
Ten days ago I spent time commenting on the forthcoming Post-Covid syndrome clinical guideline being developed (rapidly) by the National Institute for Health and Care Excellence (NICE). It was full of references. Today (15th December 2020) I received notification of a useful Canadian Rapid Evidence Review from Alberta Healthcare. It will obviously go out of date rapidly but, until then, it is and will be a source of useful evidence.
It can be accessed here. It is quite long, but if you jump to Page 8 you will find figure one that summarises much of it. The clinical recommendations are, essentially, for patients to be seen by a multidisciplinary team using a structured clinical approach and, interestingly and counter to the likely UK approach, they recommend “options for decentralized care through collaboration with primary care physicians as well as nursing and allied health professionals.”
In other words, they are recommending involvement of holistic rehabilitation services with close involvement of community services and not an exclusive specialist service for Covid-19 patients only. Familiar? See here.