Integrated Care Models for Long Coronavirus Disease

Barshikar, Surendra; Laguerre, Martin; Gordon, Patricia; Lopez, Marielisa

doi:10.1016/j.pmr.2023.03.007

Cited by 8 publications

(7 citation statements)

References 31 publications

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“…These findings reinforce many of those from previous primary care long COVID research, particularly findings endorsing the need for holistic and longitudinal care solutions provided by primary care physicians and integrated multidisciplinary healthcare teams [ 2 , 27 , 29 ], mainstreaming of standardised long COVID care solutions to support practice operations [ 12 , 30 ]; and supportive and collaborative relationships between doctors and patients [ 20 , 33 ]. Thus, there is certainly sufficient evidence to support interventions prioritising these areas.…”

Section: Discussionsupporting

confidence: 81%

Enhancing long COVID care in general practice: A qualitative study

Broughan,

Sietiņš,

Emily Siu

et al. 2024

PLoS ONE

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Introduction Research suggests that general practice can play an important role in managing long COVID. However, studies investigating the perspectives of general practitioners (GPs) and patients are lacking and knowledge regarding optimal long COVID care in general practice is therefore limited. Aim To investigate GPs’ and patients’ perspectives on the topic of long COVID and its management in general practice. Methods Brief questionnaires (GP n = 11, Patient n = 7) and in-depth semi-structured interviews (GP n = 10, Patient n = 7) were conducted with GPs and patients from Irish general practices during July 2022-January 2023. Interviews were conducted via telephone and audio recordings were transcribed. A phenomenological analysis involving reflexive thematic analysis and constant comparison techniques was adopted. Results Analysis of interviews with GPs (male = 7, female = 3; median age = 50yrs (IQR = 39.5–56)) and patients (males = 2, female = 5; median age = 58yrs (IQR = 45-62yrs) generated four themes. These were (1) Complex presentations (2) the value of standardising care, (3) choosing the right path, and (4) supportive and collaborative doctor-patient relationships. Strong agreement was observed among GPs and patients regarding the need for holistic and integrated multidisciplinary care. Supportive and collaborative doctor-patient relationships were largely well received by GPs and patients also. GPs strongly endorsed standardising long COVID care operations. Conclusion GPs and patients indicated that structured, integrated, and collaborative care can help optimise long COVID management in general practice. GPs are advised to incorporate these elements into their long COVID care practices going forward. Future research examining stakeholder’s perspectives using larger and longitudinal samples is advised to enhance the generalisability of evidence in this area.

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Section: Discussionsupporting

confidence: 81%

Enhancing long COVID care in general practice: A qualitative study

Broughan,

Sietiņš,

Emily Siu

et al. 2024

PLoS ONE

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“…A study published in the journal JAMA Network Open in 2022 examined a cohort of COVID-19 patients and revealed that approximately 30% of them experienced long-term symptoms, even after overcoming the initial infection [6]. In other research, the occurrence rate of long-COVID-19 ranges from 2-13% [7] to 10-81% [8], highlighting a discrepancy in the data. These symptoms include persistent fatigue, respiratory difficulties, sleep disorders, brain fog, and cognitive impairment [6], with a higher prevalence in fatigue, shortness of breath and headache [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…The wide range of persistent symptoms in long-COVID-19 requires a coordinated response from multiple medical specialties and multidisciplinary collaborations [ 8 ]. COVID-19 reinfection has been a topic of interest and concern in the field of health.…”

Section: Introductionmentioning

confidence: 99%

Clinical Evolution and Risk Factors in Patients Infected during the First Wave of COVID-19: A Two-Year Longitudinal Study

Rescalvo-Casas,

Pérez-Tanoira,

Villegas

et al. 2023

TropicalMed

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A limited number of longitudinal studies have examined the symptoms associated with long-COVID-19. We conducted an assessment of symptom onset, severity and patient recovery, and determined the percentage of patients who experienced reinfection up to 2 years after the initial onset of the disease. Our cohort comprises 377 patients (≥18 years) with laboratory-confirmed COVID-19 in a secondary hospital (Madrid, Spain), throughout March 3–16, 2020. Disease outcomes and clinical data were followed-up until August 12, 2022. We reviewed the evolution of the 253 patients who had survived as of April 2020 (67.1%). Nine died between April 2020 and August 2022. A multivariate regression analysis performed to detect the risk factors associated with long-COVID-19 revealed that the increased likelihood was associated with chronic obstructive lung disease (OR 14.35, 95% CI 1.89–109.09; p = 0.010), dyspnea (5.02, 1.02–24.75; p = 0.048), higher LDH (3.23, 1.34–7.52; p = 0.006), and lower D-dimer levels (0.164, 0.04–0.678; p = 0.012). Reinfected patients (n = 45) (47.8 years; 39.7–67.2) were younger than non-reinfected patients (64.1 years; 48.6–74.4)) (p < 0.001). Patients who received a combination of vaccines exhibited fewer symptoms (44.4%) compared to those who received a single type of vaccine (77.8%) (p = 0.048). Long-COVID-19 was detected in 27.05% (66/244) of patients. The early detection of risk factors helps predict the clinical course of patients with COVID-19. Middle-aged adults could be susceptible to reinfection, highlighting the importance of prevention and control measures regardless of vaccination status.

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“…Presently, clear and standardized guidelines for the management of Long COVID are lacking. Nevertheless, several studies propose a holistic approach [14,15,16] or a multidisciplinary approach [17]. The National Institute for Health and Care Excellence (NICE), High Authority for Public Health in France, and other guides from learned societies recommend integrated rehabilitation services that encompass a range of specialized skills and expertise [6].…”

Section: Introductionmentioning

confidence: 99%

Management of patients with Long Covid: A qualitative study exploring the roles of nurses in healthcare pathways

KAMDEM,

GUYOT,

DUPRE

et al. 2024

Preprint

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Aim Investigate the various roles played by nurses in the care of patients afflicted with Long COVID. Background Effectively managing Long Covid requires a multidisciplinary approach - a healthcare pathway that necessitates collaboration among various members of the medical profession to monitor the patient. Among these professions, nursing plays a crucial role. This article compiles information on how nurses are involved in the care of patients afflicted with Long Covid: What roles do they play in enhancing the care of these patients? Are these roles distinct from those they perform in other chronic conditions? Methods We conducted a qualitative study among healthcare professionals in France and enrolled eighteen participants in our study. Semi-structured interviews were conducted with professionals working across various care sectors in France, including private practice, hospitals, schools, and research. A thematic content analysis was performed, and emerging themes were subsequently discussed until the most significant categories were identified. This study was conducted in accordance with the COREQ checklist. Results Nurses play a wide range of roles within their practices, depending on their practice settings. For instance, a nurse practitioner may work in a range of settings such as hospital outpatient clinics, private group practices, inpatient units, or urgent care units. Depending on their work environment, nurses' roles within healthcare pathways may encompass screening and guidance, clinical patient monitoring, providing relational support, patient education, collaborative care and coordination as well as involvement in research. Conclusion The predominant role identified in our study involves coordinating the management of the Long Covid syndrome. The next step would be the implementation of a city-hospital Long Covid healthcare pathway. Implication for the Nursing & Health Policy Perspectives Nursing work is difficult to specify, as it includes numerous recognised and unrecognised aspects. The results of this study highlight a new essential role which is that of coordinating the health pathways of patients suffering from Long Covid.

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Integrated Care Models for Long Coronavirus Disease

Cited by 8 publications

References 31 publications

Enhancing long COVID care in general practice: A qualitative study

Enhancing long COVID care in general practice: A qualitative study

Clinical Evolution and Risk Factors in Patients Infected during the First Wave of COVID-19: A Two-Year Longitudinal Study

Management of patients with Long Covid: A qualitative study exploring the roles of nurses in healthcare pathways

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