دورية أكاديمية
أعرض في EDS

Post-COVID care delivery: The experience from an Irish tertiary centre's post-COVID clinic.

التفاصيل البيبلوغرافية
العنوان: Post-COVID care delivery: The experience from an Irish tertiary centre's post-COVID clinic.
المؤلفون: Heeney A; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., Connolly SP; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., Dillon R; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., O'Donnell A; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., McSweeney T; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., O'Kelly B; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland., Cotter AG; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.; School of Medicine, University College Dublin, Dublin 4, Ireland., Sheehan G; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.; School of Medicine, University College Dublin, Dublin 4, Ireland., Lambert JS; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.; School of Medicine, University College Dublin, Dublin 4, Ireland., Muldoon EG; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.; School of Medicine, University College Dublin, Dublin 4, Ireland., McGinty T; Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.; School of Medicine, University College Dublin, Dublin 4, Ireland.
المصدر: PloS one [PLoS One] 2023 Aug 11; Vol. 18 (8), pp. e0289245. Date of Electronic Publication: 2023 Aug 11 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: COVID-19*/epidemiology, Humans ; Female ; Adult ; Male ; SARS-CoV-2 ; Retrospective Studies ; Amber ; Cough
مستخلص: Background: The long-term effects of SARS-CoV-2 infection and optimal follow-up approach are not well-recognised. Here we describe the implementation of a post-COVID clinic in an Irish tertiary centre after the first wave of the pandemic. This study describes the characteristics of our patient cohort and the operations and outcomes of the clinic, exploring some of the risk factors for developing post-COVID syndrome and the appropriateness of the triage system employed.
Methods: All SARS-CoV-2 positive patients from March 10th to June 14th 2020 were telephone-triaged as red, amber or green based on ongoing symptoms with clinic appointments scheduled accordingly. All clinic visits were face-to-face with the infectious diseases medical team and a proforma for each patient was completed. Data were collected retrospectively by reviewing the proformas and the electronic medical record (EMR).
Results: 311 patients attended the clinic. Median time from illness to clinic appointment was 95 days (IQR 77-105.5). 204 patients (66%) were female, 192 (62%) were hospital staff, and the median age was 43 years (IQR 31-53). 138 patients (44%) had required hospital admission. At their first clinic visit 219 patients (70%) had ongoing symptoms. A further appointment was made for 62 patients (20%). 34 patients (11%) were discussed at an MDT meeting, and 55 (18%) were referred onward to a specialist service. 85% of those triaged green, 73% of those triaged amber, and 39% of those triaged red did not receive further follow up after one clinic visit. Patients were more likely to require follow up with reported dyspnoea (OR 5.6; 95% CI 2.8-11.3; p <0.001), cough (OR 3.0; 95% CI 1.1-8.4, p = 0.04), and palpitations (OR 3.6; 95% CI 1.0-12.3; p = 0.04). Female sex was associated with increased odds of a higher triage category (OR 1.8; 95% CI 1.08 to 3.20; p = 0.02), as was requiring admission to hospital (OR 4.0; 95% CI 2.34 to 6.90; p < 0.001).
Conclusion: The long-term effects of COVID-19 are significant with 70% of our cohort experiencing persistent symptoms. Persistent dyspnoea, cough and palpitations were associated with increased need for follow up. This study also suggests that a traffic light telephone-triage service followed by a face-to-face medical-led clinic could be an effective way of identifying patients who require further management.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Heeney et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
References: Lancet. 2021 Jan 16;397(10270):220-232. (PMID: 33428867)
Healthcare (Basel). 2020 Sep 30;8(4):. (PMID: 33008081)
PLoS One. 2021 Jul 12;16(7):e0254523. (PMID: 34252157)
Am J Physiol Cell Physiol. 2022 Jan 1;322(1):C1-C11. (PMID: 34817268)
Sci Total Environ. 2020 Aug 10;729:139021. (PMID: 32360909)
Lancet. 2020 Feb 15;395(10223):507-513. (PMID: 32007143)
J Neurol Sci. 2022 Mar 15;434:120162. (PMID: 35121209)
JAMA. 2020 Aug 25;324(8):782-793. (PMID: 32648899)
BMJ. 2021 May 19;373:n1098. (PMID: 34011492)
Lancet Psychiatry. 2021 May;8(5):416-427. (PMID: 33836148)
BMJ. 2020 Aug 11;370:m3026. (PMID: 32784198)
Eur Respir J. 2021 Jul 8;58(1):. (PMID: 33958429)
BMJ. 2021 Mar 31;372:n693. (PMID: 33789877)
Brain Behav Immun. 2020 Jul;87:34-39. (PMID: 32298803)
PLoS Med. 2021 Sep 28;18(9):e1003773. (PMID: 34582441)
JAMA Netw Open. 2021 Jan 4;4(1):e2036142. (PMID: 33502487)
المشرفين على المادة: 0 (Amber)
تواريخ الأحداث: Date Created: 20230811 Date Completed: 20230814 Latest Revision: 20230814
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10420355
DOI: 10.1371/journal.pone.0289245
PMID: 37566585
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0289245