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

Author:

Arnold David TORCID,Hamilton Fergus W,Milne Alice,Morley Anna J,Viner Jason,Attwood Marie,Noel Alan,Gunning Samuel,Hatrick Jessica,Hamilton Sassa,Elvers Karen T,Hyams CatherineORCID,Bibby Anna,Moran Ed,Adamali Huzaifa I,Dodd James William,Maskell Nicholas A,Barratt Shaney L

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.

Funder

Southmead Hospital Charity

Publisher

BMJ

Subject

Pulmonary and Respiratory Medicine

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