The World Health Organization coronavirus treatment guidelines have been updated with a recommendation on thromboprophylaxis to prevent coagulopathies such as stroke or thromboembolism. The new advice on treatment also advocates better access to follow-up care for the sufferers of ‘long COVID’.
The previous version of the guidance provided recommendations on caring for patients in the COVID-19 care pathway. The updated guideline also includes a best-practice statement on managing patients with COVID-19 after their acute illness, together with five new conditional recommendations on:
- guiding decisions, including admission to hospital and to the intensive care unit (ICU)
- pulse oximetry monitoring at home for some patients
- awake prone positioning in hospitalised patients with severe symptoms of COVID-19
- thromboprophylactic dosing of anticoagulation in patients hospitalised with COVID-19 lacking an established indication for a higher dose of anticoagulation
- the use of existing care bundles (defined as three or more evidence-informed practices delivered together and consistently to improve care) chosen locally by a hospital or ICU and adapted for local circumstances.