后COVID护理提供:来自爱尔兰高等中心后COVID诊所的经验
Aoife Heeney1, Stephen P Connolly1, Rachel Dillon1
1Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin 7, Ireland.
PloS one
|August 11, 2023
概括
70%的患者在COVID-19后经历了持续的症状,呼吸不全,咳和心,表明对随访护理的需求更高. 一个电话分类系统有效地识别了需要进一步管理的患者.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 心脏病学 心脏病学
背景情况:
- SARS-CoV-2 (导致COVID-19的病毒) 的长期影响和最佳后续策略仍然不清楚.
- 在最初的流行病浪潮之后,在爱尔兰的高等中心建立了一个后COVID诊所.
- 这项研究详细介绍了患者特征,临床操作和结果,调查了COVID后综合征的危险因素.
研究的目的:
- 为了描述参加后COVID诊所的患者.
- 为了评估电话选系统在管理后COVID患者的有效性.
- 识别与需要持续医疗跟踪相关的风险因素.
主要方法:
- 基于症状的SARS-CoV-2阳性患者的电话分组 (红色,珀色,绿色).
- 与传染病团队进行面对面的咨询.
- 从患者资料和电子医疗记录中回顾性收集数据.
主要成果:
- 311名患者参加了诊所;70%的患者在第一次访问时仍有症状.
- 持久性呼吸不良,咳和心与随访需求的增加有关.
- 女性性别和住院率与更高的分拣类别和更大的随访需求相关.
结论:
- COVID-19的长期影响是相当大的,持续症状的流行率很高.
- 一个分层的电话选系统,然后进行医学评估,可以有效地识别需要进一步管理的患者.
- 早期识别和管理COVID后的疾病对于患者的康复至关重要.
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