%0 Journal Article %T A Delphi consensus statement for the management of post-COVID interstitial lung disease. %A Hadda V %A Suri TM %A Iyer H %A Jain A %A Mittal S %A Madan K %A Mohan A %A Seith Bhalla A %A Sindhwani G %A Dutt N %A Venkatnarayan K %A Nath A %A Dhooria S %A Kumar R %A Marwah V %A Karmakar S %A Chaudhry D %A Ayub II %A Dwivedi DP %A Tiwari P %A Koul P %A Behera AK %A Saxena P %A Sengupta A %A Mohapatra PR %A Goyal A %A Christopher DJ %A Guleria R %J Expert Rev Respir Med %V 16 %N 9 %D 09 2022 %M 36154545 %F 4.3 %R 10.1080/17476348.2022.2128770 %X As millions of people worldwide recover from COVID-19, a substantial proportion continue to have persistent symptoms, pulmonary function abnormalities, and radiological findings suggestive of post-COVID interstitial lung disease (ILD). To date, there is limited scientific evidence on the management of post-COVID ILD, necessitating a consensus-based approach.
A panel of experts in pulmonology and thoracic radiology was constituted. Key questions regarding the management of post-COVID ILD were identified. A search was performed on PubMed and EMBASE and updated till 1 March 2022. The relevant literature regarding the epidemiology, pathophysiology, diagnosis and treatment of post-COVID ILD was summarized. Subsequently, suggestions regarding the management of these patients were framed, and a consensus was obtained using the Delphi approach. Those suggestions which were approved by over 80% of the panelists were accepted. The final document was approved by all panel members.
Dedicated facilities should be established for the care of patients with post-COVID ILD. Symptom screening, pulmonary function testing, and thoracic imaging have a role in the diagnosis. The pharmacologic and non-pharmacologic options for the management of post-COVID ILD are discussed. Further research into the pathophysiology and management of post-COVID ILD will improve our understanding of this condition.