Literature DB >> 35078793

Screening success: A virtual MDT can reduce the number of patients requiring respiratory follow-up post-COVID-19 pneumonia in line with British Thoracic Society guidance.

Rebekah Anstey1, Jennifer Rossdale1, Alexander Dereham2, Eleanor Peter1, Rey Tan1, Robert Mackenzie Ross1, Graham Robinson2, Tom Hartley1, Jay Suntharalingam1, Jonathan Cl Rodrigues3.   

Abstract

Introduction and objectivesThe ongoing respiratory sequelae of COVID-19 pneumonia remain unclear, and the ideal follow-up of these patients is still a work in progress. We describe our experience of using a pre-follow-up multidisciplinary team (MDT) to decide the follow-up stream in patients hospitalised for COVID-19 pneumonia.
METHODS: We reviewed all patients with a clinico-radiological diagnosis of COVID-19 admitted to hospital during a 3-month period and assigned a follow-up stream based on British Thoracic Society guidance.
RESULTS: We changed the follow-up pathway in 71% (277/392) and refined the pathway in 67% (261/392) of indeterminate cases. We also created an automated process for the general practitioner to book follow-up imaging and will use this process going forward.
CONCLUSION: These findings highlight the importance of the MDT review of cases with suspected COVID-19 pneumonia prior to clinic attendance to ensure appropriate patients are followed up and to optimise utilisation of outpatient imaging and clinics. © Royal College of Physicians 2022. All rights reserved.

Entities:  

Keywords:  COVID-19; multidisciplinary team; respiratory medicine; ventilatory support

Mesh:

Year:  2022        PMID: 35078793      PMCID: PMC8813016          DOI: 10.7861/clinmed.2021-0124

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN: 1470-2118            Impact factor:   2.659


  10 in total

1.  BTS guidelines for the management of community acquired pneumonia in adults: update 2009.

Authors:  W S Lim; S V Baudouin; R C George; A T Hill; C Jamieson; I Le Jeune; J T Macfarlane; R C Read; H J Roberts; M L Levy; M Wani; M A Woodhead
Journal:  Thorax       Date:  2009-10       Impact factor: 9.139

2.  Interpreting a covid-19 test result.

Authors:  Jessica Watson; Penny F Whiting; John E Brush
Journal:  BMJ       Date:  2020-05-12

3.  Follow-up chest radiographic findings in patients with MERS-CoV after recovery.

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Journal:  Indian J Radiol Imaging       Date:  2017 Jul-Sep

Review 4.  Coagulation disorders in coronavirus infected patients: COVID-19, SARS-CoV-1, MERS-CoV and lessons from the past.

Authors:  Dimitrios Giannis; Ioannis A Ziogas; Panagiota Gianni
Journal:  J Clin Virol       Date:  2020-04-09       Impact factor: 3.168

5.  Chest radiography is a poor predictor of respiratory symptoms and functional impairment in survivors of severe COVID-19 pneumonia.

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Journal:  ERJ Open Res       Date:  2021-02-08

6.  Six-month Follow-up Chest CT Findings after Severe COVID-19 Pneumonia.

Authors:  Xiaoyu Han; Yanqing Fan; Osamah Alwalid; Na Li; Xi Jia; Mei Yuan; Yumin Li; Yukun Cao; Jin Gu; Hanping Wu; Heshui Shi
Journal:  Radiology       Date:  2021-01-26       Impact factor: 11.105

7.  Persistent Symptoms in Patients After Acute COVID-19.

Authors:  Angelo Carfì; Roberto Bernabei; Francesco Landi
Journal:  JAMA       Date:  2020-08-11       Impact factor: 56.272

8.  'Long-COVID': a cross-sectional study of persisting symptoms, biomarker and imaging abnormalities following hospitalisation for COVID-19.

Authors:  Swapna Mandal; Joseph Barnett; Simon E Brill; Jeremy S Brown; Emma K Denneny; Samanjit S Hare; Melissa Heightman; Toby E Hillman; Joseph Jacob; Hannah C Jarvis; Marc C I Lipman; Sindhu B Naidu; Arjun Nair; Joanna C Porter; Gillian S Tomlinson; John R Hurst
Journal:  Thorax       Date:  2020-11-10       Impact factor: 9.139

9.  Chest x-ray findings and temporal lung changes in patients with COVID-19 pneumonia.

Authors:  Liqa A Rousan; Eyhab Elobeid; Musaab Karrar; Yousef Khader
Journal:  BMC Pulm Med       Date:  2020-09-15       Impact factor: 3.317

10.  Respiratory follow-up of patients with COVID-19 pneumonia.

Authors:  Peter M George; Lisa G Spencer; Shaney L Barratt; Robin Condliffe; Sujal R Desai; Anand Devaraj; Ian Forrest; Michael A Gibbons; Nicholas Hart; R Gisli Jenkins; Danny F McAuley; Brijesh V Patel; Erica Thwaite
Journal:  Thorax       Date:  2020-08-24       Impact factor: 9.139

  10 in total
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1.  Do you need a weatherman to know which way the wind blows?

Authors:  Anton Emmanuel
Journal:  Clin Med (Lond)       Date:  2022-01       Impact factor: 2.659

  1 in total

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