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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...

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Autores principales: Van Wambeke, Erika, Bezler, Cécile, Kasprowicz, Anne-Marie, Charles, Anne-Laure, Andres, Emmanuel, Geny, Bernard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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