Ziyad Al-Aly, MD Profile picture
Apr 22, 2021 10 tweets 8 min read Read on X
Happy to share the latest paper from our team in @nature

A comprehensive characterization of post acute sequelae of COVID-19

#longcovid #PASC

nature.com/articles/s4158…

@VAResearch @vahsrd @WUSTL @WUSTLpubhealth @WUSTLmed @WUSTLnews @VREFSTL @Biostayan @BCBowe
#Longcovid is a multifaceted disease; it can affect multiple organ systems including respiratory, cardiovascular, nervous, mental health, metabolic, gastrointestinal, kidneys, and other organ systems.
People with #longcovid have increased risk of incident use of several therapeutics including pain medications (opioids and non-opioids), antidepressants, anxiolytics, antihypertensives, and oral antihyperglycemics and evidence of laboratory abnormalities in multiple organ systems
#Longcovid is evident even in those who had mild acute disease which did not require hospitalization during the acute phase of the infection
Burden of #longCOVID increases substantially in those who required hospitalization, and is most pronounced in those who needed ICU care during the acute phase of the infection
When comparing the post-acute sequelea of COVID vs flu, COVID exhibited remarkably higher burden of post-acute sequalae. Both the magnitude of risk AND extent of organ system involvement were much higher than post-acute flu manifestations.
People with #longcovid need multidisciplinary care.
If there ever was an exemplar in clinical medicine that best illustrates the importance of integrated multidisciplinary care, it is #longcovid. Health systems should quickly adapt to this reality.
I can’t believe that I have to say this, but yes, #longcovid is real. People with long covid should be listened to, and their experiences must be honored.
We got caught unprepared for Covid. Let’s not drop the ball on long Covid
nytimes.com/2021/04/22/hea…
Illustration by Sara Moser @WUSTL

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Ziyad Al-Aly, MD

Ziyad Al-Aly, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @zalaly

May 30
📣 New paper in @NatureMedicine

Three-year outcomes of post-acute sequelae
of COVID-19

By Miao Cai @Biostayan @EricTopol and me

A 🧵

nature.com/articles/s4159…
In a study of 5.3 million people including 135,161 people with SARS-CoV-2 infection and 5,206,835 non-infected controls.

We examined risk trajectories of 80 components of Long Covid over 3 years post-infection

nature.com/articles/s4159…
The good news: risks of death and post-acute sequelae declined over time in both people who had mild COVID-19 and those with severe COVID-19 that required hospitalization.

nature.com/articles/s4159…

Image
Image
Read 16 tweets
May 15
Is Covid still deadlier than the flu in 2024?

The short answer is yes!

In 2024, Covid remains deadlier than flu.

New research from my team in @JAMA_current

By @Biostayan Taeyoung Choi and @zalaly

A thread with the correct links🧵

jamanetwork.com/journals/jama/…
In this study of 11,272 people

8625 hospitalized for COVID-19
2647 hospitalized for flu

jamanetwork.com/journals/jama/…
5.7% died in the COVID-19 group

3.04% died in the flu group

That is a difference of 2.66% deaths

This translates into 35% higher

jamanetwork.com/journals/jama/…
Read 5 tweets
May 15
Is Covid still deadlier than the flu in 2024?

The short answer is yes!

In 2024, Covid remains deadlier than flu.

New research from my team in @JAMA_current

By @Biostayan Taeyoung Choi and @zalaly

A thread 🧵

jamanetwork.com/journals/jama/…
In this study of 11,272 people

8625 hospitalized for COVID-19

2647 hospitalized for flu

jamanetwork.com/journals/jama/…
5.7% died in the COVID-19 group

3.04% died in the flu group

That is a difference of 2.66% deaths

This translates into 35% higher risk of death in COVID-19 vs flu in 2024

jamanetwork.com/journals/jama/…
Read 6 tweets
Feb 22
📣 New in @ScienceMagazine

I teamed up with @EricTopol to write this #SciencePerspective on Long Covid

Solving the puzzle of #LongCovid

A long 🧵

science.org/doi/10.1126/sc…
First, what is Long Covid?

It is a complex nonmonolithic multisystemic disease with sequelae across almost all organ systems

It can manifest across the life span (from children to older adults) and across race & ethnicity, sex, & baseline health status

science.org/doi/10.1126/sc…
Long Covid is likely a disease with many subtypes that may have different risk factors (genetic, environmental, etc.) and distinct biologic mechanisms that may respond differently to treatments.

science.org/doi/10.1126/sc…
Read 19 tweets
Dec 24, 2023
3 key messages from our recent paper in @TheLancetInfDis

1. Covid is worse than flu

Covid remains a much more serious threat to human health than the flu

thelancet.com/journals/lanin…
2. Comparing the two:

COVID is more multisystemic
Flu is more respiratory

thelancet.com/journals/lanin…
3. Both covid and flu cause more health loss in the long-term than what is evident around the time of the infection

Trivializing these illnesses as inconsequential ignores the large burden of health loss that occurs in the post-acute/chronic/long phase

thelancet.com/journals/lanin…
Read 4 tweets
Dec 16, 2023
Some people objected to use of the term “long flu”

Let me explain

A thread

thelancet.com/journals/lanin…
Lets start with the evidence about health loss

higher in post-acute flu than acute flu

higher in post-acute covid (long covid) than acute covid

In both acute and post-acute phases, burden of health loss was higher in covid than flu

thelancet.com/journals/lanin…
For me, a big revelation from the study was:

the realization that when you measure it, the burden of health loss is higher in post-acute (long) phase of illness than acute phase of illness

I knew this about covid
I did not know this about flu
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(