Managing LONG COVID Syndrome.

This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians wil...

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Place / Publishing House:Shrewsbury : : TFM Publishing Limited,, 2022.
Ã2022.
Year of Publication:2022
Edition:1st ed.
Language:English
Online Access:
Physical Description:1 online resource (326 pages)
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Table of Contents:
  • Cover
  • Title Page
  • Copyright
  • Contents
  • Preface
  • Foreword
  • Abbreviations
  • Section I: Long COVID syndrome
  • Chapter 1: Coronavirus disease
  • Introduction
  • Aetiology
  • Variants of SARS-CoV-2
  • Delta variant
  • Omicron variant (PANGO lineage B.1.1.529)
  • Key Points
  • References
  • Chapter 2: What is long COVID syndrome?
  • Introduction
  • Presentation of long COVID syndrome
  • Health impact of long COVID syndrome
  • Definition of long COVID syndrome
  • Recognising and managing long COVID syndrome
  • Key Points
  • References
  • Chapter 3: Epidemiology of long COVID syndrome
  • Introduction
  • Prevalence in the United Kingdom
  • Prevalence after hospital discharge in the UK
  • Prevalence in other countries
  • Demographics
  • Predictors and risk factors
  • Key Points
  • References
  • Chapter 4: Aetiopathogenesis of long COVID syndrome
  • Introduction
  • Long-term immunological changes
  • Post-intensive care syndrome
  • Persistent inflammation
  • Vascular and autonomic nervous systems
  • Pulmonary fibrosis
  • Organ damage
  • Psychosocial factors
  • Dysregulation of the renin-angiotensin-aldosterone system
  • Energy substrate depletion
  • Cellular changes
  • Key Points
  • References
  • Chapter 5: Prolonged clinical manifestations of post-acute COVID-19
  • Introduction
  • Signs and symptoms of long COVID syndrome
  • The REACT-2 study on long COVID symptoms
  • Other studies
  • Postural orthostatic tachycardia syndrome
  • Psychological impact
  • Social impact
  • Key Points
  • References
  • Chapter 6: Problems after intensive care stay in COVID-19 patients
  • Introduction
  • Post-intensive care syndrome: long-term sequelae following intensive care stay
  • Problems specific to COVID-19 illness
  • Sleep disturbances and delirium
  • Cognitive impairment
  • Lessons learnt from past experience: SARS outbreak
  • Critical care neuropathy.
  • Critical care myopathy
  • Prone positioning in intensive care to improve oxygenation
  • Chronic pain after COVID-19-related intensive care admission
  • Key Points
  • References
  • Chapter 7: Risk factors for developing long COVID syndrome
  • Introduction
  • Type and number of symptoms in early infection
  • Illness severity during acute infection
  • Age
  • Gender
  • Socioeconomic status
  • High body mass index
  • Other systemic illnesses associated with long COVID syndrome
  • Prediction models of long COVID syndrome
  • Long COVID syndrome and symptom relapse
  • Key Points
  • References
  • Chapter 8: Effects of long COVID syndrome on economy and society
  • Introduction
  • 'Long economic COVID'
  • Costs due to mental health impairment
  • Costs due to disruption of children's education
  • Costs on vital social issues
  • Costs due to job losses
  • Burden of long COVID syndrome
  • Delayed care and associated costs
  • Impact of abnormal sense of smell in long COVID syndrome
  • Costs due to COVID-induced disability
  • Challenges in estimating costs
  • Tackling long COVID syndrome in the UK's National Health Service
  • Key Points
  • References
  • Section II: Symptoms and investigations
  • Chapter 9: Respiratory problems
  • Introduction
  • Aetiopathogenesis of respiratory problems
  • Acute COVID-19 and lung damage
  • Long COVID syndrome and the lungs
  • Respiratory signs and symptoms in long COVID syndrome
  • Presentation of multiple comorbidities
  • Key Points
  • References
  • Chapter 10: Cardiovascular problems
  • Introduction
  • Aetiopathogenesis of cardiovascular problems
  • Acute COVID-19 and cardiac damage
  • Long COVID syndrome and the heart
  • Long COVID syndrome and the vascular system
  • Cardiovascular signs and symptoms in long COVID syndrome
  • Postural hypotension
  • Cardiovascular effects of antiviral medications
  • Key Points
  • References.
  • Chapter 11: Neurological problems
  • Introduction
  • Incidence of neurological problems in long COVID syndrome
  • Aetiopathogenesis of nervous system involvement
  • Neurological signs and symptoms in long COVID syndrome
  • Classification of neurological involvement
  • Brain fog
  • Stroke in COVID-19 illness
  • Encephalitis
  • Complications from intensive care stay
  • Mental health problems
  • Sleep problems
  • Peripheral nerve and muscle problems
  • Key Points
  • References
  • Chapter 12: Pain problems
  • Introduction
  • Chronic pain in long COVID syndrome
  • Aetiopathogenesis of pain problems in long COVID syndrome
  • Risk factors for chronic pain in COVID-19 illness
  • Pain presentations and sequelae in long COVID syndrome
  • Neurological conditions causing persistent pain in long COVID syndrome
  • Neuropathic pain in long COVID syndrome
  • Mood, fatigue and pain
  • Exacerbation of chronic pain due to disruption of services
  • Key Points
  • References
  • Chapter 13: Mental health problems
  • Introduction
  • Aetiopathogenesis of mental health problems in long COVID syndrome
  • Epidemiology of mental health problems due to long COVID syndrome
  • Signs and symptoms of mental health problems in long COVID syndrome
  • Mental health of families and carers
  • Key Points
  • References
  • Chapter 14: Taste and smell problems
  • Introduction
  • Incidence of taste and smell problems
  • Aetiopathology of taste and smell problems in long COVID syndrome
  • Symptoms of smell and taste dysfunction
  • Objective measurements vs. self-reporting of symptoms of smell dysfunction
  • How long do symptoms of abnormal smell and taste sensations last?
  • Consequences of taste and smell problems
  • Key Points
  • References
  • Chapter 15: Other problems found in long COVID syndrome
  • Introduction
  • Prevalence
  • Other signs and symptoms in long COVID syndrome.
  • Fatigue and extreme tiredness in long COVID syndrome
  • Key Points
  • References
  • Chapter 16: Differential diagnosis
  • Introduction
  • Ruling out other respiratory causes
  • Ruling out cardiac causes
  • Ruling out rheumatological causes
  • Ruling out neurological causes
  • Ruling out endocrine causes
  • Key Points
  • Chapter 17: Investigations in long COVID syndrome
  • Introduction
  • Confirmed or suspected COVID-19 illness
  • Urgent referral in the presence of life-threatening symptoms
  • Patient-tailored investigations
  • NICE guidelines on investigations
  • Exercise tolerance test
  • Tests for postural symptoms
  • Chest X-ray
  • Further respiratory investigations
  • Cardiovascular assessment
  • Psychiatric assessment
  • Psychological assessment
  • Referral to specialist services
  • Key Points
  • References
  • Section III: Guidelines and policies
  • Chapter 18: NHS England plans for long COVID syndrome
  • Introduction
  • Long COVID syndrome: NHS plan for 2021/2022
  • Five-point plan (October 2020)
  • Ten key steps from June 2021
  • Care pathways and resource projection for patients with long COVID syndrome
  • NHS Long COVID Taskforce
  • Key Points
  • References
  • Chapter 19: NICE guidelines on long COVID syndrome
  • Introduction
  • NICE criteria for long COVID syndrome
  • Identifying people with long COVID syndrome
  • Assessment
  • Investigations and referral
  • Care planning
  • Management
  • Follow-up and monitoring
  • Controversies in the NICE guideline
  • Key Points
  • References
  • Chapter 20: ME Association guidelines on long COVID syndrome
  • Introduction
  • Key messages from the ME Association on long COVID syndrome
  • Long COVID syndrome and myalgic encephalomyelitis/ chronic fatigue syndrome
  • Patient self-reporting on long COVID syndrome
  • Red flag symptoms
  • Management guidelines from the ME Association.
  • Prognosis of long COVID syndrome
  • Key Points
  • References
  • Chapter 21: American guidelines for long COVID syndrome
  • Introduction
  • CDC guidance on long COVID syndrome
  • Interim guidance on post-COVID conditions
  • National Institutes of Health guidelines on long COVID syndrome
  • Key Points
  • References
  • Chapter 22: Guidelines from other health organisations
  • Introduction
  • Guidance from the World Health Organization (Europe)
  • Guidance from the Scottish Intercollegiate Guidelines Network on long COVID syndrome
  • Guidance from the European Agency for Safety and Health at Work
  • Health systems and policy analysis guidance from the World Health Organization
  • Key Points
  • References
  • Section IV Management of long COVID syndrome
  • Chapter 23: Management principles for long COVID syndrome
  • Introduction
  • Course of recovery
  • Self-management
  • Patient-specific management plan
  • Exclusion of serious complications
  • Pacing of patient recovery
  • Mental health
  • Referral to specialist rehabilitation services
  • Pulmonary rehabilitation
  • Management of fatigue
  • Exercise rehabilitation recommendations
  • Pathways
  • Encouraging patients to 'own' their recovery
  • Key Points
  • References
  • Chapter 24: Long COVID assessment centres
  • Introduction
  • Initial start of assessment centres
  • Expansion of specialist services to include children and young people
  • Long COVID: the NHS plan for 2021/22
  • Commissioning for long COVID assessment clinics
  • Core features of long COVID support services
  • Modelling demand for specialist services
  • Key Points
  • References
  • Chapter 25: Online recovery and rehabilitation platforms
  • Introduction
  • 'Your COVID Recovery' online support
  • Online self-management digital tool
  • Features of 'Your COVID Recovery' platform
  • Practicalities of 'Your COVID Recovery' platform.
  • Other online platforms.