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.
Lancet Respir Med. 2021 Nov;9(11):1328-1341. doi: 10.1016/S2213-2600(21)00385-4. Epub 2021 Oct 19.
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.
截至 2021 年 7 月 31 日,SARS-CoV-2 已在全球感染近 2 亿人。从长期健康影响的复杂性和受影响人数来看,幸存者的负担越来越重。轻度和重度急性 COVID-19 患者均有持续性症状报告,包括入住重症监护病房(ICU)的患者。关于 SARS-CoV-2 感染后(PASC)的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。这些涉及身体、认知和心理健康多个领域的复杂、多因素损害需要协调的多学科方法进行管理。数十年的研究表明,需要多方面的关注和护理模式来满足 ICU 后综合征患者的需求,为 PASC 诊所的发展提供了框架,以满足 COVID-19 住院和非住院幸存者的即时需求。这些诊所还可以为研究 PASC 的自然病史和治疗干预的潜在益处提供一个严格的平台。