Van Wambeke Erika, Bezler Cécile, Kasprowicz Anne-Marie, Charles Anne-Laure, Andres Emmanuel, Geny Bernard
Physiology and Functional Exploration Service, University Hospital of Strasbourg, NHC, 1 Place de l'Hôpital, CEDEX, 67091 Strasbourg, France.
Team 3072 "Mitochondria, Oxidative Stress and Muscle Protection", Translational Medicine Federation of Strasbourg (FMTS), Faculty of Medicine, University of Strasbourg, 11 Rue Humann, 67000 Strasbourg, France.
J Clin Med. 2023 Jan 17;12(3):741. doi: 10.3390/jcm12030741.
Many COVID-19 patients present with severe long-lasting symptoms. They might benefit from a coordination team to manage such complex situations, but late efficacy still needs to be determined.
Out of 105 contacts, 45 patients had two phone consultations separated by personalized support 15 and 22 months, respectively, after COVID infection. Self-reported symptoms, feelings of improvement and ability to return to work allowed us to determine the efficacy of the therapeutic strategy proposed.
Unlike what was expected, many post-COVID-19 patients directly contacted the coordination team and had significant pre-existing comorbidities. Despite exercise, respiratory, olfactory rehabilitations, cognition/speech therapy and/or psychological support, the more frequent self-reported symptoms (fatigue, neurocognitive disorders, muscles and joint pain) did not resolve. However, dyspnea, anxiety and chest pain were significantly reduced. Finally, 2/3 of the patients felt some degree of improvement and returned to work either partially or fully, but 1/3 remained complaining of symptoms and out of work as late as 22 months after COVID occurrence. All patients greatly appreciated the second phone consultation.
In such complex situations, besides early and adapted rehabilitations and psychological help allowing better symptom management, relatively simple actions such as a phone call might be very useful to reduce patients' feelings of abandonment.
许多新冠肺炎患者会出现严重的长期症状。他们可能会受益于一个协调团队来处理这种复杂情况，但后期疗效仍有待确定。
在105名密切接触者中，45名患者在感染新冠病毒后分别于15个月和22个月接受了两次电话咨询，并获得了个性化支持。通过自我报告的症状、改善感受和恢复工作的能力，我们得以确定所提出的治疗策略的疗效。
与预期不同的是，许多新冠后患者直接联系了协调团队，并且存在显著的既往合并症。尽管进行了运动、呼吸、嗅觉康复、认知/言语治疗和/或心理支持，但较常见的自我报告症状（疲劳、神经认知障碍、肌肉和关节疼痛）并未缓解。然而，呼吸困难、焦虑和胸痛显著减轻。最后，三分之二的患者感觉有一定程度的改善，并部分或完全恢复了工作，但三分之一的患者在新冠感染后22个月仍抱怨有症状且无法工作。所有患者都非常感激第二次电话咨询。
在这种复杂情况下，除了早期和适当的康复治疗以及心理帮助以更好地管理症状外，像打个电话这样相对简单的行动可能对减轻患者的被遗弃感非常有用。
