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Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients
Introduction: Many COVID-19 patients present with severe long-lasting symptoms. They might benefit from a coordination team to manage such complex situations, but late efficacy still needs to be determined. Population and Methods: Out of 105 contacts, 45 patients had two phone consultations separate...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917586/ https://www.ncbi.nlm.nih.gov/pubmed/36769389 http://dx.doi.org/10.3390/jcm12030741 |
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author | Van Wambeke, Erika Bezler, Cécile Kasprowicz, Anne-Marie Charles, Anne-Laure Andres, Emmanuel Geny, Bernard |
author_facet | Van Wambeke, Erika Bezler, Cécile Kasprowicz, Anne-Marie Charles, Anne-Laure Andres, Emmanuel Geny, Bernard |
author_sort | Van Wambeke, Erika |
collection | PubMed |
description | Introduction: Many COVID-19 patients present with severe long-lasting symptoms. They might benefit from a coordination team to manage such complex situations, but late efficacy still needs to be determined. Population and Methods: Out of 105 contacts, 45 patients had two phone consultations separated by personalized support 15 and 22 months, respectively, after COVID infection. Self-reported symptoms, feelings of improvement and ability to return to work allowed us to determine the efficacy of the therapeutic strategy proposed. Results: Unlike what was expected, many post-COVID-19 patients directly contacted the coordination team and had significant pre-existing comorbidities. Despite exercise, respiratory, olfactory rehabilitations, cognition/speech therapy and/or psychological support, the more frequent self-reported symptoms (fatigue, neurocognitive disorders, muscles and joint pain) did not resolve. However, dyspnea, anxiety and chest pain were significantly reduced. Finally, 2/3 of the patients felt some degree of improvement and returned to work either partially or fully, but 1/3 remained complaining of symptoms and out of work as late as 22 months after COVID occurrence. All patients greatly appreciated the second phone consultation. Conclusions: In such complex situations, besides early and adapted rehabilitations and psychological help allowing better symptom management, relatively simple actions such as a phone call might be very useful to reduce patients’ feelings of abandonment. |
format | Online Article Text |
id | pubmed-9917586 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99175862023-02-11 Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients Van Wambeke, Erika Bezler, Cécile Kasprowicz, Anne-Marie Charles, Anne-Laure Andres, Emmanuel Geny, Bernard J Clin Med Article Introduction: Many COVID-19 patients present with severe long-lasting symptoms. They might benefit from a coordination team to manage such complex situations, but late efficacy still needs to be determined. Population and Methods: Out of 105 contacts, 45 patients had two phone consultations separated by personalized support 15 and 22 months, respectively, after COVID infection. Self-reported symptoms, feelings of improvement and ability to return to work allowed us to determine the efficacy of the therapeutic strategy proposed. Results: Unlike what was expected, many post-COVID-19 patients directly contacted the coordination team and had significant pre-existing comorbidities. Despite exercise, respiratory, olfactory rehabilitations, cognition/speech therapy and/or psychological support, the more frequent self-reported symptoms (fatigue, neurocognitive disorders, muscles and joint pain) did not resolve. However, dyspnea, anxiety and chest pain were significantly reduced. Finally, 2/3 of the patients felt some degree of improvement and returned to work either partially or fully, but 1/3 remained complaining of symptoms and out of work as late as 22 months after COVID occurrence. All patients greatly appreciated the second phone consultation. Conclusions: In such complex situations, besides early and adapted rehabilitations and psychological help allowing better symptom management, relatively simple actions such as a phone call might be very useful to reduce patients’ feelings of abandonment. MDPI 2023-01-17 /pmc/articles/PMC9917586/ /pubmed/36769389 http://dx.doi.org/10.3390/jcm12030741 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Van Wambeke, Erika Bezler, Cécile Kasprowicz, Anne-Marie Charles, Anne-Laure Andres, Emmanuel Geny, Bernard Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title | Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title_full | Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title_fullStr | Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title_full_unstemmed | Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title_short | Two-Years Follow-Up of Symptoms and Return to Work in Complex Post-COVID-19 Patients |
title_sort | two-years follow-up of symptoms and return to work in complex post-covid-19 patients |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917586/ https://www.ncbi.nlm.nih.gov/pubmed/36769389 http://dx.doi.org/10.3390/jcm12030741 |
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