Integrated multidisciplinary post-COVID-19 care in Egypt

Aiash, Hani; Khodor, Maya; Shah, Jaffer; Ghozy, Sherief; Sheble, Ashraf; Hassan, Ahmed M.; Abbadi, Said; Sabry, Khaled; Zeid, Amany Abou; Abdelbary, Akram

doi:10.1016/s2214-109x(21)00206-0

Cited by 8 publications

(7 citation statements)

References 4 publications

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“…When described, the settings of rehabilitation care models were outpatient rehabilitation (11 studies), 17 , 35 , 38 , 44 , 46 , 51 , 53 , 55 , 59 , 62 , 63 community-based rehabilitation (nine studies) 30 , 31 , 49 , 52 , 53 , 55 , 57 , 59 , 63 and inpatient rehabilitation (six studies). 17 , 30 , 42 , 44 , 46 , 53 Study designs included conceptual model proposals (12 studies), 30 , 32 , 38 , 49 , 52 , 55 – 60 , 63 literature reviews (eight studies), 31 , 34 , 37 , 39 , 48 , 54 , 64 , 65 qualitative articles, such as surveys, interviews, focus group discussions and Delphi methods (six studies), 40 , 41 , 45 – 47 , 51 cohort studies (six studies), 32 , 35 , 36 , 42 , 44 , 53 letters and practice pointers (four studies) 17 , 33 , 43 , 61 and one R...…”

Section: Resultsmentioning

confidence: 99%

Scoping review of rehabilitation care models for post COVID-19 condition

Décary¹,

Groote²,

Arienti³

et al. 2022

Bull World Health Org

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Section: Resultsmentioning

confidence: 99%

Scoping review of rehabilitation care models for post COVID-19 condition

Décary¹,

Groote²,

Arienti³

et al. 2022

Bull World Health Org

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“…Eighteen centers (14.5%) had only one specialist available, that was represented by an infectiologist in six cases, a pulmonologist in five, a cardiologist or a neurologist in three and by a physiatrist in one case. Thirty centers (24.2%) had only two specialists available, in most of the centers represented by pulmonologists (12), cardiologists (9) and infectiologists (8), and less commonly by neurologists (4), geriatricians (3) or other specialties. Most of the centers had multiple figures locally available.…”

Section: Resultsmentioning

confidence: 99%

“…Despite the relevance of the subject, there is only sporadic information on how the health systems reacted implementing new facilities and pathways of care specifically dedicated to Long-COVID (9,10). We here report the results of a survey held in early 2022 on a national basis to define the number and characteristics of centers assisting patients with Long-COVID manifestations in Italy.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Long-COVID care centers in Italy. A national survey of 124 clinical sites

Floridia

Grassi

Giuliano

et al. 2022

Front. Public Health

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BackgroundDespite the growing clinical relevance of Long-COVID, there is minimal information available on the organizational response of health services to this condition.MethodsA national online survey of centers providing assistance for Long-COVID was implemented. Information collected included date of start of activity, target population, mode of assistance and of referral, type and number of specialists available, diagnostic and instrumental tests, use of telemedicine and of specific questionnaires.ResultsBetween February and May 2022, 124 centers completed the survey. Half of them were situated in northern Italy. Most (88.9%) provided assistance through either outpatient visits or day hospital services. Eleven (8.9%) assisted pediatric patients. Access to centers included scheduled visits for previously hospitalized patients (67.7%), referral from primary care (62.1%), from other specialists (46.8%), and, less commonly, from other services. Almost half of the centers (46.3%) started their activity early in the pandemics (March-September 2020). Almost all (93.5%) communicated with primary care physicians, and 21.8% used telemedicine tools. The mean number of patients followed was 40 per month (median 20, IQR 10-40). In most cases, the center coordinator was a specialist in respiratory diseases (30.6%), infectious diseases (28.2%), or internal medicine (25.0%). At least half of the centers had specialistic support in cardiology, respiratory diseases, radiology, infectious diseases, neurology and psychology, but roughly one quarter of centers had just only one (14.5%) or two (9.7%) specialists available. The clinical assessment was usually supported by a wide range of laboratory and instrumental diagnostics and by multidimensional evaluations.ConclusionsMost of the centers had an articulate and multidisciplinary approach to diagnosis and care of Long-COVID. However, a minority of centers provided only single or dual specialistic support. These findings may be of help in defining common standards, interventions and guidelines that can reduce gaps and heterogeneity in assistance to patients with Long-COVID.

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“…These strides started with the recognition of PCC, its burdens, as well as its management and control. In addition, Egypt recently established the first clinic dedicated to PCC patients' care and treatment [54].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Post COVID-19 Condition among healthcare workers: self-reported online survey in four African countries

Elnadi

Al-Mustapha

Odetokun

et al. 2023

Preprint

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The impact of Post COVID-19 Condition is ongoing despite the declaration that the COVID-19 pandemic has ended. In this study, we explore the prevalence of PCC among healthcare workers (HCWs) in four African Countries and its influence on their professional performance. This study was conducted as an online cross-sectional survey of healthcare workers from four African countries (Cameroon, Egypt, Nigeria, and Somalia) between the 20th of December 2021 to 12th of January 2022. We determined the prevalence of PCC based on the WHO case definition and assessed variables associated with a higher prevalence of PCC in these countries using univariable and multivariable logistic regression analyses. A total of 706 HCWs from four African countries were included in this survey. Most of the HCWs were aged between 18-34 years (75.8%, n=535). Our findings showed that 19.5% (n=138) of the HCWs had tested positive for SARS-CoV-2. However, 8.4% (n=59) were symptomatic for COVID-19 but tested negative or were never tested. Two-thirds of the HCWs (66.4%, n=469)have received a COVID-19 vaccine and 80.6% (n=378) of those vaccinated had been fully vaccinated. The self-reported awareness rate of PCC among the HCWs was 16.1% (n=114/706) whereas the awareness rate of PCC among COVID-19-positive HCWs was 55.3 % (n=109/197). The prevalence of PCC among HCWs was 58.8% (n=116). These changes include the self-reported symptoms of PCC which included headache (58.4%, n=115), fatigue (58.8%, n=116), and muscle pain (39.6%, n=78). Similarly, 30% (n=59) and 20.8% (n=41) of the HCWs reported the loss of smell and loss of taste long after their COVID-19 infection, respectively. Some HCWs (42%, n=83) believed that their work performance has been affected by their ongoing symptoms of PCC. There was no significant difference in the prevalence of PCC among the vaccinated and unvaccinated HCWs (p > 0.05). Of the socio-demographic variables, age (older HCWs between 45-54 years; OR:1.7; 95% CI: 1.06, 10.59; p = 0.001) and location (Egypt; OR:14.57; 95% CI: 2.62, 26.76; p = 0.001) were more likely to have experienced PCC than other age groups and countries respectively. The study revealed low prevalence of PCC among the surveyed HCC. In addition, it observed the need for adequate medical and psychological support to HCWs with PCC, improve their COVID-19 vaccination uptake, and conduct mass advocacy campaigns on PCC.

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Integrated multidisciplinary post-COVID-19 care in Egypt

Cited by 8 publications

References 4 publications

Scoping review of rehabilitation care models for post COVID-19 condition

Scoping review of rehabilitation care models for post COVID-19 condition

Characteristics of Long-COVID care centers in Italy. A national survey of 124 clinical sites

Prevalence of Post COVID-19 Condition among healthcare workers: self-reported online survey in four African countries

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