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