Division of Intensive Care Medicine, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
Member of COVID-19 Scientific Advisory Board of Turkish Ministry of Health
Turk J Med Sci. 2021 Dec 17;51(SI-1):3350-3358. doi: 10.3906/sag-2106-306.
Although we have enough and cumulative information about acute effects of COVID-19, our knowledge is extremely limited about long-term consequences of COVID-19, in terms of its impacts and burdens on patients, families, and the health system. Considering the underlying pathophysiological mechanisms affecting all of the organ systems in critically ill COVID-19 patients who are admitted to intensive care units, the development of post-intensive care syndrome is inevitable. This situation brings along the development of long-COVID. These patients should be followed regarding cognitive, physical, and psychiatric aspects and necessary specialist referrals should be carried out. In this article, we are presenting the experience and recommendations of our center, as a guide for the establishment process of post-intensive care outpatient clinics for the critically ill patients who required intensive care admission due to COVID-19 and could be discharged.
尽管我们已经掌握了大量关于 COVID-19 急性影响的信息,但对于 COVID-19 的长期后果,包括对患者、家庭和医疗系统的影响和负担,我们的了解极其有限。考虑到危重症 COVID-19 患者入住重症监护病房时影响所有器官系统的潜在病理生理机制,必然会出现 ICU 后综合征。这种情况会导致长新冠的出现。这些患者应在认知、身体和精神方面进行随访,并进行必要的专科转诊。在本文中,我们将介绍我们中心的经验和建议,为因 COVID-19 需要入住重症监护病房而接受重症监护的危重症患者建立 ICU 后门诊的过程提供指导。