text: Post infectious and post acute sequelae of critically ill adults with COVID 19 Data on the post acute and post infectious complications of patients who have recovered from severe coronavirus disease 2019 COVID 19 are limited While studies report that approximately 5 15 of COVID 19 hospitalized patients require intensive care and mechanical ventilation a substantially higher number need non invasive ventilation and are subject to prolonged hospitalizations with long periods of immobility and isolation The purpose of this study is to describe the post infectious sequelae of severe viral illness and the post acute complications of intensive care treatments in critically ill patients who have recovered from severe COVID 19 infection We performed a retrospective chart review of adult patients initially hospitalized with confirmed COVID 19 infection who recovered and were transferred to a general medical ward or discharged home between March 15 2020 and May 15 2020 dates inclusive after an intensive care unit ICU or high dependency unit HDU admission in a designated COVID 19 hospital in the United Arab Emirates Demographic data underlying comorbidities treatment complications and outcomes were collected Descriptive statistical analyses were performed Of 71 patients transferred out of ICU n 38 54 and HDU n 33 46 mean age was 48 years SD 9 95 96 men 54 under age 50 Mean ICU stay was 12 4 days SD 5 29 HDU stay was 13 4 days SD 4 53 Pre existing conditions were not significantly associated with developing post acute complications Odds Ratio OR 1 1 95 confidence interval CI 0 41 2 93 p 1 00 Fifty nine percent of patients had complications myopathy swallowing impairments and pressure ulcers were most common Delirium and confusion were diagnosed in 18 n 13 all were admitted to the ICU and required mechanical ventilation Of note of all patients studied 59 2 n 42 71 had at least 1 complication 32 4 n 23 had at least 2 complications and 19 7 n 14 suffered 3 or more sequelae Complications were significantly more common in ICU patients n 33 38 87 compared to HDU patients n 9 33 27 OR 17 6 95 CI 5 23 59 21 p 0 05 In a subset of critically ill patients who recovered from severe COVID 19 infection there was considerable short term post infectious and post acute disability Long term follow up of COVID 19 survivors is warranted 