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新冠后儿童和青少年医疗服务评估:一项前瞻性纵向研究方案

The Evaluation of Health Care Services for Children and Adolescents With Post-COVID-19 Condition: Protocol for a Prospective Longitudinal Study.

作者信息

Rathgeb Chiara, Pawellek Maja, Behrends Uta, Alberer Martin, Kabesch Michael, Gerling Stephan, Brandstetter Susanne, Apfelbacher Christian

机构信息

University Children's Hospital Regensburg, Hospital St. Hedwig of the Order of St. John, University of Regensburg, Regensburg, Germany.

Member of the Research and Development Campus Regensburg (WECARE), Hospital St. Hedwig of the Order of St. John, Regensburg, Germany.

出版信息

JMIR Res Protoc. 2023 Apr 11;12:e41010. doi: 10.2196/41010.

Abstract

BACKGROUND

Some children and adolescents suffer from late effects of a SARS-CoV-2 infection despite a frequently mild course of the disease. Nevertheless, extensive care for post-COVID-19 condition, also known as post-COVID-19 syndrome, in children and young people is not yet available. A comprehensive care network, Post-COVID Kids Bavaria (PoCo), for children and adolescents with post-COVID-19 condition has been set up as a model project in Bavaria, Germany.

OBJECTIVE

The aim of this study is to evaluate the health care services provided within this network structure of care for children and adolescents with post-COVID-19 condition in a pre-post study design.

METHODS

We have already recruited 117 children and adolescents aged up to 17 years with post-COVID-19 condition who were diagnosed and treated in 16 participating outpatient clinics. Health care use, treatment satisfaction, patient-reported outcomes related to health-related quality of life (the primary endpoint), fatigue, postexertional malaise, and mental health are being assessed at different time points (at baseline and after 4 weeks, 3 months, and 6 months) using routine data, interviews, and self-report questionnaires.

RESULTS

The study recruitment process ran from April 2022 until December 2022. Interim analyses will be carried out. A full analysis of the data will be conducted after follow-up assessment is completed, and the results will be published.

CONCLUSIONS

The results will contribute to the evaluation of therapeutic services provided for post-COVID-19 condition in children and adolescents, and avenues for optimizing care may be identified.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/41010.

摘要

背景

尽管新冠病毒感染病程通常较轻,但一些儿童和青少年仍会受到感染后遗症的影响。然而,针对儿童和年轻人的新冠后状况(也称为新冠后综合征),目前尚无全面的护理服务。德国巴伐利亚州已设立了一个针对患有新冠后状况的儿童和青少年的综合护理网络——巴伐利亚新冠儿童护理网络(PoCo)作为示范项目。

目的

本研究旨在通过前后对照研究设计,评估该护理网络结构为患有新冠后状况的儿童和青少年提供的医疗服务。

方法

我们已经招募了117名17岁及以下患有新冠后状况的儿童和青少年,他们在16家参与研究的门诊诊所接受诊断和治疗。使用常规数据、访谈和自我报告问卷,在不同时间点(基线、4周后、3个月后和6个月后)评估医疗服务使用情况、治疗满意度、与健康相关生活质量(主要终点)、疲劳、运动后不适和心理健康相关的患者报告结局。

结果

研究招募过程从2022年4月持续到2022年12月。将进行中期分析。随访评估完成后将对数据进行全面分析,并公布结果。

结论

研究结果将有助于评估为儿童和青少年新冠后状况提供的治疗服务,并可能确定优化护理的途径。

国际注册报告识别码(IRRID):DERR1-10.2196/41010。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8148/10132031/eb3a52868e75/resprot_v12i1e41010_fig1.jpg

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