Hitchcock Stuart, Cintron Samantha A, Kasuske Lalon, J Diaz Francisco, Pierce Janet
Hospital Education and Training, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA.
University of Kansas Medical Center, School of Nursing, Kansas City, KS 66160, USA.
Mil Med. 2024 May 18;189(5-6):e1277-e1281. doi: 10.1093/milmed/usad453.
During the COVID-19 pandemic, a significant number of individuals experienced persistent symptoms, collectively termed post-COVID-19 condition (PCC) by the World Health Organization. While civilian prevalence has been extensively studied, little is known about PCC in military personnel. This article highlights the need for increased awareness, documentation, and research on PCC within the military context, utilizing the Defense Health Agency database.
A keyword search of the PubMed, CINAHL, and Web of Science databases was performed utilizing the keywords: military, post-COVID conditions, long COVID-19, and post-COVID19 syndrome. A five-stage integrative review framework was used to analyze 40 reports and research articles published from 2019 to 2023 to assess the current state of PCC research, including epidemiology, severe acute respiratory syndrome coronavirus 2 variants, pathophysiology, and prevalence in military personnel.
Our review revealed a notable gap in research on PCC within the military population, with only a few mentions in the literature. A key finding was the association between immunization status, symptom severity, and ethnicity in PCC development.
To comprehensively address PCC in military personnel, it is imperative to foster both awareness and documentation. Creating a centralized Defense Health Agency-DoD repository for active duty service members with PCC diagnoses offers a valuable opportunity to conduct trend analysis, identify missed cases, and better understand the individual and military readiness implications of this condition. Additionally, to address the educational needs of clinicians, it is essential to develop continuing medical education and continuing nursing education programs focusing on PCC signs, symptoms, and their impact on readiness. Furthermore, randomized controlled trials and longitudinal experimental clinical trials are essential for monitoring service members over time, providing valuable insights into the course of PCC and potential interventions. These research endeavors collectively contribute to improving the health, readiness, and care of military personnel affected by PCC.
在新冠疫情期间，大量个体出现持续症状，世界卫生组织将其统称为新冠后状况（PCC）。虽然 civilian 患病率已得到广泛研究，但对于军事人员中的 PCC 却知之甚少。本文强调了利用国防卫生局数据库在军事背景下提高对 PCC 的认识、记录和研究的必要性。
利用关键词“军事”“新冠后状况”“长期新冠”和“新冠后综合征”对 PubMed、CINAHL 和科学网数据库进行关键词搜索。采用五阶段综合评价框架分析 2019 年至 2023 年发表的 40 份报告和研究文章，以评估 PCC 研究的现状，包括流行病学、严重急性呼吸综合征冠状病毒 2 变体、病理生理学以及军事人员中的患病率。
我们的综述揭示了军事人群中 PCC 研究存在显著差距，文献中仅有少数提及。一个关键发现是免疫状态、症状严重程度与 PCC 发展中的种族之间的关联。
为全面解决军事人员中的 PCC 问题，提高认识和记录至关重要。为确诊 PCC 的现役军人创建一个集中的国防卫生局 - 国防部储存库，为进行趋势分析、识别漏诊病例以及更好地了解这种状况对个人和军事准备状态的影响提供了宝贵机会。此外，为满足临床医生的教育需求，开展专注于 PCC 体征、症状及其对准备状态影响的继续医学教育和继续护理教育项目至关重要。此外，随机对照试验和纵向实验性临床试验对于长期监测军人至关重要，可为 PCC 的病程和潜在干预措施提供有价值的见解。这些研究工作共同有助于改善受 PCC 影响的军事人员的健康、准备状态和护理。
