Recovering from COVID-19: lessons learnt from an intensive secondary care follow-up service.

Kumar, Kartik, Ratnakumar, Prashanthi, Ricci, Piera, Al-Zubaidy, Mustafa, Srikanthan, Karthikan, Agrawal, Shweta, Ahmedani, Iman, Baxter, Isobel, Monem, Enrique, Coleman, Meg, Elkin, Sarah L, Kon, Onn Min, Mallia, Patrick, Meghji, Jamilah ORCID: https://orcid.org/0000-0002-4693-8884, Ross, Clare and Russell, Georgina K (2022) 'Recovering from COVID-19: lessons learnt from an intensive secondary care follow-up service.'. Future Healthcare Journal, Vol 9, Issue 3, pp. 335-342.

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Abstract

In response to the first COVID-19 surge in 2020, secondary care outpatient services were rapidly reconfigured to provide specialist review for disease sequelae. At our institution, comprising hospitals across three sites in London, we initially implemented a COVID-19 follow-up pathway that was in line with expert opinion at the time but more intensive than initial clinical guidelines suggested. We retrospectively evaluated the resource requirements for this service, which supported 526 patients from April 2020 to October 2020. At the 6-week review, 193/403 (47.9%) patients reported persistent breathlessness, 46/336 (13.7%) desaturated on exercise testing, 167/403 (41.4%) were discharged from COVID-19-related secondary care services and 190/403 (47.1%) needed 12-week follow-up. At the 12-week review, 113/309 (36.6%) patients reported persistent breathlessness, 30/266 (11.3%) desaturated on exercise testing and 150/309 (48.5%) were discharged from COVID-19-related secondary care services. Referrals were generated to multiple medical specialties, particularly respiratory subspecialties. Our analysis allowed us to justify rationalising and streamlining provisions for subsequent COVID-19 waves while reassured that opportunities for early intervention were not being missed.

Item Type:	Article
Subjects:	WC Communicable Diseases > WC 20 Research (General) WC Communicable Diseases > Virus Diseases > Viral Respiratory Tract Infections. Respirovirus Infections > WC 506 COVID-19
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.7861/fhj.2021-0197
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	14 Mar 2023 11:32
Last Modified:	30 Aug 2023 15:48
URI:	https://archive.lstmed.ac.uk/id/eprint/21751

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