Case series: Failure of imaging & biochemical markers to capture disease progression in COVID-19
Author(s) -
Z. Dorey-Stein,
C.N. Myers,
Maruti Kumaran,
A.J. Mamary,
Gerard J. Criner
Publication year - 2020
Publication title -
respiratory medicine case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 14
ISSN - 2213-0071
DOI - 10.1016/j.rmcr.2020.101227
Subject(s) - medicine , covid-19 , respiratory failure , intensive care medicine , acute respiratory failure , disease , mechanical ventilation , infectious disease (medical specialty)
We report four individuals admitted for acute respiratory failure due to COVID-19 who demonstrated significant clinical improvement prior to discharge and subsequently were readmitted with worsening respiratory failure, elevated inflammatory markers and worsening chest imaging. We propose a multi-disciplinary discharge criterion to establish a safer discharge process including trending inflammatory markers, daily imaging and pursuing follow up CT chest, particularly in individuals with significant morbidities and health disparities.
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