P23 Implementing a daily virtual COVID-19 multi-disciplinary team meeting in secondary care

Abstract

P23 Table 1Radiological Code (n=200) Positive COVID-19 RT-PCR (n= 162, 81%) Negative COVID-19 RT-PCR (n = 38, 19%) CVCX0 (Normal appearances) 3 (1.5%) 6 (3%) CVCX1 (Classical/Probable COVID-19) 103 (51.5%) 8 (4%) CVCX2 (Non-classical/intermediate appearances) 51 (25.5%) 19 (9.5%) CVCX3 (Atypical – pleural disease/pulmonary oedema/lobar consolidation) 5 (2.5%) 5 (2.5%) ResultsAttendance ranged from 5–15 people and always included a respiratory and radiology consultant and microbiology/virology registrar. Of the 200 MDT cases reviewed (n=10 excluded due to inadequate CXR or missing PCR), mean age was 64 years old, 66% were male, 47% BAME ,median LOS was 7 days and inpatient mortality was 41/200 (19%). Over half of cases (54.5%) had both a positive RT-PCR and classic CXR appearances of COVID-19, but n = 5 (2.5%) had atypical features alongside a positive PCR, warranting discussion and consideration of dual pathology (TB/lung cancer/suspected phrenic nerve palsy all suggested). A significant proportion of patients with a negative RT-PCR, n= 8/38 (21%) had radiological appearances that were classical of COVID-19 pneumonitis, prompting appropriate treatment and ward triage (avoiding hospital spread). CTPA was suggested in 16/200 (8%) of patients’ and confirmed PE in 5/16 scans. Of those surveyed, > 75% felt that their knowledge of anticoagulation (prophylaxis and treatment) in patients with COVID-19 improved and over 50% of junior doctors’ submitted post-MDT work based assessments.ConclusionThe COVID-19 vMDT helped with diagnosis and management of patients during the SARS-CoV-2 pandemic, whilst simultaneously providing education to health care professionals.