Cheshire
Senior Member (Voting Rights)
Chapter on care of long Covid
24. Care of COVID-19 patients after acute illness
New evidence is emerging about COVID-19 related persistent symptoms, which have parallels with other coronavirus diseases [228].
The clinical characterization of mid- and long-term effects of COVID-19 remain to be clearly described and understood. In hospitalized patients, ICU and non-ICU, there are reports of new illness-related fatigue, breathlessness, PTSD symptoms, pain, voice change, cough, dysphagia, anxiety, depression, and problems with concentration, memory and continence. Patients admitted to ICU had greater prevalence of symptoms in almost all reported symptom domains than COVID-19 patients not admitted to ICU [226]. As well, more than half of all COVID-19 patients who had been hospitalized, regardless of their clinical management, reported persistence of fatigue at 60 days since the onset of symptoms [226][227].
https://app.magicapp.org/#/guideline/6471While orthostatic intolerance and post-exertional symptom exacerbation (PESE) are amenable to rehabilitation, their presence will require interventions to be modified in view of these diagnoses for rehabilitation to be safe.