Chest CT and Clinical Follow-up of Discharged Patients with COVID-19 in Wenzhou City, Zhejiang, China

Annals of the American Thoracic Society
Chenbin LiuMeiling Jin

Abstract

Many clinical studies focused on the epidemiological and clinical characteristics of the inpatients with COVID-19. However, there are few reports about clinical follow-up about discharged patients. This paper aimed to describe the follow-up of patients with COVID-19 in Wenzhou city, Zhejiang, China. We retrospectively reviewed 4-week follow-ups in patients with COVID-19, including CT chest scanning, blood test, and oropharyngeal swab test of SARS-CoV-2 RNA. The chest CT scan and blood test were performed on the last day before discharge, two weeks and four weeks after discharge. The oropharyngeal swab test was performed on both one week and two weeks after the discharge. Fifty-one common COVID-19 patients were enrolled in the study. All the CT and clinical data were collected between January, 23 and March, 28, 2020. Compared with the last CT scan before discharge, the abnormalities in lungs were gradually absorbed in the first and second follow-ups after discharge. The cases with focal ground-glass opacity (GGO) reduced from 17.7% to 9.8%. The cases with multiple GGO decreased from 80.4% to 23.5%. The cases with consolidation reduced from 49.0% to 2.0%. The cases with interlobular septal thickening reduced from 80.4% to 35.3%. ...Continue Reading

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