Abstract Rationale Survivors of critical illness commonly experience impairments in physical, cognitive, and mental health (commonly termed post-intensive care syndrome (PICS)) that persist beyond their acute hospitalization. Additionally, COVID-19 survivors may experience Long COVID, which includes a range of health conditions that occur after SARS-CoV-2 infection and are present for ≥3 months as a continuous, relapsing, and remitting, or progressive disease state affecting ≥1 organ system. The Johns Hopkins Post-Acute COVID-19 team (JH PACT) clinical program was established in April 2020 in response to the COVID-19 pandemic. It is a multidisciplinary clinic that serves patients with Long COVID (both post-ICU and non-ICU). In July 2024, the JH PACT program clinical services and capacity were expanded via Agency for Healthcare Research and Quality (AHRQ) funding. Methods This report describes the demographics and clinical service utilization of COVID-19 survivors (ICU and non-ICU) seen at JH PACT from July 1, 2024, to March 31, 2025. We conducted a retrospective review of clinical records for patient demographics, clinical services utilized (in-person/telemedicine, specialty, wait time), and quality of life (Patient-Reported Outcomes Measurement Information System (PROMIS) Global-10 quality of life (QOL)). Results A total of 322 patients were evaluated (45 14% post-ICU), accounting for 3252 clinical encounters (462 14% post-ICU). The mean (SD) age was 53 (15) years (57 16 post-ICU vs. 53 15 non-ICU); 30% were male (44% vs 27%); 15% were Black (36% vs 11%); 62% were from an urban area (64% vs 62%); Medicare was the primary insurance for 26% (56% vs 21%). Telemedicine encounters were common (67% post-ICU vs 89% non-ICU). Post-ICU patients had higher rates of pulmonary encounters (98% post-ICU vs 53% non-ICU) and lower rates of physical medicine and rehabilitation encounters (13% post-ICU vs 65% non-ICU). Post-ICU patients also had higher rates of pharmacy encounters (27% post-ICU vs 13% non-ICU) and lower rates of rehabilitation psychology encounters (16% post-ICU vs 32% non-ICU). Post-ICU patients had lower mean (SD) wait times (32 12 days vs 57 49 days). PROMIS QOL scores were similar between the two groups across physical, mental, global, and social health domains. Conclusions Post-ICU versus non-ICU Long COVID patients in the Johns Hopkins Post-Acute COVID-19 team (JH PACT) clinical program had differences in demographics and clinical services utilized. Quality of life scores were below average and similar for ICU and non-ICU patients. This abstract is funded by: None
Shah et al. (Fri,) studied this question.