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Long COVID: What does it mean for the healthcare system and programs to deal with it?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc386
Document Type
Evidence Search Report
Review Code
EOC021901v2 ESR
Question Submitted
February 19, 2021
Date Completed
October 21, 2021
Status
5. Updated review
Research Team
EOC
More detail
Document Type
Evidence Search Report
Review Code
EOC021901v2 ESR
Question Submitted
February 19, 2021
Date Completed
October 21, 2021
Status
5. Updated review
Research Team
EOC
Category
Healthcare Services
Clinical Presentation
Subject
Long Covid
Clinical Presentation
Health Planning
Symptoms
Population
All
Clinical Setting
Ambulatory
Long Term Care
Primary care
Priority Level
Level 5 Four weeks+ (28 days+)
Cite As
Mueller, M; Dalidowicz, M. Long COVID: What does it mean for the healthcare system and programs to? 2021 Oct 21, Document no.: EOC021901v2 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. 70 p. (CEST rapid review report).
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Long COVID: What does it mean for the healthcare system and programs to deal with it?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc397
Document Type
Table
Review Code
EOC021901v2 RR Table
Question Submitted
February 19, 2021
Date Completed
October 29, 2021
Status
5. Updated review
Research Team
EOC
More detail
Document Type
Table
Review Code
EOC021901v2 RR Table
Question Submitted
February 19, 2021
Date Completed
October 29, 2021
Status
5. Updated review
Research Team
EOC
Category
Healthcare Services
Clinical Presentation
Subject
Long Covid
Clinical Presentation
Health Planning
Symptoms
Population
All
Clinical Setting
Ambulatory
Long Term Care
Primary care
Priority Level
Level 5 Four weeks+ (28 days+)
Cite As
Williams-Roberts, H; Groot, G; Mueller, M; Dalidowicz, M. Long COVID: What does it mean for the healthcare system and programs? 2021 Oct 29. Document no.: EOC021901v2 RR Table. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. (CEST Table).
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Long COVID: What does it mean for the healthcare system and programs to deal with it?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc398
Document Type
Rapid Review
Review Code
EOC021901v2 RR
Question Submitted
February 19, 2021
Date Completed
October 29, 2021
Status
5. Updated review
Research Team
EOC
More detail
Document Type
Rapid Review
Review Code
EOC021901v2 RR
Question Submitted
February 19, 2021
Date Completed
October 29, 2021
Status
5. Updated review
Research Team
EOC
Updated Key Findings
October 29, 2021
In October, WHO released a consensus definition of post COVID-19 condition that includes 12 domains. This development should lead to better standardization of reporting and contribute to more precise prevalence estimates and better understanding of associated risk factors.
The effects of Variants of Concern (VoC) and COVID vaccination on progression of Long COVID symptoms remains unclear.
Risk factors for developing Long COVID symptoms were similar but limited evidence suggests that pre-pandemic psychological distress and poor general health were associated with developing persistent symptoms. Evidence is too limited to determine whether vaccination reduces the risk of developing Long COVID among persons with breakthrough infections.
Given the protean manifestations of Long COVID symptoms, the underlying causes are likely multifactorial; however, strong evidence to substantiate the theories of causation remains limited.
Research related to longer-term consequences of SARS CoV-2 infections in pediatric populations is growing but remains limited.
Key Findings
March 15, 2021
There is a lack of consensus around the clinical definition of Long COVID which in turn causes challenges with understanding the incidence and prevalence as well as the potential impact for the health care system
Information about the natural history of Long COVID is incomplete but limited evidence suggests that the immune response trajectories differ for those with few or no symptoms compared to those with severe disease. Individuals with severe disease are more likely to exhibit immunological marker abnormalities but anyone can experience functional limitations.
The mechanisms underlying the development of persistent symptoms in Long COVID remain an enigma. Despite multiple theories, there is little empirical evidence for specific immunological and or biochemical abnormalities in samples of individuals with symptoms consistent with Long COVID.
Risk factors for Long COVID include female gender, older age, higher body mass index, pre-existing asthma and the number of symptoms.
Few studies explored the short-term impact of Long COVID on health care utilization patterns and found a higher impact for those with severe disease compared with mild disease.
Category
Healthcare Services
Clinical Presentation
Subject
Long Covid
Clinical Presentation
Health Planning
Symptoms
Population
All
Clinical Setting
Ambulatory
Long Term Care
Primary care
Priority Level
Level 5 Four weeks+ (28 days+)
Cite As
Williams-Roberts, H; Groot, G; Mueller, M; Dalidowicz, M. Long COVID: What does it mean for the healthcare system and programs? 2021 Oct 29. Document no.: EOC021901v2 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. 14 p. (CEST rapid review report).
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What are long COVID's demands on the healthcare system, and its severity of the illness?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc338
Document Type
Evidence Search Report
Review Code
EPM210602 ESR
Question Submitted
June 22, 2021
Date Completed
June 25, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
More detail
Document Type
Evidence Search Report
Review Code
EPM210602 ESR
Question Submitted
June 22, 2021
Date Completed
June 25, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
Category
Clinical Presentation
Epidemiology
Subject
Long Covid
Health Planning
Clinical Presentation
Population
All
Clinical Setting
Ambulatory
Community
Emergency
ICU
Long Term Care
Medicine Unit
Primary care
Public Health
Priority Level
Level 1 2-3 days
Cite As
Howell-Spooner, B; Ellsworth, C. What are long COVID's demands on the healthcare system, and it? 2021 Jun 25, Document no.: EPM210602 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. 64 p. (CEST rapid review report).
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What are long COVID's demands on the healthcare system, and its severity of the illness?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc345
Document Type
Table
Review Code
EPM210602 RR Table
Question Submitted
June 22, 2021
Date Completed
July 12, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
More detail
Document Type
Table
Review Code
EPM210602 RR Table
Question Submitted
June 22, 2021
Date Completed
July 12, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
Category
Clinical Presentation
Epidemiology
Subject
Long Covid
Health Planning
Clinical Presentation
Population
All
Clinical Setting
Ambulatory
Community
Emergency
ICU
Long Term Care
Medicine Unit
Primary care
Public Health
Priority Level
Level 1 2-3 days
Cite As
McLean, M; Williams-Roberts, H; Reeder, B; Howell-Spooner, B; Ellsworth, C. What are long COVID's demands on the healthcare system, and its severity of the illness? 2021 Jul 12, Document no.: EPM210602 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. (CEST table).
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What are long COVID's demands on the healthcare system, and its severity of the illness?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc346
Document Type
Rapid Review
Review Code
EPM210602 RR
Question Submitted
June 22, 2021
Date Completed
July 12, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
Rehabilitation/ or Ambulatory Care/ 1153630 16 ((clinical or patient or outpatient) adj1 (care? or "after
More detail
Document Type
Rapid Review
Review Code
EPM210602 RR
Question Submitted
June 22, 2021
Date Completed
July 12, 2021
Status
4. Update in progress
Research Team
Epidemiology & Modelling
Key Findings
Long COVID-19 is likely to increase healthcare demands across the health system, including emergency departments, hospital admissions, primary care visits, specialists appointments, and home care and rehabilitation services.
The clinical care burden of long COVID-19 is the greatest in the first 3 months after testing and is likely to place the greatest demand on primary care services.
Patients with severe COVID-19 illness are more likely to place longer-term demands (4-6 months) on specialist care due to respiratory, circulatory, endocrine, metabolic, psychiatric and unspecified conditions.
Category
Clinical Presentation
Epidemiology
Subject
Long Covid
Health Planning
Clinical Presentation
Population
All
Clinical Setting
Ambulatory
Community
Emergency
ICU
Long Term Care
Medicine Unit
Primary care
Public Health
Priority Level
Level 1 2-3 days
Cite As
McLean, M; Williams-Roberts, H; Reeder, B; Howell-Spooner, B; Ellsworth, C. What are long COVID's demands on the healthcare system, and its severity of the illness? 2021 Jul 12, Document no.: EPM210602 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2021. 23 p. (CEST rapid review report).
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What are long COVID's demands on the healthcare system, and its severity of the illness?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc460
Document Type
Evidence Search Report
Review Code
EPM210602v2 ESR
Question Submitted
June 22, 2021
Date Completed
March 11, 2022
Status
4. Update in progress
Research Team
Epidemiology & Modelling
More detail
Document Type
Evidence Search Report
Review Code
EPM210602v2 ESR
Question Submitted
June 22, 2021
Date Completed
March 11, 2022
Status
4. Update in progress
Research Team
Epidemiology & Modelling
Category
Clinical Presentation
Epidemiology
Population
All
Clinical Setting
Ambulatory
Community
Emergency
ICU
Long Term Care
Medicine Unit
Primary care
Public Health
Priority Level
Level 1 2-3 days
Cite As
Howell-Spooner, B; Ellsworth, C. What are long COVID's demands on the healthcare system, and its severity of the illness? 2022 Mar 11, Document no.: EPM210602v2 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 64 p. (CEST rapid review report).
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What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc424
Document Type
Evidence Search Report
Review Code
CAC220101 ESR
Question Submitted
January 11, 2022
Date Completed
January 14, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
More detail
Document Type
Evidence Search Report
Review Code
CAC220101 ESR
Question Submitted
January 11, 2022
Date Completed
January 14, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar? 2022 Jan 14. Document no.: CAC220101 ESR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 13 p. (CEST rapid review report).
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What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc441
Document Type
Table
Review Code
CAC220101 RR Table
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
More detail
Document Type
Table
Review Code
CAC220101 RR Table
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Asamoah, G; Badea, A; Reeder, B; Groot, G; Muhajarine, N; Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions? 2022 Feb 10. Document no.: CAC220101 RR Table. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. (CEST Table).
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What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions?

https://covid19evidencereviews.saskhealthauthority.ca/en/permalink/coviddoc443
Document Type
Rapid Review
Review Code
CAC220101 RR
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
More detail
Document Type
Rapid Review
Review Code
CAC220101 RR
Question Submitted
January 11, 2022
Date Completed
February 10, 2022
Status
3. Completed
Research Team
Clinical/Acute Care
Key Findings
January 26, 2022
There exists some ambiguity across jurisdictions and thus there is no clear universal case definition of COVID-19 hospitalization.
Public Health Ontario measures hospitalization as “the number of confirmed COVID-19 cases that reported ever being hospitalized during their infection”- i.e., all cases reported as ever being hospitalized during their infection.
The category “incidental COVID-19 hospitalizations” has been proposed. This refers to patients who are primarily admitted for other ailments and test positive as part of routine screening.
Some jurisdictions and health agencies have started differentiating between those who were admitted for COVID-19-related illness and incidental admissions. Ontario and Saskatchewan have begun using this category in their regular reporting of COVID-19 statistics.
New data from Australia, New Zealand, the US, and Canada indicate that 30 to 50 percent of COVID-19 hospitalizations are “incidental COVID-19 hospitalization” – 46% of COVID-19 hospitalizations in Ontario (as of January 11th, 2022) and 40% in Saskatchewan (as of January 26th, 2022)
Some expert opinions caution that such binary categorization may oversimplify clinical reality, and suggests also employing an ‘indeterminate’ category
Category
Administration
Healthcare Services
Subject
Decision Making
Health Planning
Hospitalization
Population
All
Clinical Setting
Ambulatory
Cardiac unit
Community
Dialysis unit
Emergency
EMS
ICU
Long Term Care
Medicine Unit
NICU
Oncology
Primary care
Public Health
Other
Priority Level
Level 2 One week (7 days)
Cite As
Asamoah, G; Badea, A; Reeder, B; Groot, G; Muhajarine, N; Howell-Spooner, B; Young, C. What is the (case) definition of hospitalization for COVID-19 in similar jurisdictions? 2022 Feb 10. Document no.: CAC220101 RR. In: COVID-19 Rapid Evidence Reviews [Internet]. SK: SK COVID Evidence Support Team, c2022. 9 p. (CEST rapid review report).
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21 records – page 1 of 3.