Post COVID-19 (SARS-CoV-2 infection) imaging surveillance Infections and Infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18-80 years 2. Positive sample for SARS-CoV-2 (detected by RT-PCR from a nasopharyngeal swab) 3. Admitted to hospital due to/with COVID-19 Added 03/03/2021: 4. Lung infiltrates on chest X-ray
Exclusion criteria
Exclusion criteria: At baseline: 1. Unable to mobilise independently 2. Visually or cognitively impaired 3. Unable to provide informed consent Added 08/01/2021: 4. Pregnancy Added 03/03/2021: 5. Allergy to CT contrast
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 03/03/2021: 1. The overall diagnostic accuracy of LUS as a test to identify pulmonary fibrosis as compared to CT thorax in post-COVID patients, assessed by calculating the sensitivity, specificity, positive predictive value, negative predictive values of LUS at Day 84 2. The utility of Lung Ultrasound (LUS) to sequentially monitor interstitial changes in the lungs of 20 patients who have recently recovered from COVID-19 pneumonia, assessed using a validated LUS scoring system at Days 1, Day 42 and Day 84 Previous primary outcome measure:: Lung fibrosis and interstitial changes measured using lung ultrasound (LUS) at Day 1 and Day 84 | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 03/03/2021: The extent to which LUS provides additional predictive and prognostic information in assessing the rate of recovery of patients recently hospitalized with COVID-19. LUS scores at days 1, 42 and 84 will be correlated with: 1. Serum biomarkers (C-reactive protein, D dimers, lactate dehydrogenase, ferritin, full blood count, troponin) measured on Days 1, 42 and 84 2. Lung function measured using spirometry with gas transfer (FEV1 and FVC) at Days 42 and 84 3. Functional capacity measured with 6MWT at Day 84 4. Quality of life measured using EQ-5D as a surrogate measure of ‘wellness’ at days 42 and 84 5. SaO2% measured using pulse oximetry at Days 1-84 Previous secondary outcome measures: 1. Lung fibrosis and interstitial changes measured using CT scan at Day 84 2. Lung function measured using spirometry at Day 84 | — |
Countries
England, United Kingdom