A worldwide look into long COVID-19 management: an END-COVID survey

Background Long COVID is a heterogeneous clinical syndrome characterised by a variety of reported symptoms and signs. Its clinical management is expected to differ significantly worldwide. Methods A survey-based study investigating long COVID-related standard operating procedures (SOPs) has been con...

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Main Authors: Mattia Nigro, Claudia Valenzuela, Francisco Arancibia, Mark Cohen, David C.L. Lam, Ryan C. Maves, Barbara Rath, Steven Q. Simpson, Yuanlin Song, Sotirios Tsiodras, James D. Chalmers, Stefano Aliberti
Format: Article
Language:English
Published: European Respiratory Society 2024-11-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/10/6/00096-2024.full
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author Mattia Nigro
Claudia Valenzuela
Francisco Arancibia
Mark Cohen
David C.L. Lam
Ryan C. Maves
Barbara Rath
Steven Q. Simpson
Yuanlin Song
Sotirios Tsiodras
James D. Chalmers
Stefano Aliberti
author_facet Mattia Nigro
Claudia Valenzuela
Francisco Arancibia
Mark Cohen
David C.L. Lam
Ryan C. Maves
Barbara Rath
Steven Q. Simpson
Yuanlin Song
Sotirios Tsiodras
James D. Chalmers
Stefano Aliberti
author_sort Mattia Nigro
collection DOAJ
description Background Long COVID is a heterogeneous clinical syndrome characterised by a variety of reported symptoms and signs. Its clinical management is expected to differ significantly worldwide. Methods A survey-based study investigating long COVID-related standard operating procedures (SOPs) has been conducted by the European Respiratory Society (ERS) END-COVID clinical research collaboration with the support of other international societies (ALAT, APSR, CHEST, ESCMID and PATS). A global analysis of the results is provided here, alongside sub-population analysis based on continents, national income levels, type of involved healthcare professional and inclusion or exclusion of paediatric patients. Findings 1015 healthcare professionals from 110 different countries worldwide participated in this study, the majority of them being respiratory physicians (60.6%). A dedicated long COVID programme was present in 55.4% of the investigated institutions, with hospital admission during the acute infection being the main inclusion criteria to access them. Consistent differences in long COVID-related procedures were identified among centres, mainly regarding the multidisciplinary approach, the availability of telemedicine and psychological support, the type of requested exams and the total amount of visits in the centre. Interpretation Long COVID management shows important differences related to geographical areas and national income levels. SOPs were significantly different when centres were managed by a pulmonologist or when paediatric patients were included.
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spelling doaj-art-08bca4b886ff44aab4e1f1b72ae425ab2025-01-14T09:50:21ZengEuropean Respiratory SocietyERJ Open Research2312-05412024-11-0110610.1183/23120541.00096-202400096-2024A worldwide look into long COVID-19 management: an END-COVID surveyMattia Nigro0Claudia Valenzuela1Francisco Arancibia2Mark Cohen3David C.L. Lam4Ryan C. Maves5Barbara Rath6Steven Q. Simpson7Yuanlin Song8Sotirios Tsiodras9James D. Chalmers10Stefano Aliberti11 Department of Biomedical Sciences, Humanitas University, Milan, Italy Pulmonology Department, Hospital Universitario de La Princesa, Universidad Autonoma de Madrid, Madrid, Spain Pulmonology Department, Instituto Nacional del Tórax, Universidad de Chile, Santiago, Chile Pulmonary and Critical Care, Hospital Centro Médico, Guatemala Department of Medicine, School of Clinical Medicine, University of Hong Kong, Hong Kong SAR, China Sections of Infectious Diseases and Critical Care Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA Vaccine Safety Initiative, Div. Infectious Diseases, Berlin, Germany Division of Pulmonary, Critical Care, and Sleep Medicine, University of Kansas Medical Center, Kansas City, KS, USA Shanghai Key Laboratory of Lung Inflammation and Injury, Shanghai Respiratory Research Institute, Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China National and Kapodistrian University of Athens, Athens, Greece Division of Molecular and Clinical Medicine, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK Department of Biomedical Sciences, Humanitas University, Milan, Italy Background Long COVID is a heterogeneous clinical syndrome characterised by a variety of reported symptoms and signs. Its clinical management is expected to differ significantly worldwide. Methods A survey-based study investigating long COVID-related standard operating procedures (SOPs) has been conducted by the European Respiratory Society (ERS) END-COVID clinical research collaboration with the support of other international societies (ALAT, APSR, CHEST, ESCMID and PATS). A global analysis of the results is provided here, alongside sub-population analysis based on continents, national income levels, type of involved healthcare professional and inclusion or exclusion of paediatric patients. Findings 1015 healthcare professionals from 110 different countries worldwide participated in this study, the majority of them being respiratory physicians (60.6%). A dedicated long COVID programme was present in 55.4% of the investigated institutions, with hospital admission during the acute infection being the main inclusion criteria to access them. Consistent differences in long COVID-related procedures were identified among centres, mainly regarding the multidisciplinary approach, the availability of telemedicine and psychological support, the type of requested exams and the total amount of visits in the centre. Interpretation Long COVID management shows important differences related to geographical areas and national income levels. SOPs were significantly different when centres were managed by a pulmonologist or when paediatric patients were included.http://openres.ersjournals.com/content/10/6/00096-2024.full
spellingShingle Mattia Nigro
Claudia Valenzuela
Francisco Arancibia
Mark Cohen
David C.L. Lam
Ryan C. Maves
Barbara Rath
Steven Q. Simpson
Yuanlin Song
Sotirios Tsiodras
James D. Chalmers
Stefano Aliberti
A worldwide look into long COVID-19 management: an END-COVID survey
ERJ Open Research
title A worldwide look into long COVID-19 management: an END-COVID survey
title_full A worldwide look into long COVID-19 management: an END-COVID survey
title_fullStr A worldwide look into long COVID-19 management: an END-COVID survey
title_full_unstemmed A worldwide look into long COVID-19 management: an END-COVID survey
title_short A worldwide look into long COVID-19 management: an END-COVID survey
title_sort worldwide look into long covid 19 management an end covid survey
url http://openres.ersjournals.com/content/10/6/00096-2024.full
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