A Clinic Blueprint for Post-Coronavirus Disease 2019 RECOVERY
Autor: | Jennifer D. Possick, Erica L. Herzog, Geoffrey Chupp, Changwan Ryu, Inderjit Singh, Charles S. Dela Cruz, Melissa P. Knauert, Carolyn L. Rochester, Mridu Gulati, Lauren E. Ferrante, Denyse D. Lutchmansingh, Jonathan L. Koff, Danielle Antin-Ozerkis, Lauren Cohn, Mayanka Tickoo, Vikki Winks |
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Rok vydání: | 2021 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Respiratory distress business.industry Disease Critical Care and Intensive Care Medicine medicine.disease Post-intensive care syndrome Pulmonary function testing 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Multidisciplinary approach Survivorship curve Pandemic medicine Middle East respiratory syndrome 030212 general & internal medicine Cardiology and Cardiovascular Medicine Intensive care medicine business |
Zdroj: | Chest |
ISSN: | 0012-3692 |
DOI: | 10.1016/j.chest.2020.10.067 |
Popis: | The severe acute respiratory syndrome coronavirus 2 pandemic poses extraordinary challenges. The tremendous number of coronavirus disease 2019 (COVID-19) cases in the United States has resulted in a large population of survivors with prolonged postinfection symptoms. The creation of multidisciplinary post-COVID-19 clinics to address both persistent symptoms and potential long-term complications requires an understanding of the acute disease and the emerging data regarding COVID-19 outcomes. Experience with severe acute respiratory syndrome and Middle East respiratory syndrome, post-acute respiratory distress syndrome complications, and post-intensive care syndrome also informs anticipated sequelae and clinical program design. Post-COVID-19 clinical programs should be prepared to care for individuals previously hospitalized with COVID-19 (including those who required critical care support), nonhospitalized individuals with persistent respiratory symptoms following COVID-19, and individuals with preexisting lung disease complicated by COVID-19. Effective multidisciplinary collaboration models leverage lessons learned during the early phases of the pandemic to overcome the unique logistical challenges posed by pandemic circumstances. Collaboration between physicians and researchers across disciplines will provide insight into survivorship that may shape the treatment of both acute disease and chronic complications. In this review, we discuss the aims, general principles, elements of design, and challenges of a successful multidisciplinary model to address the needs of COVID-19 survivors. |
Databáze: | OpenAIRE |
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