Symptoms, complications and management of long COVID: a review.

Symptoms, complications and management of long COVID: a review.
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DOI:
10.1177/01410768211032850
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发表时间:
2021-09
影响因子:
17.3
通讯作者:
TLC Study Group
TLC Study Group
中科院分区:
医学2区
文献类型:
--
作者:
Aiyegbusi OL;Hughes SE;Turner G;Rivera SC;McMullan C;Chandan JS;Haroon S;Price G;Davies EH;Nirantharakumar K;Sapey E;Calvert MJ;TLC Study Group

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在全球范围内,目前有超过1.6亿例COVID-19确诊病例和超过300万例死亡病例。虽然大多数受感染者康复,但很大一部分人在急性疾病后继续出现症状和并发症。“长期COVID”患者会经历各种各样的身体和精神/心理症状。汇总的患病率数据显示,10种最常见的报告症状是疲劳、呼吸急促、肌肉疼痛、关节疼痛、头痛、咳嗽、胸痛、嗅觉改变、味觉改变和腹泻。其他常见症状包括认知障碍、记忆力减退、焦虑和睡眠障碍。除了症状和并发症,长期COVID患者经常报告生活质量受损,心理健康和就业问题。这些人可能需要多学科护理,包括长期监测症状,以确定潜在的并发症,身体康复,心理健康和社会服务支持。需要有弹性的医疗保健系统,以确保高效和有效地应对未来的健康挑战。
Globally, there are now over 160 million confirmed cases of COVID-19 and more than 3 million deaths. While the majority of infected individuals recover, a significant proportion continue to experience symptoms and complications after their acute illness. Patients with ‘long COVID’ experience a wide range of physical and mental/psychological symptoms. Pooled prevalence data showed the 10 most prevalent reported symptoms were fatigue, shortness of breath, muscle pain, joint pain, headache, cough, chest pain, altered smell, altered taste and diarrhoea. Other common symptoms were cognitive impairment, memory loss, anxiety and sleep disorders. Beyond symptoms and complications, people with long COVID often reported impaired quality of life, mental health and employment issues. These individuals may require multidisciplinary care involving the long-term monitoring of symptoms, to identify potential complications, physical rehabilitation, mental health and social services support. Resilient healthcare systems are needed to ensure efficient and effective responses to future health challenges.
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