在西班牙国家卫生系统中关于后COVID的共识:CIBERPOSTCOVID eDelphi研究的结果
Marta Torres1, Vicky Serra-Sutton1, Joan B Soriano2
1Agency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Journal of infection and public health
|September 23, 2023
概括
利益相关者就后COVID的定义达成共识,将其描述为感染后持续的多有机症状. 对常见症状和日常影响的共识最高,有助于临床实践和研究.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 西班牙卫生部于2021年启动了CIBERPOSTCOVID项目,以定义COVID后.
- 这项研究调查了西班牙卫生系统中有关COVID后特征的利益相关者共识.
研究的目的:
- 在不同利益相关者之间建立关于后COVID的定义和临床特征的共识.
- 在临床实践,健康管理和研究中制定适用于COVID后的操作定义.
主要方法:
- 一个异步的在线Delphi研究,涉及临床医生,公共卫生经理,研究人员和患者代表.
- 一个两波的共识过程,评估了67个关于术语,持续时间,症状,诊断和风险因素的陈述.
- 共识定义为70%的同意 (评分为5或6) 和1或更低的四分之一范围.
主要成果:
- 达成协议,将COVID后期定义为感染后至少持续3个月的多有机症状,而不是由于其他原因.
- 对常见症状及其对日常活动的影响观察到的最高共识.
- 对诊断要素和严重性评估的共识水平较低,对儿科特征或风险因素没有达成一致.
结论:
- 该研究产生了集体情报,产生了COVID后的操作定义.
- 这些发现支持西班牙和国际上的临床实践,医疗服务管理和研究.
- 商定的特征与现有证据和国际参考机构保持一致.
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