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  1. Article: Hospital admission for COVID-19 pneumonitis - long-term impairment in quality of life and lung function.

    Vejen, Marie / Hansen, Ejvind Frausing / Al-Jarah, Bakir Nabil Ibrahim / Jensen, Casper / Thaning, Pia / Jeschke, Klaus Nielsen / Ulrik, Charlotte Suppli

    European clinical respiratory journal

    2022  Volume 9, Issue 1, Page(s) 2024735

    Abstract: Background and aim: Knowledge of long-term consequences of severe COVID-19 pneumonitis is of outmost importance. Our aim was, therefore, to assess the long-term impact on quality of life and lung function in adults hospitalized with severe COVID-19.: ... ...

    Abstract Background and aim: Knowledge of long-term consequences of severe COVID-19 pneumonitis is of outmost importance. Our aim was, therefore, to assess the long-term impact on quality of life and lung function in adults hospitalized with severe COVID-19.
    Methods: All patients hospitalized with COVID-19 pneumonitis at Copenhagen University Hospital-Hvidovre, Denmark, were invited to participate in the study 4-5 months after discharge. Of the 160 invited 128 responded positively (80%). Medical history and symptoms were assessed, and patients rated impact on quality of life and functional status with EuroQol-5D-5L and Post Covid Functional Scale. Lung function was assessed by dynamic spirometry and measurement of diffusing capacity.
    Results: Fatigue, dyspnea, cough and cognitive dysfunction were the most common symptoms. Of 128 patients, 85% had at least one symptom, and 51% reported two or more symptoms. Self-rated Quality of life was impaired assessed by EuroQol 5D-5L, with dimensions 'Pain or discomfort' (61%) and 'Usual activities' (54%) mostly affected. Functional status was significantly worse than before COVID-19 assessed by Post-COVID Functional Scale. Among lung function parameters, diffusing capacity was most affected, with 45% having diffusing capacity < 80% of predicted.
    Conclusion: Fatigue, respiratory symptoms and cognitive symptoms are highly common months after hospitalization for severe COVID-19. Compared to pre-COVID-19, functional status and usual activities continued to be impaired. In line with this, almost half of the patients were found to have impaired diffusing capacity.
    Language English
    Publishing date 2022-01-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2834928-3
    ISSN 2001-8525
    ISSN 2001-8525
    DOI 10.1080/20018525.2021.2024735
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: [CPAP for patients with COVID-19].

    Kofod, Linette Marie / Jeschke, Klaus Nielsen / Krogh-Madsen, Rikke / Albek, Carsten Monefeldt / Hansen, Ejvind Frausing

    Ugeskrift for laeger

    2020  Volume 182, Issue 33

    Abstract: Continuous positive airway pressure (CPAP) has been suggested as a beneficial treatment for patients with coronavirus disease 2019 (COVID-19). The objective of CPAP treatment is to improve oxygenation, unload respiratory muscles and possibly delay or ... ...

    Abstract Continuous positive airway pressure (CPAP) has been suggested as a beneficial treatment for patients with coronavirus disease 2019 (COVID-19). The objective of CPAP treatment is to improve oxygenation, unload respiratory muscles and possibly delay or avoid intubation. This review describes the physiological rationale behind CPAP therapy for patients with COVID-19 and the clinical experience with CPAP, implemented in a medical ward without prior knowledge of the treatment. CPAP has the potential for reducing the burden on intensive care units if implemented on a medical ward by a multidisciplinary approach.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Continuous Positive Airway Pressure ; Coronavirus Infections/therapy ; Humans ; Pandemics ; Pneumonia, Viral/therapy ; SARS-CoV-2
    Keywords covid19
    Language Danish
    Publishing date 2020-08-14
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [CPAP for patients with COVID-19]

    Kofod, Linette Marie / Jeschke, Klaus Nielsen / Krogh-Madsen, Rikke / Albek, Carsten Monefeldt / Hansen, Ejvind Frausing

    Ugeskrift for laeger

    Abstract: Continuous positive airway pressure (CPAP) has been suggested as a beneficial treatment for patients with coronavirus disease 2019 (COVID-19) The objective of CPAP treatment is to improve oxygenation, unload respiratory muscles and possibly delay or ... ...

    Abstract Continuous positive airway pressure (CPAP) has been suggested as a beneficial treatment for patients with coronavirus disease 2019 (COVID-19) The objective of CPAP treatment is to improve oxygenation, unload respiratory muscles and possibly delay or avoid intubation This review describes the physiological rationale behind CPAP therapy for patients with COVID-19 and the clinical experience with CPAP, implemented in a medical ward without prior knowledge of the treatment CPAP has the potential for reducing the burden on intensive care units if implemented on a medical ward by a multidisciplinary approach
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #720281
    Database COVID19

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  4. Article: Management of COVID-19-Associated Acute Respiratory Failure with Alternatives to Invasive Mechanical Ventilation: High-Flow Oxygen, Continuous Positive Airway Pressure, and Noninvasive Ventilation.

    Bonnesen, Barbara / Jensen, Jens-Ulrik Stæhr / Jeschke, Klaus Nielsen / Mathioudakis, Alexander G / Corlateanu, Alexandru / Hansen, Ejvind Frausing / Weinreich, Ulla Møller / Hilberg, Ole / Sivapalan, Pradeesh

    Diagnostics (Basel, Switzerland)

    2021  Volume 11, Issue 12

    Abstract: Patients admitted to hospital with coronavirus disease 2019 (COVID-19) may develop acute respiratory failure (ARF) with compromised gas exchange. These patients require oxygen and possibly ventilatory support, which can be delivered via different devices. ...

    Abstract Patients admitted to hospital with coronavirus disease 2019 (COVID-19) may develop acute respiratory failure (ARF) with compromised gas exchange. These patients require oxygen and possibly ventilatory support, which can be delivered via different devices. Initially, oxygen therapy will often be administered through a conventional binasal oxygen catheter or air-entrainment mask. However, when higher rates of oxygen flow are needed, patients are often stepped up to high-flow nasal cannula oxygen therapy (HFNC), continuous positive airway pressure (CPAP), bilevel positive airway pressure (BiPAP), or invasive mechanical ventilation (IMV). BiPAP, CPAP, and HFNC may be beneficial alternatives to IMV for COVID-19-associated ARF. Current evidence suggests that when nasal catheter oxygen therapy is insufficient for adequate oxygenation of patients with COVID-19-associated ARF, CPAP should be provided for prolonged periods. Subsequent escalation to IMV may be implemented if necessary.
    Language English
    Publishing date 2021-12-02
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics11122259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Lung Ultrasound to Phenotype Chronic Lung Allograft Dysfunction in Lung Transplant Recipients. A Prospective Observational Study.

    Davidsen, Jesper Rømhild / Laursen, Christian B / Højlund, Mikkel / Lund, Thomas Kromann / Jeschke, Klaus Nielsen / Iversen, Martin / Kalhauge, Anna / Bendstrup, Elisabeth / Carlsen, Jørn / Perch, Michael / Henriksen, Daniel Pilsgaard / Schultz, Hans Henrik Lawaetz

    Journal of clinical medicine

    2021  Volume 10, Issue 5

    Abstract: Background: Bronchiolitis obliterans syndrome (BOS) and restrictive allograft syndrome (RAS) are two distinct phenotypes of chronic lung allograft dysfunction (CLAD) in lung transplant (LTx) recipients. Contrary to BOS, RAS can radiologically present ... ...

    Abstract Background: Bronchiolitis obliterans syndrome (BOS) and restrictive allograft syndrome (RAS) are two distinct phenotypes of chronic lung allograft dysfunction (CLAD) in lung transplant (LTx) recipients. Contrary to BOS, RAS can radiologically present with a pleuroparenchymal fibroelastosis (PPFE) pattern. This study investigates lung ultrasound (LUS) to identify potential surrogate markers of PPFE in order to distinguish CLAD phenotype RAS from BOS.
    Methods: A prospective cohort study performed at a National Lung Transplantation Center during June 2016 to December 2017. Patients were examined with LUS and high-resolution computed tomography of the thorax (HRCT).
    Results: Twenty-five CLAD patients (72% males, median age of 54 years) were included, corresponding to 19/6 BOS/RAS patients. LUS-identified pleural thickening was more pronounced in RAS vs. BOS patients (5.6 vs. 2.9 mm) compatible with PPFE on HRCT. LUS-identified pleural thickening as an indicator of PPFE in RAS patients' upper lobes showed a sensitivity of 100% (95% CI; 54-100%), specificity of 100% (95% CI; 82-100%), PPV of 100% (95% CI; 54-100%), and NPV of 100% (95% CI; 82-100%).
    Conclusion: Apical pleural thickening detected by LUS and compatible with PPFE on HRCT separates RAS from BOS in patients with CLAD. We propose LUS as a supplementary tool for initial CLAD phenotyping.
    Language English
    Publishing date 2021-03-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm10051078
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: [Diagnostic approach and evaluation of hospitalized patients with COVID-19].

    Jeschke, Klaus Nielsen / Reiter, Nanna / Hvas, Anne-Mette / Rasmussen, Bodil Steen / Hansen, Ejvind Frausing / Marså, Kristoffer / Weinreich, Ulla Møller / Pedersen, Michael / Helleberg, Marie / Winding, Robert / Kirk, Ole / Dalager-Pedersen, Michael

    Ugeskrift for laeger

    2021  Volume 183, Issue 9

    Abstract: COVID-19 is the infectious disease caused by coronavirus SARS-CoV-2. The most common symptoms of COVID-19 are dry cough, tiredness and fever. Most patients recover from COVID-19 within a few weeks, but some patients have symptoms lasting for weeks or ... ...

    Abstract COVID-19 is the infectious disease caused by coronavirus SARS-CoV-2. The most common symptoms of COVID-19 are dry cough, tiredness and fever. Most patients recover from COVID-19 within a few weeks, but some patients have symptoms lasting for weeks or even months after recovery from acute illness, such as fatigue, shortness of breath and cough. This is a review of what we currently know about the clinical disease and its severity as well as which diagnostic strategies are recommended during and after hospital admission.
    MeSH term(s) COVID-19 ; Coronavirus ; Coronavirus Infections ; Humans ; Prognosis ; SARS-CoV-2
    Language Danish
    Publishing date 2021-03-18
    Publishing country Denmark
    Document type Journal Article ; Comment
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: [Clinical management of hospitalised patients with COVID-19].

    Jeschke, Klaus Nielsen / Reiter, Nanna / Hvas, Anne-Mette / Rasmussen, Bodil Steen / Hansen, Ejvind Frausing / Marså, Kristoffer / Weinreich, Ulla Møller / Pedersen, Michael / Helleberg, Marie / Winding, Robert / Kirk, Ole / Dalager-Pedersen, Michael

    Ugeskrift for laeger

    2021  Volume 183, Issue 9

    Abstract: COVID-19 is the infectious disease caused by SARS-CoV-2. This is a review of the current treatment strategies available for patients with COVID-19 during hospital admission. Patients requiring hospitalisation frequently suffer from respiratory failure ... ...

    Abstract COVID-19 is the infectious disease caused by SARS-CoV-2. This is a review of the current treatment strategies available for patients with COVID-19 during hospital admission. Patients requiring hospitalisation frequently suffer from respiratory failure and may require oxygen therapy. Insufficient response to oxygen may be an indication, that other modalities such as high-flow nasal cannula, continuous positive airway pressure or mechanical ventilation are needed. The only medical treatments currently being used are remdesivir and dexamethasone.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/therapy ; Humans ; Inpatients ; Oxygen Inhalation Therapy/methods ; Respiration, Artificial/methods ; Respiratory Insufficiency/etiology ; Respiratory Insufficiency/therapy ; SARS-CoV-2
    Language Danish
    Publishing date 2021-03-01
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Lung ultrasound findings following COVID-19 hospitalization: A prospective longitudinal cohort study.

    Espersen, Caroline / Platz, Elke / Alhakak, Alia Saed / Sengeløv, Morten / Simonsen, Jakob Øystein / Johansen, Niklas Dyrby / Davidovski, Filip Søskov / Christensen, Jacob / Bundgaard, Henning / Hassager, Christian / Jabbari, Reza / Carlsen, Jørn / Kirk, Ole / Lindholm, Matias Greve / Kristiansen, Ole Peter / Nielsen, Olav Wendelboe / Jeschke, Klaus Nielsen / Ulrik, Charlotte Suppli / Sivapalan, Pradeesh /
    Iversen, Kasper / Stæhr Jensen, Jens Ulrik / Schou, Morten / Skaarup, Søren Helbo / Højbjerg Lassen, Mats Christian / Skaarup, Kristoffer Grundtvig / Biering-Sørensen, Tor

    Respiratory medicine

    2022  Volume 197, Page(s) 106826

    MeSH term(s) Adult ; COVID-19/diagnostic imaging ; Cohort Studies ; Female ; Hospitalization ; Humans ; Longitudinal Studies ; Lung/diagnostic imaging ; Male ; Middle Aged ; Prospective Studies ; Respiratory Distress Syndrome/diagnostic imaging ; Ultrasonography/methods
    Language English
    Publishing date 2022-04-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1003348-8
    ISSN 1532-3064 ; 0954-6111
    ISSN (online) 1532-3064
    ISSN 0954-6111
    DOI 10.1016/j.rmed.2022.106826
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Lung Ultrasound Findings Associated With COVID-19 ARDS, ICU Admission, and All-Cause Mortality.

    Espersen, Caroline / Platz, Elke / Skaarup, Kristoffer Grundtvig / Lassen, Mats Christian Højbjerg / Lind, Jannie Nørgaard / Johansen, Niklas Dyrby / Sengeløv, Morten / Alhakak, Alia Saed / Nielsen, Anne Bjerg / Bundgaard, Henning / Hassager, Christian / Jabbari, Reza / Carlsen, Jørn / Kirk, Ole / Lindholm, Matias Greve / Kristiansen, Ole Peter / Nielsen, Olav Wendelboe / Jeschke, Klaus Nielsen / Ulrik, Charlotte Suppli /
    Sivapalan, Pradeesh / Gislason, Gunnar / Iversen, Kasper / Jensen, Jens Ulrik Stæhr / Schou, Morten / Skaarup, Søren Helbo / Biering-Sørensen, Tor

    Respiratory care

    2021  Volume 67, Issue 1, Page(s) 66–75

    Abstract: Background: As lung ultrasound (LUS) has emerged as a diagnostic tool in patients with COVID-19, we sought to investigate the association between LUS findings and the composite in-hospital outcome of ARDS incidence, ICU admission, and all-cause ... ...

    Abstract Background: As lung ultrasound (LUS) has emerged as a diagnostic tool in patients with COVID-19, we sought to investigate the association between LUS findings and the composite in-hospital outcome of ARDS incidence, ICU admission, and all-cause mortality.
    Methods: In this prospective, multi-center, observational study, adults with laboratory-confirmed SARS-CoV-2 infection were enrolled from non-ICU in-patient units. Subjects underwent an LUS evaluating a total of 8 zones. Images were analyzed off-line, blinded to clinical variables and outcomes. A LUS score was developed to integrate LUS findings: ≥ 3 B-lines corresponded to a score of 1, confluent B-lines to a score of 2, and subpleural or lobar consolidation to a score of 3. The total LUS score ranged from 0-24 per subject.
    Results: Among 215 enrolled subjects, 168 with LUS data and no current signs of ARDS or ICU admission (mean age 59 y, 56% male) were included. One hundred thirty-six (81%) subjects had pathologic LUS findings in ≥ 1 zone (≥ 3 B-lines, confluent B-lines, or consolidations). Markers of disease severity at baseline were higher in subjects with the composite outcome (
    Conclusions: Pathologic findings on LUS were common a median of 3 d after admission in this cohort of non-ICU hospitalized subjects with COVID-19 and did not differ among subjects who experienced the composite outcome of incident ARDS, ICU admission, and all-cause mortality compared to subjects who did not. These findings should be confirmed in future investigations. The study is registered at Clinicaltrials.gov (NCT04377035).
    MeSH term(s) Adult ; Humans ; Male ; Middle Aged ; Female ; COVID-19/diagnostic imaging ; Prospective Studies ; Respiratory Distress Syndrome/diagnostic imaging ; SARS-CoV-2 ; Lung/diagnostic imaging ; Ultrasonography/methods
    Language English
    Publishing date 2021-11-23
    Publishing country United States
    Document type Observational Study ; Multicenter Study ; Journal Article
    ZDB-ID 603252-7
    ISSN 1943-3654 ; 0098-9142 ; 0020-1324
    ISSN (online) 1943-3654
    ISSN 0098-9142 ; 0020-1324
    DOI 10.4187/respcare.09108
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Lung ultrasound findings in hospitalized COVID-19 patients in relation to venous thromboembolic events: the ECHOVID-19 study.

    Skaarup, Kristoffer Grundtvig / Lassen, Mats Christian Højbjerg / Espersen, Caroline / Lind, Jannie Nørgaard / Johansen, Niklas Dyrby / Sengeløv, Morten / Alhakak, Alia Saed / Nielsen, Anne Bjerg / Ravnkilde, Kirstine / Hauser, Raphael / Schöps, Liv Borum / Holt, Eva / Bundgaard, Henning / Hassager, Christian / Jabbari, Reza / Carlsen, Jørn / Kirk, Ole / Bodtger, Uffe / Lindholm, Matias Greve /
    Wiese, Lothar / Kristiansen, Ole Peter / Walsted, Emil Schwarz / Nielsen, Olav Wendelboe / Lindegaard, Birgitte / Tønder, Niels / Jeschke, Klaus Nielsen / Ulrik, Charlotte Suppli / Lamberts, Morten / Sivapalan, Pradeesh / Pallisgaard, Jannik / Gislason, Gunnar / Iversen, Kasper / Jensen, Jens Ulrik Stæhr / Schou, Morten / Skaarup, Søren Helbo / Platz, Elke / Biering-Sørensen, Tor

    Journal of ultrasound

    2021  Volume 25, Issue 3, Page(s) 457–467

    MeSH term(s) Adult ; Aged ; COVID-19/diagnostic imaging ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Prospective Studies ; Ultrasonography/methods ; Venous Thromboembolism/diagnostic imaging
    Language English
    Publishing date 2021-07-02
    Publishing country Italy
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2365426-0
    ISSN 1876-7931 ; 1971-3495
    ISSN (online) 1876-7931
    ISSN 1971-3495
    DOI 10.1007/s40477-021-00605-8
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