Clinical standards for diagnosis, treatment and prevention of post-COVID-19 lung disease

Visca, D., Centis, R., Pontali, E., Zampogna, E., Russell, A.-M., Migliori, G. B., Andrejak, C., Aro, M., Bayram, H., Berkani, K., Bruchfeld, J., Muhwa, Jeremiah, Chorostowska-Wynimko, J., Crestani, B., Dalcolmo, M. P., D’Ambrosio, L., Dinh-Xuan, A-T., Duong-Quy, S., Fernandes, C., García-García, J.-M., de Melo Kawassaki, A, Carrozzi, L., Martinez-Garcia, M. A., Martins, P. Carreiro, Mirsaeidi, M., Mohammad, Y., Naidoo, R. N., Neuparth, N., Sese, L., Silva, D. R., Solovic, I., Sooronbaev, T. M., Spanevello, A., Sverzellati, N., Tanno, L., Tiberi, S., Vasankari, T., Vasarmidi, E., Vitacca, M. and Annesi-Maesano, I. (2023) 'Clinical standards for diagnosis, treatment and prevention of post-COVID-19 lung disease'. The International Journal of Tuberculosis and Lung Disease, Vol 27, Issue 10, pp. 729-741.

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Abstract

BACKGROUND:
The aim of these clinical standards is to provide guidance on ‘best practice’ care for the diagnosis, treatment and prevention of post-COVID-19 lung disease.

METHODS:
A panel of international experts representing scientific societies, associations and groups active in post-COVID-19 lung disease was identified; 45 completed a Delphi process. A 5-point Likert scale indicated level of agreement with the draft standards. The final version was approved by consensus (with 100% agreement).RESULTS: Four clinical standards were agreed for patients with a previous history of COVID-19: Standard 1, Patients with sequelae not explained by an alternative diagnosis should be evaluated for possible post-COVID-19 lung disease; Standard 2, Patients with lung function impairment, reduced exercise tolerance, reduced quality of life (QoL) or other relevant signs or ongoing symptoms ≥4 weeks after the onset of first symptoms should be evaluated for treatment and pulmonary rehabilitation (PR); Standard 3, The PR programme should be based on feasibility, effectiveness and cost-effectiveness criteria, organised according to local health services and tailored to an individual patient’s needs; and Standard 4, Each patient undergoing and completing PR should be evaluated to determine its effectiveness and have access to a counselling/health education session.

CONCLUSION:
This is the first consensus-based set of clinical standards for the diagnosis, treatment and prevention of post-COVID-19 lung disease. Our aim is to improve patient care and QoL by guiding clinicians, programme managers and public health officers in planning and implementing a PR programme to manage post-COVID-19 lung disease.

Item Type:	Article
Subjects:	WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases WC Communicable Diseases > Virus Diseases > Viral Respiratory Tract Infections. Respirovirus Infections > WC 506 COVID-19 WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.5588/ijtld.23.0248
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	05 Oct 2023 09:44
Last Modified:	05 Oct 2023 10:04
URI:	https://archive.lstmed.ac.uk/id/eprint/23274

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