Perspect Biol Med. 2020;63(3):494-501. doi: 10.1353/pbm.2020.0036.
This article highlights the outcomes of COVID-19, from the perspective of surviving patients, health-care systems, and societies. It draws on first-person experience of what it is to go through and survive acute respiratory distress syndrome (ARDS) and multiple organ failure. It summarizes the research on the short- and long-term outcomes for critically ill patients. The physical, cognitive, and emotional sequalae are staggering. Health-care professionals and systems will have to step up to meet the challenge of caring for large numbers of COVID-19 patients after discharge. And societies will have to step up to the ethical questions that the pandemic has made so stark. What kind of societies do we want to be, in terms of guarding the welfare of our most vulnerable citizens?
本文从幸存患者、医疗保健系统和社会的角度强调了 COVID-19 的结果。它借鉴了经历和幸存急性呼吸窘迫综合征 (ARDS) 和多器官衰竭的第一人称经验。它总结了对重症患者短期和长期结果的研究。身体、认知和情感后遗症令人震惊。医疗保健专业人员和系统将不得不加强努力,以应对大量 COVID-19 患者出院后的护理挑战。社会将不得不应对大流行带来的如此严峻的道德问题。在保护我们最脆弱公民的福利方面,我们希望成为什么样的社会?