Title
Post-acute COVID-19 syndrome
Date Issued
01 April 2021
Access level
open access
Resource Type
review
Author(s)
Nalbandian A.
Sehgal K.
Gupta A.
Madhavan M.V.
McGroder C.
Stevens J.S.
Cook J.R.
Nordvig A.S.
Shalev D.
Sehrawat T.S.
Ahluwalia N.
Bikdeli B.
Dietz D.
Der-Nigoghossian C.
Liyanage-Don N.
Rosner G.F.
Bernstein E.J.
Mohan S.
Beckley A.A.
Seres D.S.
Choueiri T.K.
Uriel N.
Ausiello J.C.
Accili D.
Freedberg D.E.
Schwartz A.
Brodie D.
Garcia C.K.
Elkind M.S.V.
Connors J.M.
Bilezikian J.P.
Landry D.W.
Wan E.Y.
Columbia University
Publisher(s)
Nature Research
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the coronavirus disease 2019 (COVID-19) pandemic, which has resulted in global healthcare crises and strained health resources. As the population of patients recovering from COVID-19 grows, it is paramount to establish an understanding of the healthcare issues surrounding them. COVID-19 is now recognized as a multi-organ disease with a broad spectrum of manifestations. Similarly to post-acute viral syndromes described in survivors of other virulent coronavirus epidemics, there are increasing reports of persistent and prolonged effects after acute COVID-19. Patient advocacy groups, many members of which identify themselves as long haulers, have helped contribute to the recognition of post-acute COVID-19, a syndrome characterized by persistent symptoms and/or delayed or long-term complications beyond 4 weeks from the onset of symptoms. Here, we provide a comprehensive review of the current literature on post-acute COVID-19, its pathophysiology and its organ-specific sequelae. Finally, we discuss relevant considerations for the multidisciplinary care of COVID-19 survivors and propose a framework for the identification of those at high risk for post-acute COVID-19 and their coordinated management through dedicated COVID-19 clinics.
Start page
601
End page
615
Volume
27
Issue
4
Language
English
OCDE Knowledge area
Epidemiología
Scopus EID
2-s2.0-85103203185
PubMed ID
Source
Nature Medicine
ISSN of the container
10788956
Sponsor(s)
National Science Foundation (2032726), National Institutes of Health (5T32 NS007153, R01 HL152236, R01-DK114893, R01-MD014161, R03 HL146881, T32 HL007854, U01-DK116066), U.S. Department of Defense (PR181960), National Institute of Diabetes and Digestive and Kidney Diseases (K23DK111847)
Sources of information: Directorio de Producción Científica Scopus