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Follow-Up Imaging of Discharged Patients with a Clinico-Radiological Diagnosis of COVID-19 Pneumonia at Princess Alexandra Hospital (Harlow, Essex): Initial Findings
EP34368
Poster Title: Follow-Up Imaging of Discharged Patients with a Clinico-Radiological Diagnosis of COVID-19 Pneumonia at Princess Alexandra Hospital (Harlow, Essex): Initial Findings
Submitted on 30 Oct 2020
Author(s): Hollie Campbell, Loveleen Sandhu, Ruby Varghese, Jenny Bailey, Sandra Dimmock ,Vijay Jayaram, Sridhar Redla, Samir Naik, James K. Diss, Muhammad Anwar
Affiliations: Princess Alexandra Hospital NHS Trust
This poster was presented at BIR 2020
Poster Views: 515
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Poster Information
Abstract: Introduction: Experience from previous Coronavirus outbreaks suggested that respiratory complications could be an important sequela of COVID-19 pneumonitis, leading the British Thoracic Society to publish guidance in May 2020 for the follow-up of discharged patients with a clinico-radiological COVID-19 diagnosis [1]. We describe the main findings from the initial follow-up of these patients at our DGH.

Materials & Methods: Post-discharge chest radiographs and clinical outcomes from patients treated for COVID-19 during the first 10-weeks of the 2020 Pandemic (from March 1st 2020) at our DGH were reviewed.

Results: 105/215 clinico-radiological COVID-19 cases have so far undergone follow-up chest imaging. The mean time to follow-up (from admission/initial CXR to follow-up CXR) was 69.7 +/- 1.6 days. The follow-up chest radiograph demonstrated complete resolution of COVID-19 features in 82/105 (i.e. 78%) cases, while only minor persistent features of COVID-19 pneumonitis were seen in a further 9 cases. More severe radiological changes were evident in 14 cases; CT imaging to evaluate for post-infective fibrosis has been arranged for 9 of these patients.

Conclusion: Most (87%) follow-up chest radiographs in 105 discharged patients with a clinico-radiological diagnosis of COVID-19 pneumonia demonstrated complete or near resolution of COVID features within 10 weeks. Our initial findings would suggest that respiratory complications are not a common sequela of COVID-19 pneumonitis, in line with recently published findings from China [2].
Summary: Follow-Up Imaging of Discharged Patients with a Clinico-Radiological Diagnosis of COVID-19 Pneumonia at Princess Alexandra Hospital (Harlow, Essex): Initial FindingsReferences: 1. British Thoracic Society Guidance on Respiratory Follow Up of Patients with a Clinico-Radiological Diagnosis of COVID-19 Pneumonia (May 11th 2020). https://www.bsti.org.uk/media/resources/files/Resp_follow_up_guidance_post_covid_pneumonia.pdf
2. Chest CT and Clinical Follow-up of Discharged Patients with COVID-19 in Wenzhou City, Zhejiang, China (2020). Ann Am Thorac Soc 17 (10): 1231-1237.
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