Articles producció científica> Medicina i Cirurgia

Long Covid-19: Proposed Primary Care Clinical Guidelines for Diagnosis and Disease Management

  • Identification data

    Identifier: imarina:9202475
    Authors:
    Siso-Almirall, AntoniBrito-Zeron, PilarConangla Ferrin, LauraKostov, BelchinMoragas Moreno, AnnaMestres, JordiSellares, JaumeGalindo, GiselaMorera, RamonBasora, JosepTrilla, AntoniRamos-Casals, Manuel
    Abstract:
    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.
  • Others:

    Author, as appears in the article.: Siso-Almirall, Antoni; Brito-Zeron, Pilar; Conangla Ferrin, Laura; Kostov, Belchin; Moragas Moreno, Anna; Mestres, Jordi; Sellares, Jaume; Galindo, Gisela; Morera, Ramon; Basora, Josep; Trilla, Antoni; Ramos-Casals, Manuel
    Department: Medicina i Cirurgia
    URV's Author/s: Cabre Vila, Juan Jose / Moragas Moreno, Ana Maria
    Keywords: Thrombosis Thorax pain Symptomatology Severe acute respiratory syndrome Sars-cov-2 Sars coronavirus Review Rehabilitation care Primary health care Primary care Practice guideline Physical examination Patient care planning Patient care Myalgia Multidisciplinary team Mental health Management practice Lung disease Long covid-19 Laboratory test Infectious disease Immunopathology Humans Human Holistic care Heart disease Health policy Health impact Headache Guideline Gastrointestinal symptom Follow up Fatigue Evidence based practice Evidence based medicine Empowerment Emotional well-being Dyspnea Dysgeusia Disease management Disease duration Differential diagnosis Covid-19 Coughing Coronavirus disease 2019 Arthralgia Anosmia
    Abstract: 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.
    Thematic Areas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: anamaria.moragas@urv.cat juanjose.cabre@urv.cat
    Author identifier: 0000-0003-1082-6861
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.mdpi.com/1660-4601/18/8/4350
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: International Journal Of Environmental Research And Public Health. 18 (8): 4350-
    APA: Siso-Almirall, Antoni; Brito-Zeron, Pilar; Conangla Ferrin, Laura; Kostov, Belchin; Moragas Moreno, Anna; Mestres, Jordi; Sellares, Jaume; Galindo, Gi (2021). Long Covid-19: Proposed Primary Care Clinical Guidelines for Diagnosis and Disease Management. International Journal Of Environmental Research And Public Health, 18(8), 4350-. DOI: 10.3390/ijerph18084350
    Article's DOI: 10.3390/ijerph18084350
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Thrombosis
    Thorax pain
    Symptomatology
    Severe acute respiratory syndrome
    Sars-cov-2
    Sars coronavirus
    Review
    Rehabilitation care
    Primary health care
    Primary care
    Practice guideline
    Physical examination
    Patient care planning
    Patient care
    Myalgia
    Multidisciplinary team
    Mental health
    Management practice
    Lung disease
    Long covid-19
    Laboratory test
    Infectious disease
    Immunopathology
    Humans
    Human
    Holistic care
    Heart disease
    Health policy
    Health impact
    Headache
    Guideline
    Gastrointestinal symptom
    Follow up
    Fatigue
    Evidence based practice
    Evidence based medicine
    Empowerment
    Emotional well-being
    Dyspnea
    Dysgeusia
    Disease management
    Disease duration
    Differential diagnosis
    Covid-19
    Coughing
    Coronavirus disease 2019
    Arthralgia
    Anosmia
    Zootecnia / recursos pesqueiros
    Serviço social
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Pollution
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Interdisciplinar
    Health, toxicology and mutagenesis
    Geografía
    Geociências
    Farmacia
    Environmental studies
    Environmental sciences
    Ensino
    Engenharias ii
    Engenharias i
    Enfermagem
    Educação física
    Educação
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência da computação
    Biotecnología
    Biodiversidade
    Astronomia / física
    Administração pública e de empresas, ciências contábeis e turismo
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