A Clinic Blueprint for Post-Coronavirus Disease 2019 RECOVERY: Learning From the Past, Looking to the Future

Authors

Denyse D. Lutchmansingh, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT. Electronic address: denyse.lutchmansingh@yale.edu.
Melissa P. Knauert, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Danielle E. Antin-Ozerkis, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Geoffrey Chupp, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Lauren Cohn, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; VA Connecticut Healthcare System, West Haven, CT.
Charles S. Dela Cruz, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; VA Connecticut Healthcare System, West Haven, CT.
Lauren E. Ferrante, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Erica L. Herzog, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Jonathan Koff, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Carolyn L. Rochester, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; VA Connecticut Healthcare System, West Haven, CT.
Changwan Ryu, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Inderjit Singh, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Mayanka Tickoo, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Vikki Winks, Rehabilitation Services, Yale New Haven Hospital/Bridgeport Hospital, Bridgeport, CT.
Mridu Gulati, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Jennifer D. Possick, Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.

Document Type

Article

Publication Title

Chest

Abstract

The severe acute respiratory syndrome coronavirus 2 pandemic poses extraordinary challenges. The tremendous number of coronavirus disease 2019 (COVID-19) cases in the United States has resulted in a large population of survivors with prolonged postinfection symptoms. The creation of multidisciplinary post-COVID-19 clinics to address both persistent symptoms and potential long-term complications requires an understanding of the acute disease and the emerging data regarding COVID-19 outcomes. Experience with severe acute respiratory syndrome and Middle East respiratory syndrome, post-acute respiratory distress syndrome complications, and post-intensive care syndrome also informs anticipated sequelae and clinical program design. Post-COVID-19 clinical programs should be prepared to care for individuals previously hospitalized with COVID-19 (including those who required critical care support), nonhospitalized individuals with persistent respiratory symptoms following COVID-19, and individuals with preexisting lung disease complicated by COVID-19. Effective multidisciplinary collaboration models leverage lessons learned during the early phases of the pandemic to overcome the unique logistical challenges posed by pandemic circumstances. Collaboration between physicians and researchers across disciplines will provide insight into survivorship that may shape the treatment of both acute disease and chronic complications. In this review, we discuss the aims, general principles, elements of design, and challenges of a successful multidisciplinary model to address the needs of COVID-19 survivors.

First Page

949

Last Page

958

DOI

10.1016/j.chest.2020.10.067

Publication Date

3-1-2021

Recommended Citation

Lutchmansingh, Denyse D.; Knauert, Melissa P.; Antin-Ozerkis, Danielle E.; Chupp, Geoffrey; Cohn, Lauren; Dela Cruz, Charles S.; Ferrante, Lauren E.; Herzog, Erica L.; Koff, Jonathan; Rochester, Carolyn L.; Ryu, Changwan; Singh, Inderjit; Tickoo, Mayanka; Winks, Vikki; Gulati, Mridu; and Possick, Jennifer D., "A Clinic Blueprint for Post-Coronavirus Disease 2019 RECOVERY: Learning From the Past, Looking to the Future" (2021). All Research. 117.
https://scholar.bridgeporthospital.org/all_research/117

Identifier

33159907 (pubmed); PMC7641526 (pmc); 10.1016/j.chest.2020.10.067 (doi); S0012-3692(20)35125-4 (pii)