Post-ICU and infection-associated chronic conditions (like Long Covid)

Diagnosis Post-ICU and infection-associated chronic conditions (like Long Covid)
Department CAIRE - Pulmonary, Allergy and Critical Care Medicine & Cardiology

OHSU's criteria for infection-associated chronic conditions (IACCs) like Long COVID and Post-ICU criteria are listed below. 

We offer a program for adults only and a provider will help you manage your diagnoses, which may include referrals to specialists if needed. For IACC pediatric diagnoses, please refer patients directly to an OHSU pediatric specialist as needed.

1. Start the referral process:

Use your own referral form or notes* or download our form:

Adult referral form

2. Gather records:

The patients who are eligible to see CAIRE after the ICU need to have had: 

  • Acute respiratory failure or acute respiratory distress syndrome (ARDS)
  • Severe sepsis or septic shock
  • ≥48 hours of needing life support technologies such as: 
    • invasive mechanical ventilation; 
    • high flow nasal cannula;
    • new continuous positive airway pressure (CPAP), or bilevel positive airway pressure (BiPAP); 
    • Extracorporeal Membrane Oxygenation (ECMO); 
    • mechanical circulatory support (Impella, intra-ortic balloon pump ( IABP)
  • a need for urgent cardiovascular interventions such as catheterization, coronary artery bypass graft (CABG) (e.g., PCI, CABG)
  • continuous administration of neuromuscular blockers, sedatives, IV diuretics, or vasopressors/inotropes

The patients who are eligible to see CAIRE for an Infection-Associated Chronic Condition (IACC) will need to have new or worsening symptoms after an acute infection like SARS-CoV-2 that have lasted ≥ 3 months. Since we rely on a collaborative relationship with a patient’s PCP, we require the referral to CAIRE be submitted by the provider serving as the patient’s current PCP. CAIRE focuses on patients with any of the following symptoms: 

  • shortness of breath
  • cough
  • fatigue (physical or cognitive)
  • post-exertional malaise
  • exercise intolerance
  • cognitive or communication changes (brain fog)
  • orthostatic intolerance or dysautonomia  

3. Fax the referral and all records to 503-346-6854.

* Referral notes or forms should include:

  • Patient name, date of birth, sex, address and phone number
  • Referring provider’s name, address and phone number
  • Diagnosis or reason for referral
  • Department patient is being referred to
  • Most recent chart notes supporting the diagnosis or reason for referral
Date Revised June 12, 2025