Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort.

Details

Serval ID
serval:BIB_C73E5F757E12
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort.
Journal
The European respiratory journal
Author(s)
Casco N., Jorge A.L., Palmero D.J., Alffenaar J.W., Fox G.J., Ezz W., Cho J.G., Denholm J., Skrahina A., Solodovnikova V., Arbex M.A., Alves T., Rabahi M.F., Pereira G.R., Sales R., Silva D.R., Saffie M.M., Salinas N.E., Miranda R.C., Cisterna C., Concha C., Fernandez I., Villalón C., Vera C.G., Tapia P.G., Cancino V., Carbonell M., Cruz A., Muñoz E., Muñoz C., Navarro I., Pizarro R., Cristina Sánchez G.P., Vergara Riquelme M.S., Vilca E., Soto A., Flores X., Garavagno A., Bahamondes M.H., Merino L.M., Pradenas A.M., Revillot M.E., Rodriguez P., Salinas A.S., Taiba C., Valdés J.F., Subiabre J.N., Ortega C., Palma S., Castillo P.P., Pinto M., Bidegain F.R., Venegas M., Yucra E., Li Y., Cruz A., Guelvez B., Victoria Plaza R., Tello Hoyos K.Y., Cardoso-Landivar J., Van Den Boom M., Andréjak C., Blanc F.X., Dourmane S., Froissart A., Izadifar A., Rivière F., Schlemmer F., Manika K., Diallo B.D., Hassane-Harouna S., Artiles N., Mejia L.A., Gupta N., Ish P., Mishra G., Patel J.M., Singla R., Udwadia Z.F., Alladio F., Angeli F., Calcagno A., Centis R., Codecasa L.R., De Lauretis A., Esposito SMR, Formenti B., Gaviraghi A., Giacomet V., Goletti D., Gualano G., Matteelli A., Migliori G.B., Motta I., Palmieri F., Pontali E., Prestileo T., Riccardi N., Saderi L., Saporiti M., Sotgiu G., Spanevello A., Stochino C., Tadolini M., Torre A., Villa S., Visca D., Kurhasani X., Furjani M., Rasheed N., Danila E., Diktanas S., Ridaura R.L., Luna López F.L., Torrico M.M., Rendon A., Akkerman O.W., Chizaram O., Al-Abri S., Alyaquobi F., Althohli K., Aguirre S., Teixeira R.C., De Egea V., Irala S., Medina A., Sequera G., Sosa N., Vázquez F., Llanos-Tejada F.K., Manga S., Villanueva-Villegas R., Araujo D., Sales Marques R.D., Socaci A., Barkanova O., Bogorodskaya M., Borisov S., Mariandyshev A., Kaluzhenina A., Vukicevic T.A., Stosic M., Beh D., Ng D., Ong CWM, Solovic I., Dheda K., Gina P., Caminero J.A., De Souza Galvão M.L., Dominguez-Castellano A., García-García J.M., Pinargote I.M., Fernandez S.Q., Sánchez-Montalvá A., Huguet E.T., Murguiondo M.Z., Bart P.A., Mazza-Stalder J., D'Ambrosio L., Kamolwat P., Bakko F., Barnacle J., Bird S., Brown A., Chandran S., Killington K., Man K., Papineni P., Ritchie F., Tiberi S., Utjesanovic N., Zenner D., Hearn J.L., Heysell S., Young L.
Working group(s)
Global Tuberculosis Network and TB/COVID-19 Global Study Group
ISSN
1399-3003 (Electronic)
ISSN-L
0903-1936
Publication state
Published
Issued date
11/2023
Peer-reviewed
Oui
Volume
62
Number
5
Pages
2300925
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Longitudinal cohort data of patients with tuberculosis (TB) and coronavirus disease 2019 (COVID-19) are lacking. In our global study, we describe long-term outcomes of patients affected by TB and COVID-19.
We collected data from 174 centres in 31 countries on all patients affected by COVID-19 and TB between 1 March 2020 and 30 September 2022. Patients were followed-up until cure, death or end of cohort time. All patients had TB and COVID-19; for analysis purposes, deaths were attributed to TB, COVID-19 or both. Survival analysis was performed using Cox proportional risk-regression models, and the log-rank test was used to compare survival and mortality attributed to TB, COVID-19 or both.
Overall, 788 patients with COVID-19 and TB (active or sequelae) were recruited from 31 countries, and 10.8% (n=85) died during the observation period. Survival was significantly lower among patients whose death was attributed to TB and COVID-19 versus those dying because of either TB or COVID-19 alone (p<0.001). Significant adjusted risk factors for TB mortality were higher age (hazard ratio (HR) 1.05, 95% CI 1.03-1.07), HIV infection (HR 2.29, 95% CI 1.02-5.16) and invasive ventilation (HR 4.28, 95% CI 2.34-7.83). For COVID-19 mortality, the adjusted risks were higher age (HR 1.03, 95% CI 1.02-1.04), male sex (HR 2.21, 95% CI 1.24-3.91), oxygen requirement (HR 7.93, 95% CI 3.44-18.26) and invasive ventilation (HR 2.19, 95% CI 1.36-3.53).
In our global cohort, death was the outcome in >10% of patients with TB and COVID-19. A range of demographic and clinical predictors are associated with adverse outcomes.
Keywords
Humans, Male, COVID-19/complications, HIV Infections/complications, Coinfection, Risk Factors, Tuberculosis, Miliary, Retrospective Studies
Pubmed
Web of science
Open Access
Yes
Create date
26/01/2024 16:28
Last modification date
27/01/2024 8:38
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