Health
NICE, RCGP, and SIGN publish guidelines for managing the long-term effects of COVID-19.News and Features | News
The guidelines are intended for the care of people who develop during or after infection with COVID-19, last for more than 4 weeks, and have signs or symptoms that are not explained by alternative diagnosis. It provides recommendations based on current evidence and expert consensus and will be applied as new evidence emerges.
Symptoms of most people with COVID-19 resolve within 12 weeks. However, for a significant number of people, symptoms can persist, develop new symptoms, and sometimes worsen, with a continuous negative impact on quality of life. Long-term effects include shortness of breath, malaise, and problems related to the heart, lungs, kidneys, nervous system, muscles and joints.
Paul Christ, director of the NICE Guidelines Center, said: “This guideline emphasizes the importance of providing good information to people after being infected with acute COVID-19. In doing so, what they expect and when more medical advice This can help relieve anxiety if people do not recover as expected, especially as symptoms can fluctuate and various symptoms have been reported. There is sex.
“This is a new state and there is so much we don’t know yet, so the guidelines become more adaptable and responsive as we gain a better understanding of the state and new evidence of how to manage it. . “
According to the guidelines, if symptoms appear 4-12 weeks after the onset of acute symptoms, symptomatic COVID-19 may be progressing, and if symptoms do not resolve after 12 weeks, post-COVID syndrome occurs. There is a possibility.
The guidelines also emphasize the need to address health inequality in the care of people experiencing ongoing symptoms. We recommend that you provide additional support and awareness to improve access to care, and provide more active follow-up for people in vulnerable / high-risk groups who may be at high risk of complications. I will.
This guideline makes recommendations in many other areas, including:
- Evaluation of people with new or ongoing symptoms after acute COVID-19.
- Survey and introduction.
- Care plan.
- Management including self-management, supported self-management, and rehabilitation.
- Follow-up and monitoring.
- Organizational services.
The guidelines also include some important recommendations for research that will help inform and enhance future versions as evidence and practice evolve.
Professor Martin Marshall, chair of the Royal College of General Practitioners, said: “College is pleased to work with NICE and SIGN to develop these clinical guidelines for the care they provide to GPs and other healthcare professionals and to patients with prolonged COVID-19 symptoms. We hope to have a positive impact. We have also created a booklet to help patients understand their illness.
“This is a rapid but rigorous process that allows us to listen to both clinicians and patients who continue to have symptoms as a result of COVID-19 and to provide guidance based on what we know. We have confirmed that it is as comprehensive and comprehensive as possible.
“This is only a starting point, as COVID-19 is a new virus and COVID has long been a new disease. Further research and new evidence will update these guidelines.”
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