Case report
Case series: Failure of imaging & biochemical markers to capture disease progression in COVID-19

https://doi.org/10.1016/j.rmcr.2020.101227Get rights and content
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Abstract

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.

Keywords

COVID-19
Cytokine storm
Hypoxic respiratory failure
Imaging
Readmission

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