NYMC Faculty Publications
The Clinical Impact of the Covid-19 Pandemic First Wave on Patients With Cystic Fibrosis in New York
Author Type(s)
Faculty
DOI
10.1016/j.jcf.2022.02.012
Journal Title
Journal of Cystic Fibrosis
First Page
e176
Last Page
e183
Document Type
Article
Publication Date
5-1-2022
Department
Pediatrics
Keywords
Coronavirus, Covid-19, Cystic fibrosis, SARS-CoV2
Disciplines
Medicine and Health Sciences
Abstract
BACKGROUND: People with cystic fibrosis (pwCF) may be at risk of complications from COVID-19 but the impact of COVID-19 on pwCF remains unknown. METHODS: We conducted a multicenter retrospective cohort study to assess the impact of the COVID-19 pandemic first wave on pwCF in the New York metropolitan area (NY) from March 1, 2020 to August 31, 2020. Objectives were to determine (1) the prevalence of COVID-19 by PCR and IgG antibody testing, (2) the clinical characteristics of COVID-19, (3) delay in routine outpatient care, and (4) the effect on anxiety and depression in pwCF. RESULTS: There were 26 COVID-19 cases diagnosed by PCR or antibody testing among the study cohort of 810 pwCF. The prevalence of COVID-19 by PCR (1.6%) and IgG antibody (12.2%) testing was low. 58% of cases were asymptomatic and 82% were managed at home. 8% were hospitalized and 1 person died. 89% of pwCF experienced delay in care. The prevalence of anxiety increased from 43% baseline to 58% during the pandemic (P<0.01). In post-hoc analysis, the proportion of patients with diabetes (38% versus 16%, P<0.01) and pancreatic insufficiency (96% versus 66%, P<0.01) were higher while CFTR modulator use was lower (46% versus 65%, P = 0.05) in pwCF who tested positive for COVID-19. CONCLUSIONS: The prevalence of COVID-19 among pwCF in NY during the pandemic first wave was low and most cases were managed at home. CFTR modulators may be protective. PwCF experienced delay in routine care and increased anxiety.
Recommended Citation
Simonson, J. L., Esposito, C., Frantzen, T., Henthorne, K., Espinal, A., Romano, S., Ramdeo, R., Trentacoste, J., Tsang, D., LaVecchia, G., Abdullah, R., Berdella, M., Bonitz, L., Condos, R., Constantinescu, A., DeCelie-Germana, J. K., DiMango, E., Draine, M., Gimeli, T., Giusti, R., Guzman, J., Hammouda, S., Keating, C., Kier, C., Lennox, A. T., Liriano, C., Messer, Z., Plachta, A., Sadeghi, H., Schwind, E., Stables-Carney, T., & Walker, P. (2022). The Clinical Impact of the Covid-19 Pandemic First Wave on Patients With Cystic Fibrosis in New York. Journal of Cystic Fibrosis, 21 (3), e176-e183. https://doi.org/10.1016/j.jcf.2022.02.012
