COVID-19 recovery: predicting long term outcomes最新文献_第2页

P141 Observational cohort study of patients referred by their GP to a covid respiratory clinic P141由全科医生转介到covid呼吸道诊所的患者的观察性队列研究

COVID-19 recovery: predicting long term outcomes Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.250

H. May, R. Chamoto, S. McConnell, R. Stacey, R. Horne, A. Jefferson, F. Leahy, J. Holme

{"title":"P141 Observational cohort study of patients referred by their GP to a covid respiratory clinic","authors":"H. May, R. Chamoto, S. McConnell, R. Stacey, R. Horne, A. Jefferson, F. Leahy, J. Holme","doi":"10.1136/thorax-2021-btsabstracts.250","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.250","url":null,"abstract":"P141 Figure 1Lung function results[Figure omitted. See PDF]ConclusionOverall, we concluded that most patients had normal chest radiographs and lung function tests. Long Covid causes a heavy symptom burden significantly affecting the individual’s quality of life with chronic breathlessness and fatigue being the most common symptoms. Females, of white British origin with a mean age of fifty-one were most frequently referred to our clinic.The results prompted us to build a suitable management plan for these patients and we questioned why predominantly white British women were referred, as data has indicated Covid 19 disproportionately affected ethnic minority groups. (Razai et al, 2021)ReferencesNHS England 2021, National Guidance for post COVID syndrome assessment clinics, viewed 21/6/20201, available at < https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/11/C1248-national-guidance-post-covid-syndrome-assessment-clinics-v2.pdf>Razai MS, Kankam HKN, Majeed A, Esmail A, Williams DR. Mitigating ethnic disparities in covid 19 and beyond. The Bmj 2021;372:m4921.","PeriodicalId":238520,"journal":{"name":"COVID-19 recovery: predicting long term outcomes","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128906691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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P134 Health deprivation and post-COVID fibrosis: is there a relationship and what is the long-term impact? P134健康剥夺与covid - 19后纤维化:是否存在关系?长期影响是什么?

COVID-19 recovery: predicting long term outcomes Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.243

R. Penfold, H. Karimzadeh, U. Nnajiuba, A. Wight

{"title":"P134 Health deprivation and post-COVID fibrosis: is there a relationship and what is the long-term impact?","authors":"R. Penfold, H. Karimzadeh, U. Nnajiuba, A. Wight","doi":"10.1136/thorax-2021-btsabstracts.243","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.243","url":null,"abstract":"P134 Table 1 10% most deprived Other Total 20 (43%) 26 (57%) Male sex 65% 54% Average age (years) 62.3 62.6 Maximal Fi02 < 0.6 13 (65%) 9 (35%) ITU admission 4 (20%) 10 (38%) T2DM 6 (30%) 3 (12%) Ex-smoker 13 (65%) 11 (42%) Average score fibrosis 10.06 10.14 ConclusionsWe have shown patients surviving COVID-19 who developed new fibrosis are significantly more likely to live within a deprived postcode. Patients within the 10% most deprived postcodes for health and disability are more likely to be male and ex-smokers. We also noted patients developing fibrotic changes on CT within lowest 10% for deprivation had lower rates of ITU admission and required lower FiO2 (indicating less severe disease) but with equivalent radiological findings to those within less deprived areas. Severe deprivation may in itself increase risk of developing long-term respiratory complications from COVID-19, propagating the ongoing cycle of health and deprivation.ReferencesMarmot M, et al. Build Back Fairer: The COVID-19 Marmot Review. The Pandemic, Socioeconomic and Health Inequalities in England. [Internet] London: Institute of Health Equity;2020. Available from https://www.health.org.uk/sites/default/files/upload/publications/2020/Build-back-fairer-the-COVID-19-Marmot-review.pdfHan X, et al. Six-month Follow-up Chest CT Findings after Severe COVID-19 Pneumonia. Radiology 2021 Jan 26;299(1):E177–E186.","PeriodicalId":238520,"journal":{"name":"COVID-19 recovery: predicting long term outcomes","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126012849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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P140 Does the length of symptoms of long covid affect perceived dyspnoea? P140长冠状病毒的症状长度是否影响感知到的呼吸困难?

COVID-19 recovery: predicting long term outcomes Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.249

A. Barnes, G. Heppenstall-Harris, S. Kimyongur, E. Bruchez, A. Flatt, M. Stolbrink, N. Nwosu, L. Watkins, G. Tack

{"title":"P140 Does the length of symptoms of long covid affect perceived dyspnoea?","authors":"A. Barnes, G. Heppenstall-Harris, S. Kimyongur, E. Bruchez, A. Flatt, M. Stolbrink, N. Nwosu, L. Watkins, G. Tack","doi":"10.1136/thorax-2021-btsabstracts.249","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.249","url":null,"abstract":"P140 Table 1Results comparing mean Borg/MRC scores against length of time post covid infectionTime assessed in clinic from acute infection (months) Mean Borg scale (±SD) Mean MRC score (±SD) 3–6 5.2 (2.0) 2.6 (0.8) 6–12 4.7 (1.9) 2.5 (0.9) >12 3.3 (2.2) 2.2 (0.9) ConclusionA significant difference was seen between Borg score in 3–6months and >12 (P<0.01), suggesting that perceived dyspnoea due to long COVID improves with time. No significant difference was found in MRC dyspnoea score between each group. The reason for this remains unclear though improvement in perceived dyspnoea with time may offer reassurance to many long Covid patients. Further research is needed to determine if pulmonary rehabilitation provides a greater reduction in perceived dyspnoea.ReferencesOns.gov.uk. 2021. The prevalence of long COVID symptoms and COVID-19 complications - Office for National Statistics. [online] Available at: <https://www.ons.gov.uk/news/statementsandletters/theprevalenceoflongcovidsymptomsandcovid19complications> [Accessed 22 June 2021]England N, 2021. NHS England » NHS to offer ‘long covid’ sufferers help at specialist centres. [online] England.nhs.uk. Available at: <https://www.england.nhs.uk/2020/10/nhs-to-offer-long-covid-help/> [Accessed 24 June 2021].","PeriodicalId":238520,"journal":{"name":"COVID-19 recovery: predicting long term outcomes","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132228346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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P133 Measuring oxygen saturation on follow up chest X-Ray and resolution of radiological changes at 6 to 12 weeks post COVID pneumonitis P133肺炎后6 - 12周胸部x线随访血氧饱和度测定及影像学改变的消退

COVID-19 recovery: predicting long term outcomes Pub Date : 2021-11-01 DOI: 10.1136/thorax-2021-btsabstracts.242

A. Anwar, E. Tubman, W. McLean, M. Ingram, J. Scott-Taggart, C. Alexander

{"title":"P133 Measuring oxygen saturation on follow up chest X-Ray and resolution of radiological changes at 6 to 12 weeks post COVID pneumonitis","authors":"A. Anwar, E. Tubman, W. McLean, M. Ingram, J. Scott-Taggart, C. Alexander","doi":"10.1136/thorax-2021-btsabstracts.242","DOIUrl":"https://doi.org/10.1136/thorax-2021-btsabstracts.242","url":null,"abstract":"P133 Table 1Characteristics and outcome of patients with COVID-19 on admission and follow up N Males Females Mean age (years) SD Total admitted patients* 302 165 137 64 20.65 • Patients with abnormal CXR on admission 207 124 83 67.5 16.74 • Patients with normal CXR on admission 73 31 42 62.9 20.71 • No CXR available at admission 22 10 12 65 22.42 Follow up CXR** • Follow up CXR done 155 93 62 65 24 • Follow up CXR normal/baseline changes 122 70 52 62.7 15.8 • Follow up CXR abnormal 33 23 10 68.3 13.6 *Total local population in Guildford and Waverly 225,000 as per 2017 census.** 6–12 weeks follow up CXR was not done in 52 patients due to multiple patient factors (e.g. mortality, patient did not attend). Mortality rate 7% (N: 21) at time of data collection.ConclusionOur data shows that the majority of patients with COVID pneumonitis had a normal CXR at 6–12 weeks post discharge. However, a significant proportion of patients still have on-going radiological changes. There was no correlation between target SpO2 and ongoing radiological changes. Patients with normal follow-up CXR were significantly younger than those with persistent changes. We continue to study this group of patients and post COVID sequelae.Referencehttps://www.brit-thoracic.org.uk/covid-19/covid-19-information-for-the-respiratory-community/","PeriodicalId":238520,"journal":{"name":"COVID-19 recovery: predicting long term outcomes","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134644663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0