Listen to this and let’s reflect as a respiratory community how we can emulate #cardiology and transform outcomes in #asthma, #COPD, #bronchiectasis, #ILD +other chronic #respiratory diseases over the NEXT 50 years. This accompanies a great @nejm Perspective by @EricTopol. Think:
Cross-disciplinary interchange of ideas...integration of basic science and translational research...technological innovation...EBM...large cohorts...policy change...huge collaborative trials...adequate research funding...genetic insights...drug development... life-course...
...precision medicine...multi-omics...social determinants of health...biomarkers...AI...
Respiratory #pulmonology - we need to be more bold.
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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.
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.