Post-acute COVID-19 syndrome.

TitlePost-acute COVID-19 syndrome.
Publication TypeJournal Article
Year of Publication2021
AuthorsNalbandian A, Sehgal K, Gupta A, Madhavan MV, McGroder C, Stevens JS, Cook JR, Nordvig AS, Shalev D, Sehrawat TS, Ahluwalia N, Bikdeli B, Dietz D, Der-Nigoghossian C, Liyanage-Don N, Rosner GF, Bernstein EJ, Mohan S, Beckley AA, Seres DS, Choueiri TK, Uriel N, Ausiello JC, Accili D, Freedberg DE, Baldwin M, Schwartz A, Brodie D, Garcia CKim, Elkind MSV, Connors JM, Bilezikian JP, Landry DW, Wan EY
JournalNat Med
Volume27
Issue4
Pagination601-615
Date Published2021 Apr
ISSN1546-170X
KeywordsAcute Disease, Cardiovascular Diseases, COVID-19, Humans, Patient Advocacy, SARS-CoV-2, Syndrome, Systemic Inflammatory Response Syndrome, Venous Thromboembolism
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.

DOI10.1038/s41591-021-01283-z
Alternate JournalNat Med
PubMed ID33753937
PubMed Central IDPMC8893149
Grant ListPR181960 / / U.S. Department of Defense (United States Department of Defense) /
K23 DK111847 / DK / NIDDK NIH HHS / United States
U01 DK116066 / DK / NIDDK NIH HHS / United States
R03 HL146881 / HL / NHLBI NIH HHS / United States
R01-DK114893 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /
T32 HL007854 / HL / NHLBI NIH HHS / United States
R01 DK114893 / DK / NIDDK NIH HHS / United States
P30 DK063608 / DK / NIDDK NIH HHS / United States
5T32 NS007153 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /
T32 NS007153 / NS / NINDS NIH HHS / United States
U01-DK116066 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /
P30 AG066462 / AG / NIA NIH HHS / United States
R01 MD014161 / MD / NIMHD NIH HHS / United States
R01 DK064819 / DK / NIDDK NIH HHS / United States
R01 HL152236 / HL / NHLBI NIH HHS / United States
K08 HL122526 / HL / NHLBI NIH HHS / United States
2032726 / / National Science Foundation (NSF) /
R01-MD014161 / / U.S. Department of Health & Human Services | National Institutes of Health (NIH) /