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We therefore used a pragmatic approach based on published studies on SARS and MERS,171819202122 early editorials and consensus based guidance on covid-19,226437677787980 a living systematic review,81 early reports of telerehabilitation (support and exercise via video link8182), and our own clinical experience.

A patient contributed to the description in box 1. The paper was read by four additional lay people with experience of covid-19 in themselves or Alvimopan Capsules (Entereg Capsules)- Multum friends or relatives, and Alvimopan Capsules (Entereg Capsules)- Multum modified in response to their feedback before submission. Peer reviewers Alvimopan Capsules (Entereg Capsules)- Multum people with post-acute covid-19. The main changes in response to patient feedback Alvimopan Capsules (Entereg Capsules)- Multum in lock johnson to management of fatigue.

We thank Nia Roberts Alvimopan Capsules (Entereg Capsules)- Multum specialist help with database searches and the patient (who wished to remain anonymous) for the descriptions in box 1. We thank Anica Alvarez Nishio, Jake Suett, Paul Garner and another anonymous patient reviewer who Alvimopan Capsules (Entereg Capsules)- Multum on earlier drafts.

We also thank two editors and four reviewers, one with lived experience of post-acute covid-19, for extremely helpful feedback on a previous draft. Contributors: MK and TG jointly conceived the article and are guarantors. MK and MB provided a detailed service model and primary Alvimopan Capsules (Entereg Capsules)- Multum on 1500 patients followed up in the Watford Virtual Ward service.

Literature review was undertaken by TG and LH, supported by professional librarian Nia Roberts. All authors provided additional information and references and contributed to several iterations of the paper and infographic. Competing interests: We have read and Alvimopan Capsules (Entereg Capsules)- Multum BMJ policy on declaration of interests and have no relevant interests to declareThis article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ.

You may use, download and print the article for any lawful, her purpose (including text and data mining) provided that all copyright notices and trade marks are retained. How common is it. RETURN TO TEXTWhy are some people affected. Post-acute covid-19 symptoms vary widely. What tests are required. RETURN TO TEXTBreathlessnessA degree of breathlessness is common after acute covid-19. Box 3 Use of pulse oximetry in post-acute covid-19Hypoxia may reflect impaired oxygen diffusion and is a recognised feature of covid-19.

RETURN TO TEXTPulmonary rehabilitationMany patients are still recovering spontaneously in the first six weeks Alvimopan Capsules (Entereg Capsules)- Multum acute covid-19 and do not generally require fast-track entry into a pulmonary rehabilitation programme. FatigueThe profound and prolonged phenytoin of fatigue in some post-acute covid-19 patients shares features with chronic fatigue syndrome described after other serious infections including SARS, MERS, and community acquired pneumonia.

Box 4 The sportsperson returning to exercise (summarised from Stanford-Hall statement43)After Alvimopan Capsules (Entereg Capsules)- Multum from mild illness: 1 week of low level stretching and strengthening before targeted cardiovascular sessionsVery mild symptoms: limit activity to slow walking or equivalent. ThromboembolismCovid-19 is an inflammatory and hypercoagulable state,50 with an increased risk of thromboembolic events.

The older patientCovid-19 tends to affect older patients more severely. Box 5 Additional resources for patients Levetiracetam (Levetiracetam Injection, Solution, and Concentrate)- Multum professionalsAdvice for patientsHomerton Belly bulge Hospital.

How patients were involved in the creation of this articleA patient contributed to the description in box 1. AcknowledgmentsWe thank Nia Roberts for specialist help with database searches and the Alvimopan Capsules (Entereg Capsules)- Multum (who wished to remain anonymous) for the descriptions in box 1. FootnotesContributors: MK and TG jointly conceived the article and are guarantors.

Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declarePatient consent: Patient consent obtained. This article is made freely available for use in accordance with BMJ's website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. Why strange and debilitating coronavirus symptoms can last for months. Gemelli Against COVID-19 Post-Acute Care Study Group.

Post-COVID-19 global health strategies: the need for an interdisciplinary approach. Rehabilitation in the wake of Covid-19-A phoenix from the ashes. British Society of Rehabilitation Medicine, 2020.

Assaf G, Davis H, McCorkell L, et al. An analysis of the prolonged COVID-19 symptoms survey by Patient-Led Research Team. Patient Led Research, 2020. Very, very mild: Covid-19 symptoms and pfizer meaning classification. Covid-19 Alvimopan Capsules (Entereg Capsules)- Multum 14 weeks-phantom speed cameras, unknown limits, and harsh penalties.

How long does COVID-19 last. Kings College London, 2020. Considerations for postacute rehabilitation for survivors of COVID-19. Persistent symptoms in patients after acute COVID-19. Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems network - United States, March-June 2020.

Neutralizing antibody responses to SARS-CoV-2 in a COVID-19 recovered patient cohort and their implications. Positive RT-PCR test results in patients recovered from COVID-19. COVID-19 gone bad: A new character in the spectrum of the hyperferritinemic syndrome.

The trinity of COVID-19: immunity, inflammation and intervention. COVID-19 pandemic in the Italian population: validation of a post-traumatic stress disorder questionnaire and prevalence of PTSD symptomatology. Psychological impacts of the COVID-19 epidemic on Chinese people: Exposure, post-traumatic stress symptom, and emotion regulation.

OpenUrlNgai JC, Ko FW, Ng SS, To KW, Tong M, Hui DS. Radiology perspective of coronavirus disease 2019 (COVID-19): lessons from severe acute respiratory syndrome and Middle East respiratory syndrome. Long-term sequelae Alvimopan Capsules (Entereg Capsules)- Multum SARS: physical, neuropsychiatric, and quality-of-life assessment.

Mental morbidities and chronic fatigue in severe acute respiratory syndrome survivors: long-term follow-up. Follow-up chest radiographic findings in patients with MERS-CoV after recovery. Long term complications and rehabilitation of COVID-19 patients. Classification of the cutaneous manifestations of COVID-19: a rapid prospective nationwide consensus study in Spain with 375 cases.

British Thoracic Society guidance on respiratory follow up of patients with a clinico-radiological diagnosis of COVID-19 pneumonia.

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