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Managing the long term effects of covid-19: summary of NICE, SIGN, and RCGP rapid guideline

Waqaar Shah, Toby Hillman, E. Diane Playford, Lyth Hishmeh

2021BMJ657 citationsDOIOpen Access PDF

Abstract

For a proportion of people covid-19 leads to long term effects that can have a significant impact on quality of life. According to the Office for National Statistics, around one in five people testing positive for covid-19 exhibit symptoms for a period of five weeks or more.1 This presents challenges for determining best-practice standards of care. As yet, no commonly agreed clinical definition of long term covid-19 exists, nor a clear definition of treatment pathway. To assist clinicians, the National Institute for Health and Care Excellence (NICE), the Scottish Intercollegiate Guidelines Network (SIGN), and the Royal College of General Practitioners (RCGP) have developed the “COVID-19 rapid guideline: managing the long term effects of COVID-19.”2 It covers care for people with signs and symptoms that continue for more than four weeks, and which developed during or after an infection consistent with covid-19, and which are not explained by alternative diagnoses.
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Topics & Concepts

Coronavirus disease 2019 (COVID-19)Per capitaGuidelineClosure (psychology)MedicineSign (mathematics)2019-20 coronavirus outbreakDemographyNiceSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)PopulationPediatricsOutbreakEnvironmental healthDiseaseVirologyInternal medicineMathematicsComputer sciencePathologyMarket economyInfectious disease (medical specialty)Mathematical analysisSociologyProgramming languageEconomicsCOVID-19 epidemiological studiesHealth disparities and outcomesCOVID-19 and healthcare impacts