NICE guidance on managing long Covid
We have been waiting for The National Institute for Clinical Excellence (NICE) to bring out some guidance on how to manage this emerging condition, and this document has lots of useful points. The initial advice is that ongoing symptoms after 4 weeks can be assessed using telephone, remote consultation or in person. The suggestion of using remote consultation here reflects the change in so much guidance we are seeing now.
The clear definition of ‘ongoing acute covid syndrome’ presenting 4-12 weeks after acute infection, as opposed to ‘post covid syndrome’ for those with ongoing symptoms 12 weeks after acute infection, is going to be really useful in practice. They advise that people with specific symptoms after 4 weeks should be referred to a specialist service; this includes ongoing hypoxemia or desaturating on exercise. It helpfully lists which investigations we should be requesting for ongoing symptoms and when to refer or who to signpost to.