Objective

Several long-lasting health complications have been reported in previous coronavirus infections. Therefore, the aim of this study was to review studies that evaluated physical and mental health problems post-COVID-19.

Methods

Articles for inclusion in this scoping review were identified by searching the PubMed, Scopus, Web of Science and Google Scholar databases for items dated from 1 January to 7 November 2020. Observational studies evaluating physical health (musculoskeletal symptoms, functional status) or mental health status with a follow-up period longer than 1 month after discharge or after the onset of symptoms were included.

Results

This scoping review included 34 studies with follow-up periods of up to 3 months post-COVID-19. The most commonly reported physical health problems were fatigue (range 28% to 87%), pain (myalgia 4.5% to 36%), arthralgia (6.0% to 27%), reduced physical capacity (six-minute walking test range 180 to 561 m), and declines in physical role functioning, usual care and daily activities (reduced in 15% to 54% of patients). Common mental health problems were anxiety (range 6.5% to 63%), depression (4% to 31%) and post-traumatic stress disorder (12.1% to 46.9%). Greater fatigue, pain, anxiety and depression were reported in female patients and individuals admitted to intensive care. An overall lower quality of life was seen up to 3 months post-COVID-19.

Conclusions

This review highlights the presence of several physical and mental health problems up to 3 months post-COVID-19. The findings point to the need for comprehensive evaluation and rehabilitation post-COVID-19 to promote quality of life.

中文翻译：

---

COVID-19 后的身心健康并发症：范围界定审查

 客观的

在之前的冠状病毒感染中已经报告了几种长期的健康并发症。因此，本研究的目的是回顾评估 COVID-19 后身心健康问题的研究。

 方法

通过在 PubMed、Scopus、Web of Science 和 Google Scholar 数据库中搜索 2020 年 1 月 1 日至 11 月 7 日期间的项目，确定了纳入本次范围界定审查的文章。 评估身体健康（肌肉骨骼症状、功能状态）或心理健康状况的观察性研究包括出院后或症状出现后超过 1 个月的随访期。

 结果

此次范围界定审查包括 34 项研究，随访期在 COVID-19 后长达 3 个月。最常见的身体健康问题是疲劳（范围 28% 至 87%）、疼痛（肌痛 4.5% 至 36%）、关节痛（6.0% 至 27%）、身体能力下降（六分钟步行测试范围 180 至 561 m)，以及身体角色功能、日常护理和日常活动的下降（15% 至 54% 的患者减少）。常见的心理健康问题是焦虑（范围6.5%至63%）、抑郁（4%至31%）和创伤后应激障碍（12.1%至46.9%）。据报告，女性患者和重症监护室的患者更容易感到疲劳、疼痛、焦虑和抑郁。 COVID-19 发生后 3 个月内，总体生活质量下降。

 结论

本次审查强调了新冠肺炎 (COVID-19) 疫情发生后 3 个月内存在的多种身心健康问题。研究结果表明，需要在 COVID-19 后进行全面评估和康复，以提高生活质量。