Recovering from COVID-19: lessons learnt from an intensive secondary care follow-up service.

Kumar, Kartik; Ratnakumar, Prashanthi; Ricci, Piera; Al-Zubaidy, Mustafa; Srikanthan, Karthikan; Agrawal, Shweta; Ahmedani, Iman; Baxter, Isobel; Monem, Enrique; Coleman, Meg; Elkin, Sarah L; Kon, Onn Min; Mallia, Patrick; Meghji, Jamilah; Ross, Clare; Russell, Georgina K

Kumar, Kartik; Ratnakumar, Prashanthi; Ricci, Piera; Al-Zubaidy, Mustafa; Srikanthan, Karthikan; Agrawal, Shweta; Ahmedani, Iman; Baxter, Isobel; Monem, Enrique; Coleman, Meg; Elkin, Sarah L; Kon, Onn Min; Mallia, Patrick; Meghji, Jamilah; Ross, Clare; Russell, Georgina K.

Kumar K; St Mary's Hospital, London, UK and National Institute for Health and Care Research Imperial Biomedical Research Centre clinical research fellow in respiratory medicine, Imperial College London, London, UK.
Ratnakumar P; St Mary's Hospital, London, UK and clinical research fellow in respiratory medicine and lung cancer, Imperial College London, London, UK.
Ricci P; St Mary's Hospital, London, UK.
Al-Zubaidy M; Imperial College London Faculty of Medicine, London, UK.
Srikanthan K; St Mary's Hospital, London, UK.
Agrawal S; St Mary's Hospital, London, UK.
Ahmedani I; St Mary's Hospital, London, UK.
Baxter I; St Mary's Hospital, London, UK.
Monem E; Imperial College London Faculty of Medicine, London, UK.
Coleman M; St Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Elkin SL; St Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Kon OM; St Mary's Hospital, London, UK and professor of respiratory medicine, Imperial College London, London, UK.
Mallia P; St Mary's Hospital, London, UK and clinical senior lecturer, Imperial College London, London, UK.
Meghji J; St Mary's Hospital, London, UK and Medical Research Council skills development fellow, Liverpool School of Tropical Medicine, Liverpool, UK.
Ross C; St Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Russell GK; St Mary's Hospital, London, UK.

Future Healthc J ; 9(3): 335-342, 2022 Nov.

Article en En | MEDLINE | ID: mdl-36561827

ABSTRACT

ABSTRACT

In response to the first COVID-19 surge in 2020, secondary care outpatient services were rapidly reconfigured to provide specialist review for disease sequelae. At our institution, comprising hospitals across three sites in London, we initially implemented a COVID-19 follow-up pathway that was in line with expert opinion at the time but more intensive than initial clinical guidelines suggested. We retrospectively evaluated the resource requirements for this service, which supported 526 patients from April 2020 to October 2020. At the 6-week review, 193/403 (47.9%) patients reported persistent breathlessness, 46/336 (13.7%) desaturated on exercise testing, 167/403 (41.4%) were discharged from COVID-19-related secondary care services and 190/403 (47.1%) needed 12-week follow-up. At the 12-week review, 113/309 (36.6%) patients reported persistent breathlessness, 30/266 (11.3%) desaturated on exercise testing and 150/309 (48.5%) were discharged from COVID-19-related secondary care services. Referrals were generated to multiple medical specialties, particularly respiratory subspecialties. Our analysis allowed us to justify rationalising and streamlining provisions for subsequent COVID-19 waves while reassured that opportunities for early intervention were not being missed.

Palabras clave

COVID-19; follow-up; resource utilisation; secondary care; service delivery

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