26 November 2020

Lung tissue of patients who suffered severely from COVID-19 shows good recovery in most cases. This was revealed by a study carried out by the Radboudumc that has now been published in Clinical Infectious Diseases. A striking conclusion is that the group who were referred by a GP did not recover as well as patients who were admitted to the hospital’s Intensive Care Unit (ICU).

The study, led by pulmonologist Bram van den Borst, included 124 patients who had recovered from acute COVID-19 infections. They visited the Radboudumc corona aftercare clinic. The patients were examined by CT scan, a lung functional test and more. After three months, the researchers took stock, which revealed that the patients’ lung tissue is recovering well. Residual damage in the lung tissue was generally limited and is most often seen in patients who were treated in the ICU. The most common complaints after three months are fatigue, shortness of breath and chest pains. Many people also still experience limitations in their daily life as well as a decreased quality of life. Main researcher and pulmonologist Bram van den Borst explains: “The patterns we see in these patients show similarities with recovery after acute pneumonia or acute respiratory distress syndrome (ARDS), in which fluid accumulates in the lungs. Recovery from these conditions also generally takes a long time. It is encouraging to see that lungs after COVID-19 infections exhibit this level of recovery.”

Referred patients do not recover as well as admitted patients

Patients were divided into three categories for the study: a group with patients who were admitted to the ICU, a group of patients who were admitted to a nursing ward in the hospital, and finally a group with patients who could stay home but experienced persisting symptoms that eventually warranted a referral from their GP.

The study assessed how patients fared after three months and revealed that the patients who were referred to the aftercare clinic by their GP showed the worse recovery in the following period. Of course, this latter group of patients was referred because of their persisting symptoms. “However, it does seem that there is a clear subgroup of patients who initially experienced mild COVID-19 symptoms and later kept experiencing persistent long-term complaints and limitations”, Bram van den Borst elaborates. “What is striking is that we barely found any anomalies in the lungs of these patients. Considering the variety and seriousness of the complaints and the plausible size of this subgroup, there is an urgent need for further research into explanations and treatment options.”

Aftercare clinic for patients with persisting symptoms

Radboudumc established the corona aftercare clinic at the Dekkerswald location as a reaction to an observed increase in the signals that a substantial number of COVID-19 patients was experiencing long-term complaints, ranging from coughing, fatigue and shortness of breath to anxiety and physical limitations. At the aftercare clinic, an extensive analysis is performed involving multiple disciplines. Based on this analysis, the care requirements of the patients and the subsequent steps are determined. Patients who were admitted at Radboudumc with COVID-19 will receive an invitation from the corona aftercare clinic. People who went through COVID-19 from home and are still experiencing symptoms can get a referral from their GP to visit the aftercare clinic as well.

About the publication

Publication in Clinical Infectious Disease: Comprehensive health assessment three months after recovery from acute COVID-19 – Bram van den Borst, Jeannette B. Peters, Monique Brink, Yvonne Schoon, Chantal P. Bleeker-Rovers, Henk Schers, Hieronymus W.H. van Hees, Hanneke van Helvoort, Mark van den Boogaard, Hans van der Hoeven, Monique H. Reijers, Mathias Prokop, Jan Vercoulen, Michel van den Heuvel.

Watch the broadcast of EenVandaag on the recovery of corona patients (in Dutch)

Related news items


Sensitive blood-test as a patient-friendly alternative for bone marrow-based cancer monitoring

20 October 2021

Hans Jacobs and Pieter Langerhorst, theme Cancer development and immune defense, and colleagues are one step closer to implementation of personalized diagnostics for bone marrow-based cancer monitoring.

read more

Register for peer coaching for RIMLS PhD candidates

20 October 2021

As a PhD candidate, you are in the lead of your own learning process, but you don’t need to do this alone. Register for the peer-coaching group ‘Stay in the lead – Together’ before 11 November 2021.

read more

Frans Russel appointed member Supervisory Committee of RIVM

20 October 2021

Frans Russel, theme Renal disorders, has been appointed by The Minister of Health, Welfare and Sport (VWS).

read more

Turbo Grants for four medical-technical research projects

19 October 2021

Four TURBO grants were recently awarded to new technical-medical research proposals. The grants are part of the TURBO program, a collaboration between the University of Twente (TechMed Centre) and the Radboudumc.

read more

Telemonitoring in chronic heart failure not unqualifiedly positive often additional demand for care without decreasing number of admissions

19 October 2021

To contain rising healthcare costs, digitization of healthcare is often seen as a solution. Researchers at the Radboudumc examined the use of telemonitoring in chronic heart failure. Does this reduce hospital admissions and visits to the emergency room?

read more

RIMLS awards call for nominations

19 October 2021

RIMLS awards several prizes to stimulate and honor our (young) researchers. Please find here an overview of the upcoming awards. Deadline 24 November 2021.

read more