Multidisciplinary collaborative guidance on the assessment and treatment of patients with Long COVID: A compendium statement
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View abstract on PubMed
Summary
This summary is machine-generated.This compendium offers a holistic framework for evaluating and managing Long COVID (Post-Acute Sequelae of SARS-CoV-2 Infection) in adults. It emphasizes symptom-based supportive care, patient validation, and tailored physical activity to address this complex condition.
Area Of Science
- Medical research
- Infectious diseases
- Rehabilitation medicine
Background
- The American Academy of Physical Medicine and Rehabilitation established a collaborative to guide Long COVID evaluation and management.
- Previous guidance focused on symptoms but Long COVID often presents with multiple, interconnected issues.
- This compendium builds upon prior work by offering a more integrated approach.
Purpose Of The Study
- To provide clinicians with an efficient, up-to-date resource for assessing and managing adults with Long COVID symptoms.
- To offer a holistic framework encompassing assessment, management, and emerging evidence.
- To assist clinicians, particularly primary care physicians and physiatrists, in settings with limited subspecialty access.
Main Methods
- Guidance developed using a modified Delphi approach by a multidisciplinary collaborative.
- Collaborative includes over 40 Long COVID centers and diverse specialists (physiatrists, PCPs, pulmonologists, cardiologists, psychiatrists, neuropsychologists, neurologists, therapists, patients, government representatives).
- Incorporates updates on prevalence, health equity, disability, pathophysiology, and treatments.
Main Results
- Long COVID is defined as an infection-associated chronic condition (IACC) affecting one or more organ systems for at least 3 months post-SARS-CoV-2 infection, with a global prevalence of 6%.
- Common symptoms include fatigue, post-exertional malaise (PEM)/post-exertional symptom exacerbation (PESE), cognitive impairment, dysautonomia, pain, and smell/taste alterations.
- Management focuses on supportive care, energy conservation, addressing comorbidities, validating patient experiences, tailoring physical activity to avoid PEM/PESE, and cautious medication use. Return-to-work and disability considerations are also addressed.
Conclusions
- Holistic Long COVID care is essential for patient well-being, acknowledging patient challenges and scientific uncertainties.
- This compendium serves as a clinical resource for managing Long COVID, with further details available in symptom-specific guidance statements.
- The guidance may also benefit clinicians managing other infection-associated chronic conditions (IACCs).
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