From the Joe R. and Teresa Lozano Long School of Medicine at UT Health San Antonio, San Antonio, Texas (MV-G); Department of Physical Medicine and Rehabilitation, Integrative Medicine Program, University of Florida College of Medicine, Gainesville, Florida (IME); Department of Physical Medicine and Rehabilitation, Hennepin Healthcare, Minneapolis, Minnesota (MJPG); Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas (SB, JAC, KRB); Department of Physical Medicine and Rehabilitation, VA Greater Los Angeles Healthcare System, Los Angeles, California (LEC, BCE); and Division of Physical Medicine and Rehabilitation, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California (LEC, BCE).
Am J Phys Med Rehabil. 2021 Dec 1;100(12):1133-1139. doi: 10.1097/PHM.0000000000001892.
After surviving infection with the SARS-CoV-2 virus, individuals may have persistent symptoms and prolonged impairments that may last for weeks to months. The frequency and heterogeneity of persistent post-COVID conditions have created challenges in care. Specialty clinics are being established in response to an increasing need to care for patients with postacute sequelae of SARS-CoV-2 or long COVID syndrome. Although many post-COVID conditions can be bettered through a comprehensive rehabilitation plan, various clinical settings may benefit from differing models of coordinated care. We present five models of care in varying degrees of development and compare processes and adaptations to address the unique needs of each center and their unique patient populations. Forging a path to recovery will necessitate a multidisciplinary team with physiatry involvement to meet the distinctive needs of patients with postacute sequelae of SARS-CoV-2. Furthermore, it is imperative that there be equitable access to this care and commitment from healthcare institutions to provide resources for these programs.
在感染 SARS-CoV-2 病毒后，个体可能会出现持续的症状和长期的损伤，这些症状和损伤可能会持续数周到数月。持续性 COVID 后病症的频率和异质性给治疗带来了挑战。为了满足日益增长的照顾 SARS-CoV-2 或长 COVID 综合征患者的需求，专门诊所正在建立。尽管许多 COVID 后病症可以通过综合康复计划得到改善，但各种临床环境可能受益于不同模式的协调护理。我们提出了五种不同程度发展的护理模式，并比较了处理和适应这些模式以满足每个中心及其独特患者群体的独特需求的过程。为了康复，需要有一个多学科团队，包括物理治疗师的参与，以满足 SARS-CoV-2 急性后遗症患者的特殊需求。此外，至关重要的是，要让所有人都能公平地获得这种治疗，并让医疗机构承诺为这些项目提供资源。
