TY - JOUR
KW - COVID-19
KW - critical care
KW - Multidisciplinary model
KW - Psychiatry
KW - Respiratory
AU - H. O'Brien
AU - M. J. Tracey
AU - C. Ottewill
AU - M. E. O'Brien
AU - R. K. Morgan
AU - R. W. Costello
AU - C. Gunaratnam
AU - D. Ryan
AU - N. G. McElvaney
AU - S. J. McConkey
AU - C. McNally
AU - G. F. Curley
AU - S. MacHale
AU - D. Gillan
AU - N. Pender
AU - H. Barry
AU - E. de Barra
AU - F. M. Kiernan
AU - I. Sulaiman
AU - K. Hurley
A1 - 
AB - BACKGROUND: In January 2020, the WHO declared the SARS-CoV-2 outbreak a public health emergency; by March 11, a pandemic was declared. To date in Ireland, over 3300 patients have been admitted to acute hospitals as a result of infection with COVID-19. AIMS: This article aims to describe the establishment of a COVID Recovery Service, a multidisciplinary service for comprehensive follow-up of patients with a hospital diagnosis of COVID-19 pneumonia. METHODS: A hybrid model of virtual and in-person clinics was established, supported by a multidisciplinary team consisting of respiratory, critical care, infectious diseases, psychiatry, and psychology services. This model identifies patients who need enhanced follow-up following COVID-19 pneumonia and aims to support patients with complications of COVID-19 and those who require integrated community care. RESULTS: We describe a post-COVID-19 service structure together with detailed protocols for multidisciplinary follow-up. One hundred seventy-four patients were discharged from Beaumont Hospital after COVID-19 pneumonia. Sixty-seven percent were male with a median age (IQR) of 66.5 (51-97). Twenty-two percent were admitted to the ICU for mechanical ventilation, 11% had non-invasive ventilation or high flow oxygen, and 67% did not have specialist respiratory support. Early data suggests that 48% of these patients will require medium to long-term specialist follow-up. CONCLUSIONS: We demonstrate the implementation of an integrated multidisciplinary approach to patients with COVID-19, identifying those with increased physical and mental healthcare needs. Our initial experience suggests that significant physical, psychological, and cognitive impairments may persist despite clinical resolution of the infection.
AD - Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland. helenobrien@rcsi.ie.; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland.; Department of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.; Department of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.; Department of Anaesthesia and Critical Care, Beaumont Hospital, Dublin, Ireland.; Department of Liaison Psychiatry, Beaumont Hospital, Dublin, Ireland.; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Psychology, Beaumont Hospital, Dublin, Ireland.; Department of Psychology, Beaumont Hospital, Dublin, Ireland.; Department of Psychology, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Liaison Psychiatry, Beaumont Hospital, Dublin, Ireland.; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Infectious Diseases, Beaumont Hospital, Dublin, Ireland.; Department of International Health and Tropical Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.; Department of Anaesthesia and Critical Care, Beaumont Hospital, Dublin, Ireland.; Department of Respiratory Medi(TRUNCATED)
BT - Irish journal of medical science
C5 - Education & Workforce; Healthcare Disparities; HIT & Telehealth
DO - 10.1007/s11845-020-02354-9
JF - Irish journal of medical science
LA - eng
M1 - Journal Article
N2 - BACKGROUND: In January 2020, the WHO declared the SARS-CoV-2 outbreak a public health emergency; by March 11, a pandemic was declared. To date in Ireland, over 3300 patients have been admitted to acute hospitals as a result of infection with COVID-19. AIMS: This article aims to describe the establishment of a COVID Recovery Service, a multidisciplinary service for comprehensive follow-up of patients with a hospital diagnosis of COVID-19 pneumonia. METHODS: A hybrid model of virtual and in-person clinics was established, supported by a multidisciplinary team consisting of respiratory, critical care, infectious diseases, psychiatry, and psychology services. This model identifies patients who need enhanced follow-up following COVID-19 pneumonia and aims to support patients with complications of COVID-19 and those who require integrated community care. RESULTS: We describe a post-COVID-19 service structure together with detailed protocols for multidisciplinary follow-up. One hundred seventy-four patients were discharged from Beaumont Hospital after COVID-19 pneumonia. Sixty-seven percent were male with a median age (IQR) of 66.5 (51-97). Twenty-two percent were admitted to the ICU for mechanical ventilation, 11% had non-invasive ventilation or high flow oxygen, and 67% did not have specialist respiratory support. Early data suggests that 48% of these patients will require medium to long-term specialist follow-up. CONCLUSIONS: We demonstrate the implementation of an integrated multidisciplinary approach to patients with COVID-19, identifying those with increased physical and mental healthcare needs. Our initial experience suggests that significant physical, psychological, and cognitive impairments may persist despite clinical resolution of the infection.
PY - 2020
SN - 1863-4362; 0021-1265; 0021-1265
SP - 1
EP - 8
EP - 
T1 - An integrated multidisciplinary model of COVID-19 recovery care
T2 - Irish journal of medical science
TI - An integrated multidisciplinary model of COVID-19 recovery care
U1 - Education & Workforce; Healthcare Disparities; HIT & Telehealth
U2 - 32894436
U3 - 10.1007/s11845-020-02354-9
VO - 1863-4362; 0021-1265; 0021-1265
Y1 - 2020
Y2 - Sep 7
ER -