Latest post-COVID evidence and guidelines
Working with leading respiratory experts and professional bodies, including the British Thoracic Society and the Primary Care Respiratory Society, we have created this hub to facilitate the sharing of the latest evidence and guidance for the care and rehabilitation of people with breathing difficulties post-COVID.
Globally, tens of thousands of people are being admitted to hospital for acute care, with a proportion of these people requiring ICU care. Early studies suggest COVID-19 may leave some people with breathing problems following discharge. There are early reports of people developing Acute Respiratory Distress Syndrome (ARDS) during the acute infection, and post-ARDS complications.
It is important to acknowledge the potential psychological impact of post-COVID recovery too, particularly for those who receive intensive care treatment. This may not only be in those who receive intensive care treatment, but also those being treated in isolation from family and friends by health care professionals in full Personal Protective Equipment (PPE).
Our resource hub curates the latest evidence related to post-COVID breathing difficulties and interventions, including the incidence of ARDS following coronavirus.
There is currently limited data on the incidence, causes, long-term implications, or best practice for managing people with breathing difficulties post-COVID. Working with partners we have curated the most relevant guidance and will continue to update.
To ensure we are signposting to the latest and most relevant clinical guidance for post-COVID breathing difficulties, we are looking for feedback from those providing care to those with potential post-COVID breathing difficulties and associated professional bodies. Please email us.
If you would like to discuss embedding any of the below guidance into care pathways for post-COVID breathing difficulties, please email us.
Assessing lung damage
In order to identify post-COVID lung damage, including ARDS, chest radiograph (CXR) and computed tomography (CT) scans may be helpful. This data will also help us better understand and assess the impact of COVID-19 on lung in the short and longer term.
The British Society of Thoracic Imaging are establishing a database, allowing the imaging of COVID-19 patients to be uploaded anonymously to allow onward training, learning, and upskilling.
For people that have been admitted to critical care, the below guidance for rehabilitation after critical illness may be helpful, alongside guidance for pulmonary rehabilitation.
According to NICE’s rehabilitation after critical guidance, adults who were in critical care and at risk of long-term problems, should get on discharge:
- an individualised, structured rehabilitation programme (if identified as being at risk during critical care)
- review by a healthcare professional (2 to 3 months after leaving critical care) to talk about their recovery and identify any physical, cognitive and psychological issues
Other relevant information
Treatments for the lung
Below we have included the clinical guidelines for the management of post-COVID breathing difficulties, including the management of Acute Respiratory Distress Syndrome (ARDS), as early reports suggest this could be relevant after COVID-19.
Acute respiratory distress syndrome
COVID-19 ongoing management
Other relevant information
Post-COVID Helpline: Our team of experts are here to support people with post-COVID breathlessness on 0300 222 5942
We are keen to work with professional bodies to ensure the content and guidelines on this hub are relevant and up to date. Please email us if you would like to partner with us.
Our resource hub curates the latest evidence, research efforts, innovation and funding opportunities in post-COVID respiratory complications.
Get the latest post-COVID research and guidelines directly into your inbox