Follow Up of Patients with COVID-19 pneumonia – ICST

Follow Up of Patients with COVID-19 pneumonia

Tutorial presented by Dr Katie Pink, Consultant in Respiratory Medicine.


Patients who have been admitted with the clinical syndrome compatible with COVID-19, as well as radiological changes of COVID-19 pneumonia, should be followed up according to the BTS guidelines (linked below).

We can group patients according to the severity of their disease and potential complications of COVID-19, to determine the level of follow-up required:

  • Mild to moderate COVID-19 pneumonia, including those who have been managed as in-patients on a general medical ward requiring low flow rates of oxygen, or those managed in the community
  • Severe COVID-19 pneumonia, including those patients who required CPAP therapy or admission to intensive care

The long-term complications of COVID-19 are, as yet, unknown, but likely to include fibrotic lung damage, and pulmonary vascular abnormalities, and this should guide the follow-up of patients. There are also likely to be rehabilitation needs in these patients, including reconditioning and psychological support.

There will also be a proportion of patients that have been managed in primary care who could be at risk of long-term complications, and these patients should also be considered for onward referral to respiratory teams if the chest x-ray is abnormal at 12-weeks or there is ongoing breathlessness.

Follow Up of Patients with COVID-19 pneumonia

Tutorial presented by Dr Katie Pink, Consultant in Respiratory Medicine.


Patients who have been admitted with the clinical syndrome compatible with COVID-19, as well as radiological changes of COVID-19 pneumonia, should be followed up according to the BTS guidelines (linked below).

We can group patients according to the severity of their disease and potential complications of COVID-19, to determine the level of follow-up required:

  • Mild to moderate COVID-19 pneumonia, including those who have been managed as in-patients on a general medical ward requiring low flow rates of oxygen, or those managed in the community
  • Severe COVID-19 pneumonia, including those patients who required CPAP therapy or admission to intensive care

The long-term complications of COVID-19 are, as yet, unknown, but likely to include fibrotic lung damage, and pulmonary vascular abnormalities, and this should guide the follow-up of patients. There are also likely to be rehabilitation needs in these patients, including reconditioning and psychological support.

There will also be a proportion of patients that have been managed in primary care who could be at risk of long-term complications, and these patients should also be considered for onward referral to respiratory teams if the chest x-ray is abnormal at 12-weeks or there is ongoing breathlessness.

Follow Up Pathway (Severe COVID-19 pneumonia)

Mark as Understood

Resources

BTS Guidance on Respiratory Follow Up of Patients with a Clinico-Radiological Diagnosis of COVID-19 Pneumonia

This guidance outlines British Thoracic Society (BTS) recommended follow up of patients with a clinico-radiological diagnosis of COVID-19 pneumonia.

Template letter 1: Offer follow up Post-COVID19 CXR

This template letter has been provided by British Thoracic Society (BTS) to offer follow up post-COVID19 Chest xray.

Template letter 2: Follow up post COVID19 pneumonia CXR cleared Discharge

This template letter has been provided by British Thoracic Society (BTS) to discharge the patient from further COVID19 follow up.

Template letter 3: Follow up post COVID19 need PFT and OPD or telephone assessment

This template letter has been provided by British Thoracic Society (BTS) to offer Pulmonary Function Testing (PFT) or telephone assessment.

© Institute of Clinical Science and Technology (ICST) 2020

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