Long Covid-19: Proposed Primary Care Clinical Guidelines for Diagnosis and Disease Management
| Autor: | Antoni, Sisó-Almirall, Pilar, Brito-Zerón, Laura, Conangla Ferrín, Belchin, Kostov, Anna, Moragas Moreno, Jordi, Mestres, Jaume, Sellarès, Gisela, Galindo, Ramon, Morera, Josep, Basora, Antoni, Trilla, Manuel, Ramos-Casals, On Behalf Of The CAMFiC Long Covid-Study Group |
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| Přispěvatelé: | Universitat Politècnica de Catalunya. Departament d'Estadística i Investigació Operativa, Antoni Sisó-Almirall, Pilar Brito-Zerón, Laura Conangla Ferrín, Belchin Kostov, Anna Moragas Moreno, Jordi Mestres, Jaume Sellarès, Gisela Galindo, Ramon Morera, Josep Basora, Antoni Trilla, Manuel Ramos-Casals and on behalf of the CAMFiC long COVID-19 Study Group |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19) Ciències de la salut::Medicina [Àrees temàtiques de la UPC] Health Toxicology and Mutagenesis Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Signs and symptoms Review Primary care 030204 cardiovascular system & hematology Matemàtiques i estadística::Investigació operativa [Àrees temàtiques de la UPC] primary care 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Disease management (health) Intensive care medicine long COVID-19 Long COVID-19 Primary Health Care business.industry SARS-CoV-2 Public Health Environmental and Occupational Health COVID-19 Disease Management medicine.disease 90 Operations research mathematical programming [Classificació AMS] Atenció primària Etiology Medicine Middle East respiratory syndrome Differential diagnosis business |
| Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona International Journal of Environmental Research and Public Health, Vol 18, Iss 4350, p 4350 (2021) UPCommons. Portal del coneixement obert de la UPC Universitat Politècnica de Catalunya (UPC) International Journal of Environmental Research and Public Health |
| ISSN: | 1660-4601 |
| Popis: | © 2021 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Long COVID-19 may be defined as patients who, four weeks after the diagnosis of SARS-Cov-2 infection, continue to have signs and symptoms not explainable by other causes. The estimated frequency is around 10% and signs and symptoms may last for months. The main long-term manifestations observed in other coronaviruses (Severe Acute Respiratory Syndrome (SARS), Middle East respiratory syndrome (MERS)) are very similar to and have clear clinical parallels with SARS-CoV-2: mainly respiratory, musculoskeletal, and neuropsychiatric. The growing number of patients worldwide will have an impact on health systems. Therefore, the main objective of these clinical practice guidelines is to identify patients with signs and symptoms of long COVID-19 in primary care through a protocolized diagnostic process that studies possible etiologies and establishes an accurate differential diagnosis. The guidelines have been developed pragmatically by compiling the few studies published so far on long COVID-19, editorials and expert opinions, press releases, and the authors’ clinical experience. Patients with long COVID-19 should be managed using structured primary care visits based on the time from diagnosis of SARS-CoV-2 infection. Based on the current limited evidence, disease management of long COVID-19 signs and symptoms will require a holistic, longitudinal follow up in primary care, multidisciplinary rehabilitation services, and the empowerment of affected patient groups. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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