Ct Partnership For Long Term Care
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Ct Partnership For Long Term Care
The COVID-19 pandemic, caused by the novel severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2), has greatly increased the demand for acute and post-acute health care worldwide. The short-term effects of COVID-19 on the lungs, such as pneumonia, are well documented. Little is known about the long-term effects of lung disease. CT is an important imaging tool in the recovery of patients suspected of having COVID-19. Now, a new study has found that some people who have recovered from COVID-19 pneumonia have CT evidence of lung damage that persists a full year after the onset of symptoms. The study highlights the role of radiology in helping to identify patients at risk for post-COVID-19 outcomes and to assist in the follow-up of COVID-19.
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As part of an observational study of the development of lung disease in patients with SARS-CoV-2 infection, researchers from the Medical University of Innsbruck (Innsbruck, Austria) assessed the development of chest CT abnormalities in patients one year after infection with COVID-19. Look at the patterns and rates. Pneumonia. Researchers analyzed lung abnormalities on chest CT in 91 participants, mean age 59, at several points in the year after the onset of symptoms of COVID-19.
At one year, CT abnormalities were present in 49, or 54%, of the 91 participants. Of these 49 participants, two (4%) received only outpatient treatment, while 25 (51%) received treatment in a general hospital ward and 22 (45%) received intensive care unit (ICU) treatment. . While CT abnormalities decreased at initial follow-up, 63% of participants with abnormalities showed no further improvement after six months. Age over 60 years, critical severity of COVID-19 and male gender were associated with persistent CT abnormalities at one year. Evidence from the 2002 to 2004 SARS-CoV-1 outbreak showed that lung abnormalities could be detected decades later, but showed no improvement, according to the researchers. Recent studies, however, show a risk of abnormal lung development defined by CT. The researchers plan to continue collecting data on patients with persistent CT abnormalities
“The CT chest abnormalities observed in our study indicate damaged lung tissue,” said study co-author Anna Luger, MD, from the Department of Radiology at the Medical University of Innsbruck, Austria. “However, it is currently unclear whether this represents persistent scarring, and whether it recurs over time or leads to pulmonary fibrosis.”
“In a recently published clinical study by our CovILD interdisciplinary working group, we demonstrated that the severity of acute COVID-19, chronic systemic inflammation and the presence of residual chest CT abnormalities are strongly correlated with lung function and associated with a persistent worsening of clinical symptoms,” said study co-author Christoph Schauble, MD, from the Medical University of Innsbruck.
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“Ultimately, long-term follow-up, both clinical and radiological, is necessary to gather more information about the course and clinical role of SARS-CoV-2-related CT abnormalities,” said Gerlig Widmann, MD, senior study author. . Chief Thoracic Radiologist at Innsbruck Medical University.
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