National Isolation Centre, Ministry of Health, Tutong, Brunei Darussalam.
Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam.
Western Pac Surveill Response J. 2023 Jan 18;14(1):1-9. doi: 10.5365/wpsar.2023.14.1.949. eCollection 2023 Jan-Mar.
Patients who recover from coronavirus disease (COVID-19) infection are at risk of long-term health disorders and may require prolonged health care. This retrospective observational study assesses the number of health-care visits before and after COVID-19 infection in Brunei Darussalam.
COVID-19 cases from the first wave with 12 months of follow-up were included. Health-care utilization was defined as health-care visits for consultations or investigations. Post-COVID condition was defined using the World Health Organization definition.
There were 132 cases; 59.1% were male and the mean age was 37.1 years. The mean number of health-care visits 12 months after recovery from COVID-19 (123 cases, 93.2%; mean 5.0 ± 5.2) was significantly higher than the prior 12 months (87 cases, 65.9%, < 0.001; mean 3.2 ± 5.7, < 0.001). There was no significant difference when scheduled COVID-19 visits were excluded (3.6 ± 4.9, = 0.149). All 22 cases with moderate to critical disease recovered without additional health-care visits apart from planned post-COVID-19 visits. Six patients had symptoms of post-COVID condition, but none met the criteria for diagnosis or had alternative diagnoses.
There were significantly more health-care visits following recovery from COVID-19. However, this was due to scheduled post-COVID-19 visits as per the national management protocol. This protocol was amended before the second wave to omit post-COVID-19 follow-up, except for complicated cases or cases with no documented radiological resolution of COVID-19 pneumonia. This will reduce unnecessary health-care visits and conserve precious resources that were stretched to the limit during the pandemic.
从冠状病毒病（COVID-19）感染中康复的患者存在长期健康障碍的风险，可能需要长期的医疗保健。本回顾性观察研究评估了文莱达鲁萨兰国 COVID-19 感染前后的医疗保健就诊次数。
纳入了第一波有 12 个月随访的 COVID-19 病例。将医疗保健利用率定义为就诊或检查的医疗保健就诊次数。使用世界卫生组织的定义来定义 COVID-19 后状况。
共有 132 例患者；59.1%为男性，平均年龄为 37.1 岁。从 COVID-19 康复后 12 个月（123 例，93.2%；平均 5.0±5.2）的平均医疗保健就诊次数明显高于前 12 个月（87 例，65.9%，<0.001；平均 3.2±5.7，<0.001）。排除计划的 COVID-19 就诊后，差异无统计学意义（3.6±4.9，=0.149）。除计划的 COVID-19 后就诊外，所有 22 例中重度疾病患者均无需额外的医疗保健就诊即可康复。6 名患者出现 COVID-19 后症状，但均不符合诊断标准或有其他诊断。
COVID-19 康复后就诊次数明显增多。然而，这是由于按照国家管理方案进行计划中的 COVID-19 后就诊。在第二波疫情之前，该方案进行了修订，除了复杂病例或 COVID-19 肺炎无影像学明确缓解的病例外，不再进行 COVID-19 后随访。这将减少不必要的医疗保健就诊次数，并节省在大流行期间已捉襟见肘的宝贵资源。
