The Johns Hopkins Post-Acute COVID-19 Team (PACT): A Multidisciplinary, Collaborative, Ambulatory Framework Supporting COVID-19 Survivors

Brigham, Emily; O’Toole, Jacqueline; Kim, Soo Yeon; Friedman, Michael; Daly, Laura; Kaplin, Adam I.; Swarthout, Meghan; Hasselfeld, Brian; Lantz-Garnish, Melissa; Vannorsdall, Tracy D.; Agranovich, Anna V.; Raju, Sarath; Parker, Ann M.

doi:10.1016/j.amjmed.2020.12.009

Cited by 34 publications

(42 citation statements)

References 38 publications

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“…Moreover, it is clear that care for patients with COVID-19 does not conclude at the time of hospital discharge, and interdisciplinary cooperation is needed for comprehensive care of these patients in the outpatient setting. As such, it is crucial for healthcare systems and hospitals to recognize the need to establish dedicated COVID-19 clinics 74 , where specialists from multiple disciplines are able to provide integrated care. Prioritization of follow-up care may be considered for those at high risk for post-acute COVID-19, including those who had severe illness during acute COVID-19 and/or required care in an ICU, those most susceptible to complications (for example, the elderly, those with multiple organ comorbidities, those post-transplant and those with an active cancer history) and those with the highest burden of persistent symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Post-hospital discharge care of COVID-19 survivors has been recognized as a major research priority by professional organizations 72 , and guidance for the management of these patients is still evolving 19 . Home pulse oximetry using Food and Drug Administration-approved devices has been suggested as a useful tool for monitoring patients with persistent symptoms; however, supporting evidence is currently lacking 73,74 . Some experts have also proposed evaluation with serial PFTs and 6MWTs for those with persistent dyspnea, as well as high-resolution computed tomography of the chest at 6 and 12 months 75 .…”

Section: Pathology and Pathophysiologymentioning

confidence: 99%

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Post-acute COVID-19 syndrome

Nalbandian

Sehgal

Gupta

et al. 2021

Nat Med

3,402

100

3,434

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19) pandemic, which has resulted in global healthcare crises and strained health resources. As the population of patients recovering from COVID-19 grows, it is paramount to establish an understanding of the healthcare issues surrounding them. COVID-19 is now recognized as a multi-organ disease with a broad spectrum of manifestations. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged effects after acute COVID-19. Patient advocacy groups, many members of which identify themselves as long haulers, have helped contribute to the recognition of post-acute COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of the current literature on post-acute COVID-19, its pathophysiology and its organ-specific sequelae. Finally, we discuss relevant considerations for the multidisciplinary care of COVID-19 survivors and propose a framework for the identification of those at high risk for post-acute COVID-19 and their coordinated management through dedicated COVID-19 clinics.

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Section: Discussionmentioning

confidence: 99%

Section: Pathology and Pathophysiologymentioning

confidence: 99%

Post-acute COVID-19 syndrome

Nalbandian

Sehgal

Gupta

et al. 2021

Nat Med

3,402

100

3,434

View full text Add to dashboard Cite

show abstract

“…The potential emergence of a "wave" of late-onset neuropsychiatric manifestations remains to be elucidated. There is great need for strategies on screening processes, resource provision, validated care pathways, and multidisciplinary rehabilitation services [179][180][181].…”

Section: Psychiatric/ Emotional Health and Well-beingmentioning

confidence: 99%

Epidemiology and organ specific sequelae of post-acute COVID19: A narrative review

Korompoki

Gavriatopoulou

Hicklen

et al. 2021

Journal of Infection

117

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Zudem ist eine bessere Charakterisierung und Beobachtung im Rahmen von systematischen Kohortenstudien wichtig, um das Erkrankungsspektrum des Long-COVID-Syndroms besser zu verstehen und neue Therapieansätze zu prüfen [14]. Zur Betreuung von Long-COVID-Erkrankten werden aktuell schweizweit Long-COVID-Zentren oder -Kliniken gemäss internationalen Vorschlägen etabliert [51]. In Bern bietet die Inselgruppe ein solches interdisziplinäres Long-COVID-Zentrum an.…”

Section: Schlussfolgerungunclassified

Das Long-COVID-Syndrom – ein neues Krankheitsbild nach COVID-19-Infekt

Funke-Chambour

Feldmeyer

Hoepner

et al. 2021

Praxis

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Zusammenfassung. Langzeitfolgen nach COVID-19 werden in der Literatur zunehmend berichtet. Noch Monate nach dem akuten Infekt leiden einige Betroffene an Atemnot, Müdigkeit und weiteren Beschwerden. Es wurden Einschränkungen der Lunge im Verlauf berichtet, aber auch Folgen am Immunsystem, am Herzen, am Nervensystem, an der Haut und den Nieren werden beschrieben oder vermutet. Diese Übersichtsarbeit soll den praktizierenden Ärzten und Ärztinnen einen kurzen Überblick über das aktuelle Verständnis des Long-COVID-Syndroms aus der Sicht von verschiedenen Fachexpertinnen und -experten geben. In Zukunft werden wir dieses neue Krankheitsbild besser verstehen und behandeln müssen.

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The Johns Hopkins Post-Acute COVID-19 Team (PACT): A Multidisciplinary, Collaborative, Ambulatory Framework Supporting COVID-19 Survivors

Cited by 34 publications

References 38 publications

Post-acute COVID-19 syndrome

Post-acute COVID-19 syndrome

Epidemiology and organ specific sequelae of post-acute COVID19: A narrative review

Das Long-COVID-Syndrom – ein neues Krankheitsbild nach COVID-19-Infekt

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