The topic of the long-term effects of COVID-19, so-called “long-COVID”, has gained increased attention. The US federal government announced plans to develop an interagency national research action plan to uncover more insights into the long-term effects of COVID-19. This study contributes to our understanding of the long-term effects of COVID-19 by quantifying patterns of healthcare utilization up to 360 days after an initial COVID-19 diagnosis occurring during the beginning of the pandemic (March-August 2020) in a very large nationally representative population of insured adults. We quantify actual COVID-19-related utilization (as opposed to reported symptoms) by accessing claims data to calculate average medical visits per patient per month by type of encounter (e.g. inpatient stay, physician visit). In contrast to many recent reports in the media, our results show that COVID-19-related utilization declines substantially after the first-month post-diagnosis and continues to decline throughout the study period to very low levels.
References
[1]
CDC (Centers for Disease Control and Prevention) (2022) COVID Data Tracker. US Department of Health and Human Services, Atlanta, GA.
https://covid.cdc.gov/covid-data-tracker
[2]
Rubin, R. (2020) As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts. JAMA, 324, 1381-1383. https://doi.org/10.1001/jama.2020.17709
[3]
RECOVER: Researching COVID to Enhance Recovery. https://recovercovid.org/
[4]
The White House (2022) Memorandum on Addressing the Long-Term Effects of COVID-19.
https://www.whitehouse.gov/briefing-room/presidential-actions/2022/04/05/memorandum-on-addressing-the-long-term-effects-of-covid-19/
[5]
CDC (Centers for Disease Control and Prevention) and National Center for Health Statistics (2020) ICD-10-CM Official Coding and Reporting Guidelines.
https://www.cdc.gov/nchs/covid19/icd-10-cm-coding-guidelines.htm
[6]
CDC (Centers for Disease Control and Prevention) (2020) ICD-10-CM Official Coding Guidelines—Supplement. Coding Encounters Related to COVID-19 Coronavirus Outbreak.
https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf
[7]
O’Leary, J. and Melnick, G. (2022) Few Adult COVID-19 Patients Continue to Seek Medical Care One Year after Their Initial Diagnosis. Epic Research.
https://epicresearch.org/articles/few-adult-covid-19-patients-continue-to-seek-medical-care-one-year-after-their-initial-diagnosis
[8]
Centers for Disease Control and Prevention (2021) ICD-10-CM Official Guidelines for Coding and Reporting.
https://www.cdc.gov/nchs/data/icd/ICD-10cmguidelines-FY2021-COVID-update-January-2021-508.pdf
[9]
Huang, B.Z., Creekmur, B., Yoo, M.S., et al. (2022) Healthcare Utilization among Patients Diagnosed with COVID-19 in a Large Integrated Health System. Journal of General Internal Medicine, 37, 830-837.
https://doi.org/10.1007/s11606-021-07139-z
[10]
Raman, B., Bluemke, D.A., Lüscher, T.F. and Neubauer, S. (2022) Long COVID: Post-Acute Sequelae of COVID-19 with a Cardiovascular Focus. European Heart Journal, 43, 1157-1172. https://doi.org/10.1093/eurheartj/ehac031
[11]
CDC (Centers for Disease Control and Prevention) (2023) Hospitalization, and Death by Age.
https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-age.html
[12]
CDC (Centers for Disease Control and Prevention) (2022) Long COVID.
https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html
[13]
WHO (World Health Organization) (2021) A Clinical Case Definition of Post COVID-19 Condition by a Delphi Consensus, 6 October 2021.
https://www.who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1
[14]
CDC (Centers for Disease Control and Prevention) (2021) New ICD-10-CM Code for Post-COVID Conditions, following the 2019 Novel Coronavirus (COVID-19).
https://www.cdc.gov/nchs/data/icd/announcement-new-icd-code-for-post-covid-condition-april-2022-final.pdf