Post-acute COVID syndrome (long COVID): What should radiographers know and the potential impact for imaging services

Journal article


F. Alghamdi, R. Owen, Ashton, R., A.D. Obotiba, R.M. Meertens, E. Hyde, M.A. Faghy, K.M. Knapp, P. Rogers and W.D. Strain 2022. Post-acute COVID syndrome (long COVID): What should radiographers know and the potential impact for imaging services. Radiography. 28, pp. 1-7. https://doi.org/10.1016/j.radi.2022.08.009
AuthorsF. Alghamdi, R. Owen, Ashton, R., A.D. Obotiba, R.M. Meertens, E. Hyde, M.A. Faghy, K.M. Knapp, P. Rogers and W.D. Strain
Abstract

The COVID-19 pandemic caused an unprecedented health crisis resulting in over 6 million deaths worldwide, a figure, which continues to grow. In addition to the excess mortality, there are individuals who recovered from the acute stages, but suffered long-term changes in their health post COVID-19, commonly referred to as long COVID. It is estimated there are currently 1.8 million long COVID sufferers by May 2022 in the UK alone. The aim of this narrative literature review is to explore the signs, symptoms and diagnosis of long COVID and the potential impact on imaging services. Long COVID is estimated to occur in 9.5% of those with two doses of vaccination and 14.6% if those with a single dose or no vaccination. Long COVID is defined by ongoing symptoms lasting for 12 or more weeks post acute infection. Symptoms are associated with reductions in the quality of daily life and may involve multisystem manifestations or present as a single symptom. The full impact of long COVID on imaging services is yet to be realised, but there is likely to be significant increased demand for imaging, particularly in CT for the assessment of lung disease. Educators will need to include aspects related to long COVID pathophysiology and imaging presentations in curricula, underpinned by the rapidly evolving evidence base. Symptoms relating to long COVID are likely to become a common reason for imaging, with a particular burden on Computed Tomography services. Planning, education and updating protocols in line with a rapidly emerging evidence base is going to be essential.

KeywordsCovid-19; health crisis ; long COVID; post acute infection
Year2022
JournalRadiography
Journal citation28, pp. 1-7
PublisherElsevier
ISSN1532-2831
Digital Object Identifier (DOI)https://doi.org/10.1016/j.radi.2022.08.009
Web address (URL)https://doi.org/10.1016/j.radi.2022.08.009
Output statusPublished
Publication dates13 Sep 2022
Publication process dates
Accepted22 Aug 2022
Deposited14 Oct 2022
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A review of inspiratory muscle training. When and why does it work?
Faghy, M. 2019. A review of inspiratory muscle training. When and why does it work? Japanese Journal of Physical Fitness and Sports Medicine. 68 (1), pp. 3-5. https://doi.org/10.7600/jspfsm.68.3
Functional training of the inspiratory muscles improves load carriage performance
Faghy, Mark and Brown, Peter I 2019. Functional training of the inspiratory muscles improves load carriage performance. Ergonomics. 62 (11), pp. 1439-1449. https://doi.org/10.1080/00140139.2019.1652352
Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy.
Ashton, Ruth E, Tew, Garry A, Robson, Wendy A, Saxton, John M and Aning, Jonathan J 2019. Cross-sectional study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy. Supportive care in cancer. 27 (12), pp. 4763-4770. https://doi.org/10.1007/s00520-019-04794-1
Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements
Duncan, Mike, Roscoe, Clare M. P., Faghy, Mark, Tallis, Jason and Eyre, Emma 2019. Estimating physical activity in children aged 8–11 Years using Accelerometry: Contributions from fundamental movement skills and different Accelerometer placements. Frontiers in Physiology. https://doi.org/10.3389/fphys.2019.00242
P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study
HJ Pick, MA Faghy, G Cresswell, WS Lim, T Bewick and Faghy, M. 2018. P25 Inspiratory muscle training (IMT) for adults discharged from hospital with community acquired pneumonia (CAP) – a feasibility study. BMJ Journals. https://doi.org/10.1136/thorax-2018-212555.183
Active recovery strategy and lactate clearance in elite swimmers
Mark A. Faghy, Mitch Lomax and Peter I. Brown 2018. Active recovery strategy and lactate clearance in elite swimmers. The Journal of Sports Medicine and Physical Fitness. 59 (9), pp. 1487-1491. https://doi.org/10.23736/s0022-4707.18.09228-9
Evaluation of shared placements between MSc Pre-Registration and BSc (Hons) Diagnostic Radiography students.
Partner, Alexandra, Shiner, N. and Hyde, E. 2018. Evaluation of shared placements between MSc Pre-Registration and BSc (Hons) Diagnostic Radiography students. National Association Educators in Practice (NAEP).
Values-based practice (VBP) training for radiographers.
Strudwick Ruth, Newton-Hughes, Ann, Gibson, Sue, Harris, Joanne, Gradwell, Mark, Hyde, E., Harvey-Lloyd, Jane, O'Regan, Tracy and Hendry, Julie 2018. Values-based practice (VBP) training for radiographers. The National Association of Educators in Practice.
Effects of short-term, medium-term and long-term resistance exercise training on cardiometabolic health outcomes in adults: systematic review with meta-analysis.
Ashton, Ruth E, Tew, Garry A, Aning, Jonathan J, Gilbert, Stephen E, Lewis, Liane and Saxton, John M 2018. Effects of short-term, medium-term and long-term resistance exercise training on cardiometabolic health outcomes in adults: systematic review with meta-analysis. British journal of sports medicine. 54 (6), pp. 341-348. https://doi.org/10.1136/bjsports-2017-098970
From startline to frontline: the application of respiratory exercise physiology to occupational performance
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2017. From startline to frontline: the application of respiratory exercise physiology to occupational performance. Sport and Exercise Scientist.
Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads
Faghy, Mark and Brown, Peter I. 2017. Whole body active warm up and inspiratory muscle warm up do not improve running performance when carrying thoracic loads. Applied physiology, nutrition, and metabolism. 42 (8). https://doi.org/10.1139/apnm-2016-0711
Building capacity: an evaluation of the use of non-traditional placements in diagnostic radiography education
Hyde, E. and Errett, Sue 2017. Building capacity: an evaluation of the use of non-traditional placements in diagnostic radiography education. Imaging and Therapy Practice.
Return to practice: supporting diagnostic radiographers back into the workforce.
Hyde, E. and Errett, Sue 2017. Return to practice: supporting diagnostic radiographers back into the workforce.
An investigation into first year diagnostic radiography students' preparedness to deal with ill service users in two UK universities
Hyde, E. and Strudwick, Ruth 2017. An investigation into first year diagnostic radiography students' preparedness to deal with ill service users in two UK universities. Imaging and Therapy Practice.
Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers
Lomax M, Kapus J, Brown PI and Faghy M 2017. Impact of Weekly Swimming Training Distance on the Ergogenicity of Inspiratory Muscle Training in Well-Trained Youth Swimmers. Journal of Strength and Conditioning Research. 33 (8), pp. 2185-2193. https://doi.org/10.1519/jsc.0000000000002375
Building capacity: an evaluation of the use of non-traditional placements in diagnostic radiography education.
Hyde, E. and Errett, Sue 2017. Building capacity: an evaluation of the use of non-traditional placements in diagnostic radiography education. UKRCO conference.
Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM.
Faghy, Mark, Lindley, Martin R. and Brown, Peter I. 2016. Functional inspiratory muscle training (IMT) improves load carriage performance greater than traditional IMT techniques: 1652 Board #305 June 2, 9: 00 AM - 10: 30 AM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486377.59880.50
Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM.
Lindley, Martin R., Faghy, Mark, Sowter, Heidi M. and Mickleborough, Timothy D. 2016. Pilot study : can inspiratory muscle training relieve symptoms ff dyspnoea and improve quality of life for advanced cancer patients ?: 1872 Board #24 June 2, 3: 30 PM - 5: 00 PM. Wolters Kluwer. https://doi.org/10.1249/01.mss.0000486545.72377.ea
Effects of load mass carried in a backpack upon respiratory muscle fatigue
Faghy, Mark, Blacker, Sam D. and Brown, Peter I. 2016. Effects of load mass carried in a backpack upon respiratory muscle fatigue. European Journal of Sport Science. 16 (8), pp. 1032-1038. https://doi.org/10.1080/17461391.2016.1202326
An investigation into first year diagnostic radiography students' preparedness to deal with ill people in two UK universities
Hyde, E. and Strudwick, Ruth 2016. An investigation into first year diagnostic radiography students' preparedness to deal with ill people in two UK universities.
Easing the transition: the importance of high quality mentorship in placement support
Hyde, E. 2016. Easing the transition: the importance of high quality mentorship in placement support. UK Radiological Congress 2016.
Fitness to practise: Incident reporting and professional behaviour
Partner, Alexandra and Hyde, E. 2016. Fitness to practise: Incident reporting and professional behaviour. College of Radiographers.
Limitations and trainability of the respiratory system during exercise with thoracic loads
Faghy, Mark 2016. Limitations and trainability of the respiratory system during exercise with thoracic loads. PhD Thesis https://doi.org/10.48773/92y02
Number of Directional Changes Alters the Physiological, Perceptual, and Neuromuscular Responses of Netball Players During Intermittent Shuttle Running
Ashton, R. and Twist, C. 2015. Number of Directional Changes Alters the Physiological, Perceptual, and Neuromuscular Responses of Netball Players During Intermittent Shuttle Running. Journal of Strength and Conditioning Research. 29 (10), pp. 2731-7. https://doi.org/10.1519/jsc.0000000000000933
Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack
Faghy, Mark and Brown, Peter I. 2015. Training the inspiratory muscles improves running performance when carrying a 25 kg thoracic load in a backpack. European Journal of Sport Science. 16 (5), pp. 585-594. https://doi.org/10.1080/17461391.2015.1071878
Using social media to promote the radiography subject area
Partner, Alexandra and Hyde, E. 2014. Using social media to promote the radiography subject area. United Kingdom Radiological Congress.
Preloaded Time Trial to Assess Load Carriage Performance
Mark A. Faghy and Peter I. Brown 2014. Preloaded Time Trial to Assess Load Carriage Performance. Journal of Strength and Conditioning Research. 28 (12), pp. 3354-3362. https://doi.org/10.1519/jsc.0000000000000555
Thoracic load carriage-induced respiratory muscle fatigue
Faghy, M. and Brown, P.I. 2014. Thoracic load carriage-induced respiratory muscle fatigue. European Journal of Applied Physiology. 114, p. 1085–1093. https://doi.org/10.1007/s00421-014-2839-4
A critical evaluation of student radiographers' experience of the transition from the classroom to their first clinical placement.
Hyde, E. 2014. A critical evaluation of student radiographers' experience of the transition from the classroom to their first clinical placement. Radiography. https://doi.org/10.1016/j.radi.2014.12.005
Easing the transition from classroom to clinical placement
Hyde, E. 2014. Easing the transition from classroom to clinical placement. European First Year Experience conference.
A smoother ride: facilitating the transition between classroom and clinical placement
Hyde, E. 2014. A smoother ride: facilitating the transition between classroom and clinical placement. NET 2014 conference.
Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters
Brown, Peter I., Venables, Heather, Liu, Hymsuen, de Witt, Julie T., Brown, Michelle R. and Faghy, Mark 2013. Ventilatory muscle strength, diaphragm thickness and pulmonary function in world-class powerlifters. European Journal of Applied Physiology. 113, p. 2849–2855. https://doi.org/10.1007/s00421-013-2726-4