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Vol. 63. Issue 3.
Pages 258-269 (May - June 2021)
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Vol. 63. Issue 3.
Pages 258-269 (May - June 2021)
Serie: Radiology and COVID-19
DOI: 10.1016/j.rxeng.2021.02.002
Radiological management and follow-up of post-COVID-19 patients
Manejo y seguimiento radiológico del paciente post-COVID-19
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J. Alarcón-Rodrígueza, M. Fernández-Velillab, A. Ureña-Vacasa, J.J. Martín-Pinachoa, J.A. Rigual-Bobilloc, A. Jaureguízar-Oriolc, L. Gorospe-Sarasúaa,
Corresponding author
luisgorospe@yahoo.com

Corresponding author.
a Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario La Paz, Madrid, Spain
c Servicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Table 1. Clinical and radiological characteristics of the post-COVID-19 patients reviewed (8-12 weeks after hospital discharge with abnormal chest X-ray).
Abstract

Most of the patients who overcome the SARS-COV-2 infection do not present complications and do not require a specific follow-up, but a significant proportion (especially those with moderate/severe clinical forms of the disease) require clinicalradiological follow-up. Although there are hardly any references or clinical guidelines regarding the long-term follow-up of post-COVID-19 patients, radiological exams are being performed and monographic surveillance consultations are being set up in most of the hospitals to meet their needs. The purpose of this work is to share our experience in the management of the post-COVID-19 patient in two institutions thathave had a high incidence of COVID-19 and to propose general follow-uprecommendations from a clinical and radiological perspective.

Keywords:
COVID-19
Radiological follow-up
Sequelae
Chest X-ray
Chest CT
Pulmonology
Pulmonary fibrosis
Resumen

La mayor parte de los pacientes que superan la infección por SARS-COV-2 no presentan complicaciones ni requieren un seguimiento específico, pero una proporción significativa (especialmente aquellos con formas clínicas moderadas/graves de la enfermedad) necesitan un seguimiento clínico-radiológico. Aunque apenas existen referencias o guías clínicas sobre el seguimiento a largo plazo de estos pacientes post-COVID-19, se están realizando pruebas radiológicas y constituyendo consultas monográficas de vigilancia en la mayor parte de los centros hospitalarios para atender sus necesidades. El propósito de este trabajo es compartir nuestra experiencia en el manejo del paciente post-COVID-19 en dos instituciones que han tenido una elevada incidencia de la COVID-19 y proponer unas recomendaciones generales de seguimiento desde una perspectiva clínica y radiológica.

Palabras clave:
COVID-19
Seguimiento radiológico
Secuelas
Radiografía de tórax
TC de tórax
Neumología
Fibrosis pulmonar

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