Evidence map›Paper›PMID 36561827›Full record

ArticleFuture healthcare journal2022

Recovering from COVID-19: lessons learnt from an intensive secondary care follow-up service.

Kartik Kumar, Prashanthi Ratnakumar, Piera Ricci, Mustafa Al-Zubaidy, Karthikan Srikanthan, Shweta Agrawal, Iman Ahmedani, Isobel Baxter, Enrique Monem, Meg Coleman and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Future healthcare journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kartik KumarSt Mary's Hospital, London, UK and National Institute for Health and Care Research Imperial Biomedical Research Centre clinical research fellow in respiratory medicine, Imperial College London, London, UK.
Prashanthi RatnakumarSt Mary's Hospital, London, UK and clinical research fellow in respiratory medicine and lung cancer, Imperial College London, London, UK.
Piera RicciSt Mary's Hospital, London, UK.
Mustafa Al-ZubaidyImperial College London Faculty of Medicine, London, UK.
Karthikan SrikanthanSt Mary's Hospital, London, UK.
Shweta AgrawalSt Mary's Hospital, London, UK.
Iman AhmedaniSt Mary's Hospital, London, UK.
Isobel BaxterSt Mary's Hospital, London, UK.
Enrique MonemImperial College London Faculty of Medicine, London, UK.
Meg ColemanSt Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Sarah L ElkinSt Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Onn Min KonSt Mary's Hospital, London, UK and professor of respiratory medicine, Imperial College London, London, UK.
Patrick MalliaSt Mary's Hospital, London, UK and clinical senior lecturer, Imperial College London, London, UK.
Jamilah MeghjiSt Mary's Hospital, London, UK and Medical Research Council skills development fellow, Liverpool School of Tropical Medicine, Liverpool, UK.
Clare RossSt Mary's Hospital, London, UK and honorary clinical senior lecturer, Imperial College London, London, UK.
Georgina K RussellSt Mary's Hospital, London, UK.

Funding

Medical Research Council MR/S02042X/1
6 · The paper itself

Abstract

In response to the first COVID-19 surge in 2020, secondary care outpatient services were rapidly reconfigured to provide specialist review for disease sequelae. At our institution, comprising hospitals across three sites in London, we initially implemented a COVID-19 follow-up pathway that was in line with expert opinion at the time but more intensive than initial clinical guidelines suggested. We retrospectively evaluated the resource requirements for this service, which supported 526 patients from April 2020 to October 2020. At the 6-week review, 193/403 (47.9%) patients reported persistent breathlessness, 46/336 (13.7%) desaturated on exercise testing, 167/403 (41.4%) were discharged from COVID-19-related secondary care services and 190/403 (47.1%) needed 12-week follow-up. At the 12-week review, 113/309 (36.6%) patients reported persistent breathlessness, 30/266 (11.3%) desaturated on exercise testing and 150/309 (48.5%) were discharged from COVID-19-related secondary care services. Referrals were generated to multiple medical specialties, particularly respiratory subspecialties. Our analysis allowed us to justify rationalising and streamlining provisions for subsequent COVID-19 waves while reassured that opportunities for early intervention were not being missed.

Indexed as

COVID-19follow-upresource utilisationsecondary careservice delivery

Identifiers

PMID36561827
PMCPMC9761447

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.