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An integrated multidisciplinary model of COVID-19 recovery care.
O'Brien, Helen; Tracey, Michael J; Ottewill, Ciara; O'Brien, Michael E; Morgan, Ross K; Costello, Richard W; Gunaratnam, Cedric; Ryan, Daniel; McElvaney, Noel G; McConkey, Samuel J; McNally, Cora; Curley, Gerard F; MacHale, Siobhan; Gillan, Diane; Pender, Niall; Barry, Helen; de Barra, Eoghan; Kiernan, Fiona M; Sulaiman, Imran; Hurley, Killian.
  • O'Brien H; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland. helenobrien@rcsi.ie.
  • Tracey MJ; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.
  • Ottewill C; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • O'Brien ME; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • Morgan RK; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • Costello RW; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • Gunaratnam C; Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Ryan D; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • McElvaney NG; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • McConkey SJ; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.
  • McNally C; Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Curley GF; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.
  • MacHale S; Department of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Gillan D; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.
  • Pender N; Department of Anaesthesia and Critical Care, Beaumont Hospital, Dublin, Ireland.
  • Barry H; Department of Liaison Psychiatry, Beaumont Hospital, Dublin, Ireland.
  • de Barra E; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.
  • Kiernan FM; Department of Psychology, Beaumont Hospital, Dublin, Ireland.
  • Sulaiman I; Department of Psychology, Beaumont Hospital, Dublin, Ireland.
  • Hurley K; Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland.
Ir J Med Sci ; 190(2): 461-468, 2021 May.
Article in English | MEDLINE | ID: covidwho-746141
ABSTRACT

BACKGROUND:

In January 2020, the WHO declared the SARS-CoV-2 outbreak a public health emergency; by March 11, a pandemic was declared. To date in Ireland, over 3300 patients have been admitted to acute hospitals as a result of infection with COVID-19.

AIMS:

This article aims to describe the establishment of a COVID Recovery Service, a multidisciplinary service for comprehensive follow-up of patients with a hospital diagnosis of COVID-19 pneumonia.

METHODS:

A hybrid model of virtual and in-person clinics was established, supported by a multidisciplinary team consisting of respiratory, critical care, infectious diseases, psychiatry, and psychology services. This model identifies patients who need enhanced follow-up following COVID-19 pneumonia and aims to support patients with complications of COVID-19 and those who require integrated community care.

RESULTS:

We describe a post-COVID-19 service structure together with detailed protocols for multidisciplinary follow-up. One hundred seventy-four patients were discharged from Beaumont Hospital after COVID-19 pneumonia. Sixty-seven percent were male with a median age (IQR) of 66.5 (51-97). Twenty-two percent were admitted to the ICU for mechanical ventilation, 11% had non-invasive ventilation or high flow oxygen, and 67% did not have specialist respiratory support. Early data suggests that 48% of these patients will require medium to long-term specialist follow-up.

CONCLUSIONS:

We demonstrate the implementation of an integrated multidisciplinary approach to patients with COVID-19, identifying those with increased physical and mental healthcare needs. Our initial experience suggests that significant physical, psychological, and cognitive impairments may persist despite clinical resolution of the infection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care / COVID-19 Type of study: Cohort study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Ir J Med Sci Year: 2021 Document Type: Article Affiliation country: S11845-020-02354-9

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care / COVID-19 Type of study: Cohort study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: Ir J Med Sci Year: 2021 Document Type: Article Affiliation country: S11845-020-02354-9