{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T10:45:45Z","timestamp":1775213145814,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2024,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the uptake of the Alfred Health Post\u2010COVID service among people hospitalised with coronavirus disease 2019 (COVID\u201019) or referred by general practitioners; to describe their characteristics and symptoms at eight weeks and the clinical services they required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Observational cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Outpatient post\u2010COVID\u201019 follow\u2010up service in a tertiary Melbourne hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>All people admitted to Alfred Health (inpatients, hospital\u2010in\u2010the\u2010home) with COVID\u201019, 19 March 2020 \u2013 28 December 2022; people with persistent symptoms referred by general practitioners in the Alfred Health catchment area during 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Questionnaire\u2010based symptom assessment eight weeks after onset of COVID\u201019. Dyspnoea, fatigue, depression, anxiety, and post\u2010traumatic stress disorder were assessed with standardised tools, as were health status and health\u2010related quality of life; return to work or study, weight loss, and altered cognition and memory were also assessed. Screening was followed by physical assessment and management at the service (specialist general medicine review, physiotherapist, allied health assistant, neuropsychologist) and referral to other specialist medical services as required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Proportion of eligible people who used the service for follow\u2010up at eight weeks; proportions of service users who reported symptoms and return to pre\u2010COVID\u201019 employment or study; clinical services required by service users.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 6712 people invited for screening, 726 completed questionnaires (11%). At least one persistent symptom was reported by 385 of 642 respondents (60% of respondents, 5.7% of invitees), most frequently memory (371 of 656, 57%) or concentration problems (431 of 656, 66%), dyspnoea (197 of 703, 28%), and extreme fatigue (189 of 673, 28%). Sixty\u2010seven of 453 respondents had not returned to pre\u2010COVID\u201019 work or study (15%). People were referred to a variety of medical and non\u2010medical services for management, including specialist medical clinics, allied health, and rehabilitation. Among 71 people who also completed questionnaires at twelve months, the proportions who reported fatigue, anxiety, and memory and concentration changes were similar at both assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>After acute COVID\u201019 that required hospital admission or was followed by persistent symptoms in community care, a small proportion of people (5.7%) reported symptoms that required medical and allied health specialist assessment and management. Our findings may assist planning services for people with long COVID.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52192","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T07:28:42Z","timestamp":1703230122000},"page":"91-96","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Alfred Health <scp>post\u2010COVID<\/scp>\u201019 service, Melbourne, 2020\u20132022: an observational cohort study"],"prefix":"10.5694","volume":"220","author":[{"given":"Anne E","family":"Holland","sequence":"first","affiliation":[{"name":"Monash University  Melbourne VIC"},{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Fineberg","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tunya","family":"Marceau","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Chong","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Beaman","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Wilson","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u2010Anne","family":"Buchanan","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Uren","sequence":"additional","affiliation":[{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone","family":"Dal Corso","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha A","family":"Lannin","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christie R","family":"Mellerick","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathya","family":"Fernando","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Bondarenko","sequence":"additional","affiliation":[{"name":"Monash University  Melbourne VIC"},{"name":"Alfred Health  Melbourne VIC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"e_1_2_7_1_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-022-30836-0"},{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-95565-8"},{"key":"e_1_2_7_3_1","first-page":"1275","article-title":"Physical, cognitive, and mental health impacts of COVID\u201019 after hospitalisation (PHOSP\u2010 COVID): a UK multicentre, prospective cohort study.","volume":"10","author":"Evans R","year":"2022","journal-title":"Lancet Respir Med"},{"key":"e_1_2_7_4_1","unstructured":"World Health Organization.A clinical case definition of post COVID\u201019 condition by a Delphi consensus. 6 Oct 2021.https:\/\/apps.who.int\/iris\/handle\/10665\/345824(viewed Apr 2023)."},{"key":"e_1_2_7_5_1","unstructured":"National Institute for Health and Care Excellence (NICE); Scottish Intercollegiate Guidelines Network (SIGN); Royal College of General Practitioners (RCGP).COVID\u201019 rapid guideline: managing the long\u2010term effects of COVID\u201019 [NG188]. 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