201 symptomatic individuals a median 140 days after initial COVID-19 symptoms and low risk in terms of age (mean 44yrs), risk factors, underlying conditions and hospitalisation (18%).
Ongoing cardiorespiratory (92%) and gastrointestinal (73%) symptoms were common, and 42% of individuals had ten or more symptoms.
Whole body quantitative MRI showed mild single organ impairment in 66% and multiorgan impairment in 25%. No severe impairment. 11% myocarditic changes.
There are implications not only for burden of long COVID but also public health approaches which have assumed low risk in young people with no comorbidities.
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Clinic today done over the phone as has largely been the case since March. We have learned so much about what we can do but also about the limitations of telemedicine. Also why we need coordination of public health. THREAD
COVID-19 has taught us how joined up health, healthcare and public health need to be. I mainly deal with patients with heart problems like heart failure. Like many people with chronic diseases, they face a dual impact from the pandemic.
Directly, they are at risk from severe coronavirus infection. Indirectly, the care of their heart disease has been affected by system strain. Both these impacts were worsened by late lockdown, inadequate testing and tracing and unclear messaging.
First we modelled the population infection rate and daily infection growth rate in the UK during COVID-19 pandemic using official COVID-19 case data 2/10
We then used @NHSDigital staffing data to estimate the effect of the pandemic on the clinical academic workforce and its ability to do research. 3/10