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

被引:581
作者
Mandal, Swapna [1 ]
Barnett, Joseph [2 ]
Brill, Simon E. [1 ]
Brown, Jeremy S. [3 ,4 ]
Denneny, Emma K. [4 ]
Hare, Samanjit S. [2 ]
Heightman, Melissa [4 ]
Hillman, Toby E. [4 ]
Jacob, Joseph [5 ,6 ]
Jarvis, Hannah C. [1 ]
Lipman, Marc C., I [1 ,3 ]
Naidu, Sindhu B. [1 ]
Nair, Arjun [6 ]
Porter, Joanna C. [3 ,4 ]
Tomlinson, Gillian S. [4 ,7 ]
Hurst, John R. [1 ,3 ]
机构
[1] Royal Free London NHS Fdn Trust, Resp Med, London, England
[2] Royal Free London NHS Fdn Trust, Dept Radio, London, England
[3] UCL, UCL Resp, London NW3 2PF, England
[4] Univ Coll London Hosp NHS Fdn Trust, Resp Med, London, England
[5] UCL, Ctr Med Image Comp, London, England
[6] Univ Coll London Hosp NHS Fdn Trust, Dept Radiol, London, England
[7] UCL, Infect & Immun, London, England
基金
英国惠康基金;
关键词
viral infection; respiratory infection;
D O I
10.1136/thoraxjnl-2020-215818
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Large numbers of people are being discharged from hospital following COVID-19 without assessment of recovery. In 384 patients (mean age 59.9 years; 62% male) followed a median 54 days post discharge, 53% reported persistent breathlessness, 34% cough and 69% fatigue. 14.6% had depression. In those discharged with elevated biomarkers, 30.1% and 9.5% had persistently elevated d-dimer and C reactive protein, respectively. 38% of chest radiographs remained abnormal with 9% deteriorating. Systematic follow-up after hospitalisation with COVID-19 identifies the trajectory of physical and psychological symptom burden, recovery of blood biomarkers and imaging which could be used to inform the need for rehabilitation and/or further investigation.
引用
收藏
页码:396 / 398
页数:3
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