USA: NIH Post-covid management guidelines

rvallee · Oct 20, 2020

this post was moved from Possibility of ME or PVFS after Covid-19, long Covid

https://www.s4me.info/threads/possibility-of-me-or-pvfs-after-covid-19-long-covid.14074/page-114#post-295527

The NIH page on treatment guidelines has added a section on what they call Persistent Symptoms or Illnesses After Recovery from Acute COVID-19.

https://www.covid19treatmentguidelines.nih.gov/overview/clinical-presentation/

There have been an increasing number of reports of patients who experience persistent symptoms after recovering from acute COVID-19. At this time, there is limited information on the prevalence, duration, underlying causes, and effective management strategies for these lingering signs and symptoms.12 Some of the symptoms overlap with the post-intensive care syndrome that has been described in patients without COVID-19, but prolonged symptoms and disabilities after COVID-19 have also been reported in patients with milder illness, including outpatients.13,14

Some of the persistent symptoms that have been reported include fatigue, joint pain, chest pain, palpitations, shortness of breath, and worsened quality of life.15,16 One study from China found that pulmonary function was still impaired 1 month after hospital discharge.17 A study from the United Kingdom reported that among 100 hospitalized patients (32 received care in the ICU and 68 received care in hospital wards only), 72% of the ICU patients and 60% of the ward patients experienced fatigue and breathlessness at 4 to 8 weeks after hospital discharge. The authors of the study suggest that post-hospital rehabilitation may be necessary for some of these patients.15

Neurologic and psychiatric symptoms have also been reported among patients who have recovered from acute COVID-19. High rates of anxiety and depression have been reported in some patients using self-report scales for psychiatric distress.16,18 Younger patients have been reported to experience more psychiatric symptoms than patients aged >60 years.15,16

Patients may continue to experience headaches, vision changes, hearing loss, loss of taste or smell, impaired mobility, numbness in extremities, tremors, myalgia, memory loss, cognitive impairment, and mood changes for up to 3 months after diagnosis of COVID-19.19,20 More research is needed to better understand the pathophysiology and clinical course of these post-infection sequelae and to identify management strategies for patients.
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USA: NIH Post-covid management guidelines

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