一种实用的方法,以定制长期COVID用于诊断,治疗和流行病学研究,以改善长期COVID患者护理
Kathryn Hoffmann1, Michael Stingl2, Liam O'Mahony3
1Department of Primary Care Medicine, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/I, 1090, Vienna, Austria. Kathryn.hoffmann@meduniwien.ac.at.
Infectious diseases and therapy
|August 11, 2024
概括
长期COVID (LC) 需要更清晰的术语来研究和治疗. 将LC精制成三个子组可以改善诊断和了解SARS-CoV-2的长期影响,包括炼后的不适.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 长期COVID (LC) 涵盖了SARS-CoV-2感染的各种长期健康后果.
- 目前LC的术语过于一般,阻碍了精确的研究,诊断和治疗策略.
- 现有的分类,如NICE指南,不能完全捕捉到后COVID条件的现实世界观测.
研究的目的:
- 通过将长期COVID (LC) 分成三个不同的子组来提出一个精细的术语.
- 为了加强流行病学研究,诊断和治疗干预SARS-CoV-2的长期影响.
- 强调在LC中区分特定条件的重要性,例如后劳动不适 (PEM).
主要方法:
- 审查长期COVID (LC) 的现有定义和准则.
- 分析后COVID条件的现实世界观测.
- 建议将LC新分层分为三个子组:正在进行的症状性COVID-19,SARS-CoV-2诱导或恶化的疾病,以及急性COVID后的疾病.
- 建议使用ICD-10代码用于子组特定的文档.
主要成果:
- 长期COVID (LC) 的一般术语使流行病学研究和临床实践复杂化.
- 提出的分层包括:正在进行的症状性COVID-19,SARS-CoV-2诱导/恶化的疾病,以及急性COVID后的疾病.
- 后急性COVID状况包括各种症状,如后炼性不适 (PEM),失调和认知功能障碍,需要特定的诊断方法.
结论:
- 将长期COVID (LC) 的术语精细化成特定的子组对于推进研究和临床护理至关重要.
- 准确的分类和分组特定的文档 (例如,使用ICD-10代码) 对于跟踪和管理长期SARS-CoV-2影响至关重要.
- 在后急性COVID状态中区分诸如后炼不适等条件对于有效的诊断和治疗至关重要.
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