Abstract
The clinical and social impacts of the COVID-19 epidemic on lung transplant (LTx) recipients remain poorly known. We aimed to evaluate its social, clinical, and behavioral consequences on the LTx patients followed in Strasbourg university hospital. A questionnaire was used to collect details concerning patients’ lifestyles, their protection methods used to avoid COVID-19 contamination, and clinical infection-related information for March 2020. A specific score was created to quantify patients’ contacts and the associated risk of infectious contagion. Data were collected from 322 patients (91.2%). A majority reported a higher application than usual of social distancing and barrier measures. 43.8% described infectious-related symptoms and 15.8% needed an anti-infective treatment. There was no difference in symptom onset according to age, native lung disease, diabetes, or obesity. Nineteen patients were tested for COVID-19, and four were diagnosed positive, all with a favorable outcome. The infection risk contact score was higher for symptomatic patients (p: 0.007), those needing extra-medical appointments (p < .001), and those receiving anti-infective treatments (p = .02). LTx patients reported a careful lifestyle and did not seem at higher risk for COVID-19. Our score showed encouraging preliminary results and could become a useful tool for the usual infection-related follow-up of the LTx patients.
Keywords: COVID-19; lifestyle factors; lung transplantation; protective measures.
【저자키워드】 COVID-19, Lifestyle factors, lung transplantation, Protective measures, 【초록키워드】 Treatment, social distancing, obesity, lung, Lung disease, risk, Symptom, diabetes, outcome, Measures, Impact, Patient, age, Follow-up, infection risk, information, questionnaire, patients, lung transplant, Protective, COVID-19 epidemic, Contact, Contagion, symptom onset, higher risk, university hospital, no difference, positive, recipient, consequence, tested, described, was used, collected, evaluate, reported, diagnosed, receiving, majority, concerning, COVID-19 contamination, symptomatic patient, 【제목키워드】 clinical impact, lung transplant, COVID-19 epidemic, retrospective cohort study, single-center,