Serum levels of laminin and von Willebrand factor in COVID-19 survivors 6 months after discharge.

2021 
Abstract Objectives To evaluate clinical characteristics, pulmonary diffusion function, chest computerized tomography (CT), and serum lung cell damage indicators of coronavirus disease 2019 (COVID-19) survivors 6 months after discharge. Methods Data of COVID-19 survivors discharged from hospital between January 21, 2020 and January 11, 2021 and healthy controls were collected. Serum levels of surfactant D (SPD), the receptor for advanced glycation products (RAGE), laminin, and von Willebrand factor (vWF) were measured in healthy controls and COVID-19 survivors 6 months after discharge. The relationships between serum lung cell damage indicator levels and various parameters were explored. Results Fifty-two COVID-19 survivors (31 non-severe and 21 severe) and 30 controls were included. Serum levels of laminin in COVID-19 survivors 6 months after discharge were significantly higher than those in the controls. The increase was more significant in elderly and female patients. Serum levels of RAGE and vWF were not statistically different from those of the controls. However, 6 months after discharge, COVID-19 survivors with abnormal chest CT and those in the severe group had higher vWF levels. Conclusions COVID-19 patients had abnormal lung injury indicators 6 months after discharge. The recovery time after infection is currently unknown, and long-term observations are required.
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