 3–12] | 0.002 |
EQ-5D-5L | ||||
Mobility/Walking score | 1 (1–3) | 2 (1–4) | 1 (1–2) | 0.001 |
Self-Care score | 1 (1–2) | 1.5 (1–3) | 1 (1–1) | 0.13 |
Usual Activities score | 1 (1–3) | 3 (2–3) | 1 (1–1) | < 0.001 |
Pain/Discomfort score | 2 (1–3) | 2.5 (2–4) | 1 (1–2) | 0.01 |
Anxiety/Depression score | 1 (1–2) | 1 (1–2.3) | 1 (1–1) | 0.13 |
6MWT | ||||
Distance, m | 443 [359–521] | 390 [290–440] | 470 [363–525] | 0.31 |
SpO2 before exercise, % | 97 [95–98] | 96 [95–98] | 97 [95–98] | 0.45 |
SpO2 after exercise, % | 97 [95–98] | 97 [95–98] | 97 [95–98] | 0.16 |
HR before exercise, bpm | 78 [67–90] | 73 [67–77] | 80 [69–91] | 0.34 |
HR after exercise, bpm | 90 [80–107] | 89 [73–108] | 91 [82–106] | 0.94 |
Dyspnea on Borg scale before exercise | 0 [0–2] | 2 [0–3] | 0 [0–1] | 0.01 |
Dyspnea on Borg scale after exercise | 2 [0–3] | 3 [0–5] | 1 [0–3] | 0.05 |
Fatigue on Borg scale before exercise | 0 [0–2] | 2 [0–4] | 0 [0–1] | 0.06 |
Fatigue on Borg scale after exercise | 2 [0–3] | 4 [2–6] | 2 [0–3] | 0.02 |
Pulmonary function tests | ||||
TLC [%] | 98 [85–107] | 101 [9–115] | 98 [85–105] | 0.33 |
VC [%] | 94 [81–103] | 96 [81–102] | 93 [78–103] | 0.14 |
FVC [%] | 93 [80–104] | 96 [83–105] | 92 [76–101] | 0.15 |
RV [%] | 111 [96–134] | 123 [89–146] | 105 [97–126] | 0.47 |
RV/TLC [%] | 109 [97–121] | 117 [100–128] | 108 [96–118] | 0.17 |
FEV1 [%] | 95 [81–106] | 86 [67–95] | 97 [84–110] | 0.03 |
FEV1/FVC [%] | 81 [77–86] | 78 [72–81] | 84 [78–88] | 0.002 |
Reff [%] | 91 [68–114] | 100 [87–122] | 85 [66–104] | 0.16 |
DLCO [%] | 69 [55–77] | 63 [45–71] | 69 [55–78] | 0.38 |
DLCO/VA [%] | 84 [75–95] | 78 [68–83] | 86 [77–97] | 0.18 |
PaO2 [mmHg] | 73 [65–83] | 66 [58–78] | 76 [66–84] | 0.12 |
PaCO2 [mmHg] | 38 [34–39] | 38 [32–40] | 37 [34–39] | 0.52 |
pH | 7.4 [4–7] | 7.42 [7.41–7.5] | 7.4 [4–7] | 0.87 |
Base excess [mmol/l] | 0.6 [− 0.4–1.3] | 0.7 [0.15–1.3] | 0.4 [− 0.8–1.2] | 0.29 |
Echocardiography | ||||
LVEF—global normal | 49 (82) | 15 (88) | 34 (79) | 0.70 |
LVEF [%] | 52 [45–52] | 49 [47–50] | 52 [46–53] | 0.75 |
RVEF global normal | 53 (88) | 15 (88) | 38 (88) | > 0.99 |
TAPSE | 21 [18–23] | 22 [20–23] | 20 [18–23] | 0.27 |
RVSP + CVP [mmHg] | 26 [24–32] | 28 [25–30] | 26 [23–32] | 0.84 |
GLS > − 16, n (%) | 41 (68) | 9 (53) | 32 (74) | 0.09 |
GLS [%] | − 15 [− 18–14] | − 17 [− 20–15] | − 15 [− 18–14] | 0.34 |