高传染性和致病性新型冠状病毒(CoV),严重急性呼吸道综合症(SARS)-CoV-2已经出现,引起了全球大流行。尽管COVID-19主要影响呼吸系统,证据表明多系统疾病往往是严重的,往往导致死亡。COVID-19的长期后遗症未知,但先前冠状病毒爆发的证据表明肺和身体功能受损,降低生活质量和情绪困扰。许多需要重症监护的COVID-19幸存者可能会发展心理,身体和认知障碍。显然需要指导COVID-19幸存者的康复。这一共识声明是由康复领域的专家小组制定的,运动和运动医学(SEM),风湿病,精神病学,一般实践,心理学和专业疼痛,在国防医疗康复中心工作,斯坦福大厅,英国。七个团队评估了与COVID-19康复要求相关的以下领域的证据:肺,心脏,SEM,心理,肌肉骨骼,神经康复和普通医疗。主席结合了团队内部产生的建议。编写委员会根据评估指南研究和评估标准编写了共识声明,根据证据水平对所有建议进行分级。作者在0-10的范围内对每个建议的同意程度进行了评分。在所有作者参加的主持的协议会议之后,就36项建议达成了实质性协议(范围7.5-10)。这一共识声明提供了一个总体框架,吸收了COVID-19疾病后多学科康复的证据和可能要求,对于活跃个体的目标人群,包括军事人员和运动员。
The highly infectious and pathogenic novel coronavirus (CoV), severe acute respiratory syndrome (SARS)-CoV-2, has emerged causing a global pandemic. Although COVID-19 predominantly affects the respiratory system, evidence indicates a multisystem disease which is frequently severe and often results in death. Long-term sequelae of COVID-19 are unknown, but evidence from previous CoV outbreaks demonstrates impaired pulmonary and physical function, reduced quality of life and emotional distress. Many COVID-19 survivors who require critical care may develop psychological, physical and cognitive impairments. There is a clear need for guidance on the rehabilitation of COVID-19 survivors. This
consensus statement was developed by an expert panel in the fields of rehabilitation, sport and exercise medicine (SEM), rheumatology, psychiatry, general practice, psychology and specialist pain, working at the Defence Medical Rehabilitation Centre, Stanford Hall, UK. Seven teams appraised evidence for the following domains relating to COVID-19 rehabilitation requirements: pulmonary, cardiac, SEM, psychological, musculoskeletal, neurorehabilitation and general medical. A chair combined recommendations generated within teams. A writing committee prepared the
consensus statement in accordance with the appraisal of
guidelines research and evaluation criteria, grading all recommendations with levels of evidence. Authors scored their level of agreement with each recommendation on a scale of 0-10. Substantial agreement (range 7.5-10) was reached for 36 recommendations following a chaired agreement meeting that was attended by all authors. This
consensus statement provides an overarching framework assimilating evidence and likely requirements of multidisciplinary rehabilitation post COVID-19 illness, for a target population of active individuals, including military personnel and athletes.