POST #COVIDー19 RECOVERY.
How do you know if someone is on an expected trajectory post hospital discharge?
Here is a first look at our needs assessment and service evaluation, from a collaboration across @RoyalFreeNHS and @uclh.
We wanted to help others doing similar work 1/n:
How do you know if someone is on an expected trajectory post hospital discharge?
Here is a first look at our needs assessment and service evaluation, from a collaboration across @RoyalFreeNHS and @uclh.
We wanted to help others doing similar work 1/n:
WHAT WE DID.
Mostly 📞 follow-up of people who had COVID-19 (swab+), aiming for 4-6 weeks after discharge. Phone script delivered by an amazing group of @UCLMS medical students and doctors in training. People with abnormal bloods or imaging on discharge invited to repeat them.
Mostly 📞 follow-up of people who had COVID-19 (swab+), aiming for 4-6 weeks after discharge. Phone script delivered by an amazing group of @UCLMS medical students and doctors in training. People with abnormal bloods or imaging on discharge invited to repeat them.
WHAT WE FOUND:
This is 384 people followed a median of 54 (47-59) days from discharge.
69% had fatigue.
53% had breathlessness.
34% had cough.
14% experienced symptoms of depression.
This is 384 people followed a median of 54 (47-59) days from discharge.
69% had fatigue.
53% had breathlessness.
34% had cough.
14% experienced symptoms of depression.
Here’s a closer look at breathlessness. We used a VAS, higher score=more breathless, note that the trend seems to be one of continued improvement - those contacted later were typically less breathless. We hope this can be used to find people needing more rehab or further tests.
Regarding bloods, if abnormal at discharge then 30% had elevated d-diner at follow-up and 10% had elevated CRP.
And for those with abnormal imaging on discharge, in 11% that was unchanged or deteriorating at follow-up. More testing required.
And for those with abnormal imaging on discharge, in 11% that was unchanged or deteriorating at follow-up. More testing required.
We hope this is useful to others in the field. Please be in touch if you want to know more.
A huge number of people have been involved, those on Twitter include @lung_live4eva @EKDenneny @lungdiagnosis @tobyhillman @lungradiologist @DrJoPorter @DrGTomlinson and many MANY others.
A huge number of people have been involved, those on Twitter include @lung_live4eva @EKDenneny @lungdiagnosis @tobyhillman @lungradiologist @DrJoPorter @DrGTomlinson and many MANY others.
