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

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More from @zalaly

Oct 15
🚨 Long COVID is a significant health crisis in China too!

My commentary on the largest Chinese study to date, involving 74,075 participants, which found that 10-30% of them reported long COVID symptoms such as fatigue and brain fog #LongCovid

thelancet.com/journals/lanwp…
The features of Long Covid reported in this Chinese study are remarkably similar to those reported in studies conducted in other parts of the world.

This underscores the consistency of Long Covid features across national borders and cultures!!!

thelancet.com/journals/lanwp…
The study also shows that:

🔸Reinfections increase risk of Long Covid
🔸Vaccines reduce risk of Long Covid

This is also consistent with evidence from studies performed in other parts of the world.

thelancet.com/journals/lanwp…
Read 6 tweets
Sep 23
Here are key slides of my talk at the NIH-RECOVER-TLC
#RECOVERTLC
nature.com/articles/s4159…
Image
The number of people with Long Covid is huge. This demands global attention. nature.com/articles/s4159…
Image
The economic toll of Long Covid is significant.

nature.com/articles/s4159…
Image
Read 11 tweets
Sep 10
Here is the first randomized trial to show that an antiviral can prevent Long Covid.

In the PANORAMIC trial, people randomized to molnupiravir had less risk of Long Covid than people who received no antivirals

My comment in the link below. A short🧵
thelancet.com/journals/lanin…
The study included people with at least one risk factor for progression to severe COVID-19 illness.

People randomized to molnupiravir or usual care (no antivirals) were followed for 6 months

thelancet.com/journals/lanin…
People who were randomly assigned to molnupiravir during the acute phase of COVID-19 had better outcomes at 3 months and 6 months than those randomly assigned to usual care

thelancet.com/journals/lanin…
Read 9 tweets
Sep 1
400 million reasons to care about #LongCovid

ICYMI: our review on #LongCovid in @NatureMedicine

Long Covid has affected at least 400 million people worldwide at a cost of $1 trillion per year.

#LongCovid is a defining health crisis of our time!

nature.com/articles/s4159…Image
We review the mechanisms of Long Covid including viral persistence, immune dysfunction, thrombo-inflammation, neuronal inflammation, and microbiome dysbiosis.
nature.com/articles/s4159…
Image
We review the devastating impacts of Long Covid on individuals and communities, health systems, economies, and global health metrics.

nature.com/articles/s4159…
Read 6 tweets
Aug 26
🧵1/ A Significant surge in the number of people with a disability in the U.S.

The @stlouisfed just released an analysis using data from the Current Population Survey (CPS), revealing some concerning trends. Here’s what they found:

#Disability #DisabilityJustice #LongCovid Image
2/ Above Trend Increase in Disability
Since 2019, the number of disabled individuals has surged beyond the expected trend by nearly 2 million. This isn't just a statistical anomaly—it's a huge indicator of a deeper, underlying health crisis.Image
3/ Cognitive Disabilities Skyrocket
Most alarming is the rise in cognitive disabilities. The population reporting only a cognitive disability has grown by nearly 1 million—a 43% increase since 2019.
Read 8 tweets
Aug 22
ICYMI #LongCovid is a defining crisis of our time

Long Covid affects at least 400 million people globally with an economic cost of $1 trillion/yr

Addressing Long Covid requires a coordinated—but so far absent—response strategy

Our review @NatureMedicine
nature.com/articles/s4159…
ロングコビッドは、私たちの時代を決定づける危機です。

ロングコビッドは、世界中で少なくとも 4 億人に影響を与え、年間 1 兆ドルの経済的損失を招いています。

@NatureMedicine での私たちのレビュー

nature.com/articles/s4159…
La COVID prolongada es una crisis que define nuestro tiempo.

La COVID prolongada afecta al menos a 400 millones de personas en todo el mundo y tiene un coste económico de un billón de dólares al año.

Nuestra reseña en @NatureMedicine
nature.com/articles/s4159…
Read 6 tweets

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