Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care,The Lancet Respiratory Medicine

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Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care
The Lancet Respiratory Medicine ( IF 76.2 ) Pub Date : 2021-10-19 , DOI: 10.1016/s2213-2600(21)00385-4
Ann M Parker ₁ , Emily Brigham ₂ , Bronwen Connolly ₃ , Joanne McPeake ₄ , Anna V Agranovich ₅ , Michael T Kenes ₆ , Kelly Casey ₅ , Cynthia Reynolds ₇ , Konrad F R Schmidt ₈ , Soo Yeon Kim ₉ , Adam Kaplin ₁₀ , Carla M Sevin ₁₁ , Martin B Brodsky ₁₂ , Alison E Turnbull ₁₃

Affiliation

Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA.
Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Wellcome-Wolfson Institute for Experimental Medicine, Queen's University Belfast, Belfast, UK; Lane Fox Clinical Respiratory Physiology Research Centre, Guy's and St Thomas' NHS Foundation Trust, London, UK; Centre for Human and Applied Physiological Sciences, King's College London, London, UK; Department of Physiotherapy, The University of Melbourne, Melbourne, Australia.
Intensive Care Unit, Glasgow Royal Infirmary, Glasgow, UK; School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.
Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.
Sydney and Lois Eskenazi Health Critical Care Recovery Center, Indianapolis, IN, USA.
Institutes of General Practice & Family Medicine, Charité University Medicine, Berlin, Germany; Institute of General Practice & Family Medicine, Jena University Hospital, Jena, Germany.
Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Department of Anesthesiology and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.
Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA.
Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

As of July 31, 2021, SARS-CoV-2 had infected almost 200 million people worldwide. The growing burden of survivorship is substantial in terms of the complexity of long-term health effects and the number of people affected. Persistent symptoms have been reported in patients with both mild and severe acute COVID-19, including those admitted to the intensive care unit (ICU). Early reports on the post-acute sequelae of SARS-CoV-2 infection (PASC) indicate that fatigue, dyspnoea, cough, headache, loss of taste or smell, and cognitive or mental health impairments are among the most common symptoms. These complex, multifactorial impairments across the domains of physical, cognitive, and mental health require a coordinated, multidisciplinary approach to management. Decades of research on the multifaceted needs of and models of care for patients with post-intensive care syndrome provide a framework for the development of PASC clinics to address the immediate needs of both hospitalised and non-hospitalised survivors of COVID-19. Such clinics could also provide a platform for rigorous research into the natural history of PASC and the potential benefits of therapeutic interventions.

中文翻译：

解决 SARS-CoV-2 感染的急性后遗症：多学科护理模式

截至 2021 年 7 月 31 日，SARS-CoV-2 已感染全球近 2 亿人。就长期健康影响的复杂性和受影响的人数而言，不断增加的生存负担是巨大的。据报道，轻度和重度急性 COVID-19 患者出现持续症状，包括入住重症监护室 (ICU) 的患者。关于 SARS-CoV-2 感染 (PASC) 急性后遗症的早期报告表明，疲劳、呼吸困难、咳嗽、头痛、味觉或嗅觉丧失以及认知或心理健康障碍是最常见的症状。这些跨越身体、认知和心理健康领域的复杂、多因素的损伤需要一种协调的、多学科的管理方法。数十年来对重症监护后综合征患者的多方面需求和护理模式的研究为 PASC 诊所的发展提供了一个框架，以满足 COVID-19 住院和非住院幸存者的迫切需求。这些诊所还可以为严格研究 PASC 的自然史和治疗干预的潜在益处提供一个平台。

更新日期：2021-11-03

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