Department of Evidence-Based Medicine, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Shanghai Medical Aid Team in Wuhan, Shanghai General Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
J Med Virol. 2020 Nov;92(11):2412-2419. doi: 10.1002/jmv.25994. Epub 2020 Aug 21.
Coronavirus disease 2019 (COVID-19) represents a significant global medical issue, with a growing number of cumulative confirmed cases. However, a large number of patients with COVID-19 have overcome the disease, meeting hospital discharge criteria, and are gradually returning to work and social life. Nonetheless, COVID-19 may cause further downstream issues in these patients, such as due to possible reactivation of the virus, long-term pulmonary defects, and posttraumatic stress disorder. In this study, we, therefore, queried relevant literature concerning severe acute respiratory syndrome, Middle East respiratory syndrome, and COVID-19 for reference to come to a consensus on follow-up strategies. We found that strategies, such as the implementation of polymerase chain reaction testing, imaging surveillance, and psychological assessments, starting at the time of discharge, were necessary for long-term follow-up. If close care is given to every aspect of coronavirus management, we expect that the pandemic outbreak will soon be overcome.
新型冠状病毒肺炎(COVID-19)是一个重大的全球医学问题,其累计确诊病例不断增加。然而,大量 COVID-19 患者已战胜该疾病,符合出院标准,并逐渐回归工作和社会生活。但是,COVID-19 可能会导致这些患者出现进一步的下游问题,例如病毒可能再次激活、长期肺部缺陷和创伤后应激障碍。因此,在这项研究中,我们查询了有关严重急性呼吸综合征、中东呼吸综合征和 COVID-19 的相关文献,以期就随访策略达成共识。我们发现,在出院时就开始实施聚合酶链反应检测、影像学监测和心理评估等策略,对长期随访是必要的。如果对冠状病毒管理的各个方面都给予密切关注,我们预计大流行很快就会得到控制。