Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort

David Arnold(North Bristol NHS Trust), Fergus Hamilton(North Bristol NHS Trust), Alice Milne(North Bristol NHS Trust), Anna J. Morley(North Bristol NHS Trust), Jason Viner(North Bristol NHS Trust), Marie Attwood(North Bristol NHS Trust), Alan Noel(North Bristol NHS Trust), Samuel Gunning(North Bristol NHS Trust), Jessica Hatrick(North Bristol NHS Trust), Sassa Hamilton(North Bristol NHS Trust), Karen T Elvers(Cardiff University), Catherine Hyams(North Bristol NHS Trust), Anna Bibby(North Bristol NHS Trust), Ed Moran(North Bristol NHS Trust), Huzaifa Adamali(North Bristol NHS Trust), James Dodd(North Bristol NHS Trust), Nicholas A Maskell(North Bristol NHS Trust), Shaney Barratt(North Bristol NHS Trust)
Thorax
December 3, 2020
Cited by 619Open Access
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Abstract

The longer-term consequences of SARS-CoV-2 infection are uncertain. Consecutive patients hospitalised with COVID-19 were prospectively recruited to this observational study (n=163). At 8-12 weeks postadmission, survivors were invited to a systematic clinical follow-up. Of 131 participants, 110 attended the follow-up clinic. Most (74%) had persistent symptoms (notably breathlessness and excessive fatigue) and limitations in reported physical ability. However, clinically significant abnormalities in chest radiograph, exercise tests, blood tests and spirometry were less frequent (35%), especially in patients not requiring supplementary oxygen during their acute infection (7%). Results suggest that a holistic approach focusing on rehabilitation and general well-being is paramount.


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