Post-COVID-19 Syndrome Comprehensive Assessment: From Clinical Diagnosis to Imaging and Biochemical-Guided Diagnosis

Michael Zhipeng Yan1, Ming Yang2, Ching-Lung Lai1

  • 1Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China.

Viruses
|February 28, 2023
PubMed

Insights

Diagnosing Post-COVID-19 Syndrome (PC19S) relies on subjective symptoms, leading to potential errors. A triple assessment of clinical, biochemical, and imaging data is proposed for objective PC19S diagnosis and management.

Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Neurology

Background:

  • The COVID-19 pandemic has resulted in a significant number of survivors experiencing Post-COVID-19 Syndrome (PC19S).
  • Current PC19S diagnosis relies heavily on subjective patient history and symptomatology, lacking objective measures.
  • This diagnostic approach presents challenges in patient management, resource allocation, and monitoring clinical progression.

Purpose of the Study:

  • To review current evidence for diagnosing Post-COVID-19 Syndrome using a triple assessment approach.
  • To explore the development of objective assessment tools for PC19S.
  • To evaluate existing rehabilitation programs and identify research gaps.

Main Methods:

  • Narrative review of existing literature on Post-COVID-19 Syndrome diagnosis.
  • Analysis of diagnostic criteria including clinical symptomatology, biochemical markers, and imaging evidence.
  • Evaluation of current rehabilitation strategies and clinical trials for PC19S patients.

Main Results:

  • The current diagnostic methods for PC19S are subjective and prone to reporting errors.
  • A triple assessment (clinical, biochemical, imaging) offers a potential pathway towards more objective diagnosis.
  • Existing rehabilitation efforts primarily focus on cardiorespiratory and psychiatric aspects, with a need for broader approaches.

Conclusions:

  • Objective diagnostic tools are crucial for effective Post-COVID-19 Syndrome management and resource allocation.
  • A comprehensive triple assessment strategy can improve patient monitoring, prognosis, and rehabilitation planning.
  • Further research is essential to develop and validate objective assessment tools for PC19S.

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