Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care.

Lancet Respir Med

Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

Published: November 2021

AI Article Synopsis

  • As of July 31, 2021, nearly 200 million people globally had been infected with SARS-CoV-2, highlighting the significant long-term health challenges facing survivors.
  • Survivors experience persistent symptoms like fatigue, shortness of breath, cough, headaches, and mental health issues, regardless of the severity of their initial COVID-19 infection.
  • To effectively manage these complex health effects, a coordinated approach involving specialized clinics based on existing post-intensive care syndrome models is proposed, which could also facilitate research into treatment options for these long-term symptoms.

Article Abstract

As of July 31, 2021, SARS-CoV-2 had infected almost 200 million people worldwide. The growing burden of survivorship is substantial in terms of the complexity of long-term health effects and the number of people affected. Persistent symptoms have been reported in patients with both mild and severe acute COVID-19, including those admitted to the intensive care unit (ICU). Early reports on the post-acute sequelae of SARS-CoV-2 infection (PASC) indicate that fatigue, dyspnoea, cough, headache, loss of taste or smell, and cognitive or mental health impairments are among the most common symptoms. These complex, multifactorial impairments across the domains of physical, cognitive, and mental health require a coordinated, multidisciplinary approach to management. Decades of research on the multifaceted needs of and models of care for patients with post-intensive care syndrome provide a framework for the development of PASC clinics to address the immediate needs of both hospitalised and non-hospitalised survivors of COVID-19. Such clinics could also provide a platform for rigorous research into the natural history of PASC and the potential benefits of therapeutic interventions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525917PMC
http://dx.doi.org/10.1016/S2213-2600(21)00385-4DOI Listing

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