Post-COVID symptoms reported at asynchronous virtual review and stratified follow-up after COVID-19 pneumonia.

Autor: Taylor RR; Barts Health NHS Trust, London, UK., Trivedi B; Barts Health NHS Trust, London, UK., Patel N; Barts Health NHS Trust, London, UK., Singh R; Barts Health NHS Trust, London, UK., Ricketts WM; Barts Health NHS Trust, London, UK, and hon clinical senior lecturer, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK., Elliott K; Barts Health NHS Trust, London, UK., Yarwood M; Barts Health NHS Trust, London, UK., White V; Barts Health NHS Trust, London, UK., Hylton H; Barts Health NHS Trust, London, UK., Allen R; Barts Health NHS Trust, London, UK., Thomas G; Barts Health NHS Trust, London, UK., Kapil V; Barts Health NHS Trust, London, UK, and clinical senior lecturer, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK., McGuckin R; Barts Health NHS Trust, London, UK., Pfeffer PE; Barts Health NHS Trust, London, UK, and hon senior lecturer, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK p.pfeffer@qmul.ac.uk.
Jazyk: angličtina
Zdroj: Clinical medicine (London, England) [Clin Med (Lond)] 2021 Jul; Vol. 21 (4), pp. e384-e391. Date of Electronic Publication: 2021 Jun 08.
DOI: 10.7861/clinmed.2021-0037
Abstrakt: Background: The COVID-19 pandemic has strained healthcare systems and how best to address post-COVID health needs is uncertain. Here we describe the post-COVID symptoms of 675 patients followed up using a virtual review pathway, stratified by severity of acute COVID infection.
Methods: COVID-19 survivors completed an online/telephone questionnaire of symptoms after 12+ weeks and a chest X-ray. Dependent on findings at virtual review, patients were provided information leaflets, attended for investigations and/or were reviewed face-to-face. Outcomes were compared between patients following high-risk and low-risk admissions for COVID pneumonia, and community referrals.
Results: Patients reviewed after hospitalisation for COVID pneumonia had a median of two ongoing physical health symptoms post-COVID. The most common was fatigue (50.3% of high-risk patients). Symptom burden did not vary significantly by severity of hospitalised COVID pneumonia but was highest in community referrals. Symptoms suggestive of depression, anxiety and post-traumatic stress disorder were common (depression occurred in 24.9% of high-risk patients). Asynchronous virtual review facilitated triage of patients at highest need of face-to-face review.
Conclusion: Many patients continue to have a significant burden of post-COVID symptoms irrespective of severity of initial pneumonia. How best to assess and manage long COVID will be of major importance over the next few years.
(© Royal College of Physicians 2021. All rights reserved.)
Databáze: MEDLINE
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