![]() ![]() Take into account whether they may have symptoms that need investigating in person or require urgent referral to an appropriate service. 1.7.īased on the initial consultation, use shared decision making to discuss and agree with the person whether they need a further assessment and whether this should be by phone, video or in person. 1.6.īe aware that some people (including children and older people) may not have the most commonly reported new or ongoing symptoms after acute COVID-19. ![]() These should only be used in conjunction with clinical assessment. 1.5.Ĭonsider using a screening questionnaire as part of the initial consultation to help capture all of the person’s symptoms. Post-COVID-19 syndrome if the person’s symptoms have not resolved 12 weeks after the start of acute COVID-19.įor people who are concerned about new or ongoing symptoms 4 weeks or more after acute COVID-19, offer an initial consultation and use shared decision making to discuss and agree with the person whether it should be by video, phone or in person. It includes both ongoing symptomatic COVID-19 (from 4 to 12 weeks) and post-COVID-19 syndrome (12 weeks or more). In addition to the clinical case definitions, the term ‘long COVID’ is commonly used to describe signs and symptoms that continue or develop after acute COVID-19. Post-COVID-19 syndrome may be considered before 12 weeks while the possibility of an alternative underlying disease is also being assessed. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time and can affect any system in the body. Signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis. Signs and symptoms of COVID-19 from 4 weeks up to 12 weeks. ![]() Signs and symptoms of COVID-19 for up to 4 weeks. A set of definitions has been used to distinguish 3 phases following infection consistent with COVID-19, and to define the term ‘long COVID’. To effectively diagnose, treat and manage a condition it needs to be defined and distinguished from other conditions. NICE, SIGN and the RCGP have developed the guideline using a ‘living’ approach, which means that targeted areas of the guideline will be continuously reviewed and updated in response to emerging evidence. It also provides advice on diagnosis and management based both on the best available evidence and the knowledge and experience of the expert panel. ![]() This guideline provides clinical definitions of the effects of COVID-19 at different times (see below). There is no clinical definition or clear treatment pathway, and there is a minimal, though evolving, evidence base. It also presents many challenges when trying to determine the best-practice standards of care based on the current evidence. This new and emerging condition, which has been described using a variety of terms including ‘long COVID’, can have a significant effect on people’s quality of life. It covers care for people who have signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 4 weeks and are not explained by an alternative diagnosis. This guideline has been developed collaboratively by NICE, the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of General Practitioners (RCGP). ![]()
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