对后COVID-19综合征康复指南的系统审查
Tess Marshall-Andon1,2, Sebastian Walsh1,3, Tara Berger-Gillam1,4
1Public Health, Public Health England East of England, Cambridge, UK.
Integrated healthcare journal
|July 13, 2023
概括
这项系统性审查发现,COVID-19综合征后康复指南虽然通常质量不佳,但强调对长期COVID患者的整体,以人为中心的护理和多学科评估.
科学领域:
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 后COVID-19综合征带来了重大的健康和社会经济挑战.
- 在急性COVID-19感染后康复方面缺乏既定的最佳实践.
- 这项研究解决了在COVID-19后综合征康复中需要明确性的问题.
研究的目的:
- 系统地审查后COVID-19综合征康复的临床和服务指南.
- 确定目前康复指导中的共识和差距.
- 为制定基于证据的康复策略提供信息.
主要方法:
- 在PROSPERO注册的系统审查,遵守PRISMA指南.
- 包括正式发布或批准的COVID-19后康复指南.
- 使用AGREE II,AGREE-REX和AGREE-HS工具进行选,数据提取和质量评估.
主要成果:
- 37个指南 (19个临床指南,7个服务指南,11个综合指南) 被从系统搜索中纳入.
- 根据国家,康复类型,人口和环境,指导方针各不相同.
- 临床指导方针遵循患者路径;服务指导方针使用Donabedian框架.
结论:
- 尽管一般指南质量不佳,但在症状范围,整体多学科评估和以人为中心的护理方面存在共识.
- 缺乏清晰度的领域包括管理选项,结果测量和核准标准.
- 需要进一步制定高质量的指导方针,以标准化COVID-19后康复.
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