For Health Care Providers: Post-COVID Conditions
The following resources are for health care providers. This is not an all-inclusive list, nor is MDH endorsing specific guidance over others. Information for the general public can be found at Long COVID: A Post-COVID Condition.
Post-COVID conditions are not well understood, and their true frequency and severity remain unknown. Guidance will continue to change over time. We will update this page as more information and resources become available.
Clinical case definitions
The Centers for Disease Control and Prevention (CDC) describe post-COVID conditions as “an umbrella term for the wide range of health consequences that can be present four or more weeks after infection with SARS-CoV-2, the virus that causes COVID-19.” However, there is not yet widespread consensus around standard clinical case definitions for most post-COVID conditions. This is in part because studies of post-COVID conditions and “long COVID” have varied widely by symptoms investigated, temporal criteria, study settings (inpatient vs. outpatient), and data sources (self-reporting versus electronic health records).
The World Health Organization (WHO) has also published a version for consideration: WHO: A Clinical Case Definition of Post COVID-19 Condition by a Delphi Consensus, 6 October 2021, which varies somewhat from the CDC description.
We may include standard definitions here as they become available.
Post-COVID conditions in children and adolescents
For information about multisystem inflammatory syndrome in children (MIS-C), including health alerts, instructions for reporting cases to MDH, and other resources, visit Multisystem Inflammatory Syndrome in Children (MIS-C).
Interim guidance for pediatricians and primary care providers is available at American Academy of Pediatrics: Post-COVID Conditions in Children and Adolescents.
Children with post-COVID conditions may experience challenges related to concentration, memory, or physical activity. Health care providers can work with schools and families on accommodations for classes, homework, and other activities. For more information, visit the U.S. Department of Education’s Office for Civil Rights (OCR) and the Office of Special Education and Rehabilitative Services (OSERS)’s Long COVID under Section 504 and the IDEA, Resource to Support Children, Students, Educators, Schools, Service Providers, and Families (PDF).
Resources and proposed guidelines
- Project ECHO: Long COVID and Fatiguing Illness Recovery Program
Monthly learning series, resource library, and quarterly short course for providers who care for patients with post-COVID conditions.
- CDC: Post-COVID Conditions: Information for Healthcare Providers
An overview for clinicians.
- CDC: Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance
Detailed information on clinical considerations, assessment and testing, management of conditions, follow-up care, public health recommendations, and more. Includes extensive list of references.
- American Academy of Physical Medicine and Rehabilitation: PASC Consensus Guidance
Links to guidance statements for assessing and managing fatigue, breathing discomfort, cognitive symptoms, autonomic dysfunction, and more related to long COVID.
- National Institute for Health and Care Excellence: COVID-19 Rapid Guideline: Managing the Long-Term Effects of COVID-19
Includes a baseline assessment tool, guidelines for assessing and managing long-term effects of COVID-19, advice for coordinating services, and more. Updated November 2021.
- International Journal of Environmental Research and Public Health: Long COVID-19: Proposed Primary Care Clinical Guidelines for Diagnosis and Disease Management
Recommendations for structured primary care visits, longitudinal follow up, multidisciplinary rehabilitation services, and empowering patients. Published April 2021.
- American Academy of Pediatrics: Post-COVID Conditions in Children and Adolescents
Interim guidance for pediatricians and primary care providers.
- World Health Organization: Support for rehabilitation: Self-management after COVID-19-related illness
Advice for adults who are recovering from COVID-19. Written by rehabilitation professionals in consultation with people recovering from long COVID. Includes tips for pacing and monitoring for post-exertional malaise.
- CDC: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Information for Healthcare Providers
Guidance on presentation, diagnosis, clinical care, and more. Long COVID may present as ME/CFS and benefit from similar management.
- New England Journal of Medicine: Confronting Our Next National Health Disaster — Long-Haul COVID
Perspectives on building a coordinated national health policy action and response. Published August 2021.
- National Institutes of Health: Dietary Supplements in the Time of COVID-19
Fact sheet for health professionals.