Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance

ABSTRACT

› Key Points Background General Clinical Considerations Patient History and Physical Exam Assessment and Testing Management of Post-COVID Conditions Public Health Recommendations Future Directions and Resources Key Points The term “Post-COVID Conditions” is an umbrella term for the wide range of physical and mental health consequences experienced by some patients that are present four or more weeks after SARS-CoV-2 infection, including by patients who had initial mild or asymptomatic acute infection. Based on current information, many post-COVID conditions can be managed by primary care providers, with the incorporation of patient-centered approaches to optimize the quality of life and function in affected patients. Objective laboratory or imaging findings should not be used as the only measure or assessment of a patient’s well-being;lack of laboratory or imaging abnormalities does not invalidate the existence, severity, or importance of a patient’s symptoms or conditions. Healthcare professionals and patients are encouraged to set achievable goals through shared decision-making and to approach treatment by focusing on specific symptoms (e.g., headache) or conditions (e.g., dysautonomia);a comprehensive management plan focusing on improving physical, mental, and social wellbeing may be helpful for some patients. Understanding of post-COVID conditions remains incomplete and guidance for healthcare professionals will likely change over time as the evidence evolves.