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

2020; Springer Science+Business Media; Volume: 32; Issue: 8 Linguagem: Inglês

10.1007/s40520-020-01616-x

1720-8319

Francesco Landi, Elisa Gremese, Roberto Bernabei, Massimo Fantoni, Antonio Gasbarrini, Carlo Romano Settanni, Francesca Benvenuto, G. Bramato, Angelo Carfì, Francesca Ciciarello, Maria Rita Lo Monaco, Anna Maria Martone, Emanuele Marzetti, Carlo Napolitano, Francesco Pagano, Sara Rocchi, Elisabetta Rota, Andrea Salerno, Matteo Tosato, Marcello Tritto, Riccardo Calvani, L. Catalano, Anna Picca, Giulia Savera, Enrica Tamburrini, Alberto Borghetti, Simona Di Gianbenedetto, Rita Murri, Antonella Cingolani, Giulio Ventura, Eleonora Taddei, Davide Moschese, Arturo Ciccullo, Leonardo Stella, Giovanni Addolorato, Francesco Franceschi, Geltrude Mingrone, Maria Assunta Zocco, Maurizio Sanguinetti, Paola Cattani, S. Marchetti, Alessandra Bizzarro, Alessandra Lauria, Stanislao Rizzo, Maria Cristina Savastano, Gloria Gambini, Grazia Maria Cozzupoli, Carola Culiersi, Giulio Cesare Passàli, Gaetano Paludetti, Jacopo Galli, Fabrizio Crudo, Giovanni Di Cintio, Ylenia Longobardi, Lucia Tricarico, Mariaconsiglia Santantonio, Danilo Buonsenso, Piero Valentini, Davide Pata, Dario Sinatti, Cristina De Rose, Luca Richeldi, Francesco Lombardi, Angelo Calabrese, Gabriele Sani, Delfina Janiri, Giulia Giuseppin, Marzia Molinaro, Marco Modica, Luigi Natale, Anna Rita Larici, Riccardo Marano, Annamaria Paglionico, Luca Petricca, Laura Gigante, G. Natalello, Anna Laura Fedele, Marco Maria Lizzio, Angelo Santoliquido, L. Santoro, Antonio Nesci, Valentina Popolla,

COVID-19 and healthcare impacts

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.