Post-COVID sequelae are common, affecting 10-35% of patients with mild to moderate disease but closer to 80% of patients admitted to hospital with the illness. Knowledge of post-COVID 19 conditions is still evolving. Recent suggested definitions are as follows:
- Post-acute COVID-19 – illness extending beyond 3 weeks from initial symptoms.
- Chronic COVID-19 – symptoms extending beyond 12 weeks from initial symptoms.
Common primary care presentations may include:
- Non‑specific post‑viral symptoms, particularly fatigue and breathlessness.
- Specific serious sequelae resulting from the acute infection, or as delayed complications.
- Recovery after severe illness that required intensive care management.
- Psychosocial effects of prolonged symptoms and functional impairment.
This HealthPathway provides a step-by-step guide and checklist to assist clinicians in assessing and managing their patients with post-COVID-19 conditions. Red flags for serious complications are highlighted, and useful assessment tools and investigations are identified in the assessment section of the pathway. The management section provides specific advice organised by presenting symptom or complication, and includes links to community and financial supports for patients. The referral section contains a comprehensive patient referral pathway to local services.
Listed below are all the other COVID-19 HealthPathways that we have developed, which are updated on a regular basis.
- COVID-19 Practice Management
- COVID-19 Initial Assessment and Management
- COVID-19 Assessment and Management in Residential Aged Care
- COVID-19 Ongoing Assessment and Management
- COVID-19 Referrals
- COVID-19 Information
- COVID-19 Impact on Clinical Care
- COVID-19 Impact on Local Services
- COVID-19 Recent Changes
- COVID-19 MBS Items
- COVID-19 Telehealth