Post-COVID-19 global health strategies: the need for an interdisciplinary approach

Gemelli Against COVID-19 Post-Acute Care Study Group, F Landi, E Gremese, R Bernabei, M Fantoni, A Gasbarrini, C R Settanni, F Benvenuto, G Bramato, A Carfì, F Ciciarello, M R Lo Monaco, A M Martone, E Marzetti, C Napolitano, F Pagano, S Rocchi, E Rota, A Salerno, M Tosato, M Tritto, R Calvani, L Catalano, A Picca, G Savera, E Tamburrini, A Borghetti, S Di Gianbenedetto, R Murri, A Cingolani, G Ventura, E Taddei, D Moschese, A Ciccullo, L Stella, G Addolorato, F Franceschi, G Mingrone, M A Zocco, M Sanguinetti, P Cattani, S Marchetti, A Bizzarro, A Lauria, S Rizzo, M C Savastano, G Gambini, G M Cozzupoli, C Culiersi, G C Passali, G Paludetti, J Galli, F Crudo, G Di Cintio, Y Longobardi, L Tricarico, M Santantonio, D Buonsenso, P Valentini, D Pata, D Sinatti, C De Rose, L Richeldi, F Lombardi, A Calabrese, G Sani, D Janiri, G Giuseppin, M Molinaro, M Modica, L Natale, A R Larici, R Marano, A Paglionico, L Petricca, L Gigante, G Natalello, A L Fedele, M M Lizzio, A Santoliquido, L Santoro, A Nesci, V Popolla, Gemelli Against COVID-19 Post-Acute Care Study Group, F Landi, E Gremese, R Bernabei, M Fantoni, A Gasbarrini, C R Settanni, F Benvenuto, G Bramato, A Carfì, F Ciciarello, M R Lo Monaco, A M Martone, E Marzetti, C Napolitano, F Pagano, S Rocchi, E Rota, A Salerno, M Tosato, M Tritto, R Calvani, L Catalano, A Picca, G Savera, E Tamburrini, A Borghetti, S Di Gianbenedetto, R Murri, A Cingolani, G Ventura, E Taddei, D Moschese, A Ciccullo, L Stella, G Addolorato, F Franceschi, G Mingrone, M A Zocco, M Sanguinetti, P Cattani, S Marchetti, A Bizzarro, A Lauria, S Rizzo, M C Savastano, G Gambini, G M Cozzupoli, C Culiersi, G C Passali, G Paludetti, J Galli, F Crudo, G Di Cintio, Y Longobardi, L Tricarico, M Santantonio, D Buonsenso, P Valentini, D Pata, D Sinatti, C De Rose, L Richeldi, F Lombardi, A Calabrese, G Sani, D Janiri, G Giuseppin, M Molinaro, M Modica, L Natale, A R Larici, R Marano, A Paglionico, L Petricca, L Gigante, G Natalello, A L Fedele, M M Lizzio, A Santoliquido, L Santoro, A Nesci, V Popolla

Abstract

For survivors of severe COVID-19 disease, having defeated the virus is just the beginning of an uncharted recovery path. What follows after the acute phase of SARS-CoV-2 infection depends on the extension and severity of viral attacks in different cell types and organs. Despite the ridiculously large number of papers that have flooded scientific journals and preprint-hosting websites, a clear clinical picture of COVID-19 aftermath is vague at best. Without larger prospective observational studies that are only now being started, clinicians can retrieve information just from case reports and or small studies. This is the time to understand how COVID-19 goes forward and what consequences survivors may expect to experience. To this aim, a multidisciplinary post-acute care service involving several specialists has been established at the Fondazione Policlinico Universitario A. Gemelli IRCSS (Rome, Italy). Although COVID-19 is an infectious disease primarily affecting the lung, its multi-organ involvement requires an interdisciplinary approach encompassing virtually all branches of internal medicine and geriatrics. In particular, during the post-acute phase, the geriatrician may serve as the case manager of a multidisciplinary team. The aim of this article is to describe the importance of the interdisciplinary approach--coordinated by geriatrician--to cope the potential post-acute care needs of recovered COVID-19 patients.

Keywords: COVID-19; Health care organization; Personalized medicine; Post-acute care.

Conflict of interest statement

None of the participants in the Gemelli Against COVID-19 Post-Acute Care Study Group has any conflict of interest.

Figures

Fig. 1
Fig. 1
Multi-organ impairment caused by SARS-CoV-2 infection: holistic approach coordinated by internal medicine–geriatrics

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