A Multidisciplinary NHS COVID-19 Service to Manage Post-COVID-19 Syndrome in the Community.
A Multidisciplinary NHS COVID-19 Service to Manage Post-COVID-19 Syndrome in the Community.
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一项多学科NHS COVID-19服务，用于管理社区中的COVID-19综合征。
DOI：
10.1177/21501327211010994
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发表时间：
2021-01
影响因子：
3.6
通讯作者：
Sivan M
中科院分区：
文献类型：
--
作者：
Parkin A;Davison J;Tarrant R;Ross D;Halpin S;Simms A;Salman R;Sivan M
美国国家卫生与保健卓越研究所（NICE）将“COVID-19后综合征”或“长期COVID”描述为一组持续的身体，认知和/或心理症状，在患病后持续超过12周，并且无法通过替代诊断来解释。这些症状不仅出现在出院的患者身上，也出现在社区中不需要住院治疗的患者身上。为了支持这一人群的康复，在利兹初级保健服务、利兹社区医疗保健国民保健服务信托基金和利兹教学医院国民保健服务信托基金进行广泛的服务评估后，开发了一种独特的综合康复途径。该路径与NHS英格兰“五点计划”保持一致，以在英格兰各地嵌入COVID-19后综合征评估诊所，支持社区患者的全面医疗评估和康复干预。该途径是英国首次建立的此类途径，包括三级服务模式（第一级：专科MDT服务，第二级：社区治疗团队和第三级：自我管理）。MDT服务汇集了具有专业技能的各种学科，使用一套特定的核心结果指标（包括C19-YRS（约克郡康复量表））提供有针对性的个性化干预。世界各地的社区和基层医疗团队需要这样一个综合的多学科综合护理模式，以有效和及时地应对不断增长的COVID-19后综合征病例。
The National Institute for Health and Care Excellence (NICE) describe “post COVID-19 syndrome” or “Long COVID” as a set of persistent physical, cognitive and/or psychological symptoms that continue for more than 12 weeks after illness and which are not explained by an alternative diagnosis. These symptoms are experienced not only by patients discharged from hospital but also those in the community who did not require inpatient care. To support the recovery of this group of people, a unique integrated rehabilitation pathway was developed following extensive service evaluations by Leeds Primary Care Services, Leeds Community Healthcare NHS Trust and Leeds Teaching Hospital NHS Trust. The pathway aligns itself to the NHS England “Five-point plan” to embed post-COVID-19 syndrome assessment clinics across England, supporting the comprehensive medical assessment and rehabilitation intervention for patients in the community. The pathway was first of its kind to be set up in the UK and comprises of a three-tier service model (level 1: specialist MDT service, level 2: community therapy teams and level 3: self-management). The MDT service brings together various disciplines with specialist skill sets to provide targeted individualized interventions using a specific core set of outcome measures including C19-YRS (Yorkshire Rehabilitation Scale). Community and primary care teams worldwide need such an integrated multidisciplinary comprehensive model of care to deal with the growing number of cases of post-COVID-19 syndrome effectively and in a timely manner.