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Gibt es ein Post-COVID-Syndrom?

For critically ill COVID-19 patients surviving the acute phase of the disease could possibly only mean having overcome the first stage of a long and challenging path. Physical, cognitive and psychological consequences seem to be realistic; however, do residual symptoms in patients who have returned...

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Autor principal: Lamprecht, Bernd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543035/
https://www.ncbi.nlm.nih.gov/pubmed/33052198
http://dx.doi.org/10.1007/s10405-020-00347-0
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author Lamprecht, Bernd
author_facet Lamprecht, Bernd
author_sort Lamprecht, Bernd
collection PubMed
description For critically ill COVID-19 patients surviving the acute phase of the disease could possibly only mean having overcome the first stage of a long and challenging path. Physical, cognitive and psychological consequences seem to be realistic; however, do residual symptoms in patients who have returned to microbiological normalization constitute a post-COVID syndrome and which symptoms are principally possible in this context and are able to cause such a syndrome? It is no novelty that critically ill patients often still sustain functional limitations over a long period after discharge from hospital, in many cases even over many years. In most cases of COVID-19 it is too early for the diagnosis of a post-COVID syndrome. For this the symptoms would have to have lasted over a period of at least 6 months; therefore, only a post-infection fatigue can currently be spoken of. On top of this, even if patients recover physically they could be at particular risk of suffering from long-term mental health problems or perceive a reduced quality of life. Such findings exist not only after ARDS as many intensive care unit patients sustain long-term disorders, which is also known as post-intensive care syndrome (PICS). To sum up, there is sufficient evidence for the possible existence of a post-COVID syndrome or for the justification to correspondingly designate these possible sequelae with persisting symptoms in this way. In any case, all efforts that enable a complete functional recovery and a return to a life after corona are justified.
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spelling pubmed-75430352020-10-09 Gibt es ein Post-COVID-Syndrom? Lamprecht, Bernd Pneumologe (Berl) Leitthema For critically ill COVID-19 patients surviving the acute phase of the disease could possibly only mean having overcome the first stage of a long and challenging path. Physical, cognitive and psychological consequences seem to be realistic; however, do residual symptoms in patients who have returned to microbiological normalization constitute a post-COVID syndrome and which symptoms are principally possible in this context and are able to cause such a syndrome? It is no novelty that critically ill patients often still sustain functional limitations over a long period after discharge from hospital, in many cases even over many years. In most cases of COVID-19 it is too early for the diagnosis of a post-COVID syndrome. For this the symptoms would have to have lasted over a period of at least 6 months; therefore, only a post-infection fatigue can currently be spoken of. On top of this, even if patients recover physically they could be at particular risk of suffering from long-term mental health problems or perceive a reduced quality of life. Such findings exist not only after ARDS as many intensive care unit patients sustain long-term disorders, which is also known as post-intensive care syndrome (PICS). To sum up, there is sufficient evidence for the possible existence of a post-COVID syndrome or for the justification to correspondingly designate these possible sequelae with persisting symptoms in this way. In any case, all efforts that enable a complete functional recovery and a return to a life after corona are justified. Springer Medizin 2020-10-08 2020 /pmc/articles/PMC7543035/ /pubmed/33052198 http://dx.doi.org/10.1007/s10405-020-00347-0 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access. Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden. Die in diesem Artikel enthaltenen Bilder und sonstiges Drittmaterial unterliegen ebenfalls der genannten Creative Commons Lizenz, sofern sich aus der Abbildungslegende nichts anderes ergibt. Sofern das betreffende Material nicht unter der genannten Creative Commons Lizenz steht und die betreffende Handlung nicht nach gesetzlichen Vorschriften erlaubt ist, ist für die oben aufgeführten Weiterverwendungen des Materials die Einwilligung des jeweiligen Rechteinhabers einzuholen. Weitere Details zur Lizenz entnehmen Sie bitte der Lizenzinformation auf http://creativecommons.org/licenses/by/4.0/deed.de (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Leitthema
Lamprecht, Bernd
Gibt es ein Post-COVID-Syndrom?
title Gibt es ein Post-COVID-Syndrom?
title_full Gibt es ein Post-COVID-Syndrom?
title_fullStr Gibt es ein Post-COVID-Syndrom?
title_full_unstemmed Gibt es ein Post-COVID-Syndrom?
title_short Gibt es ein Post-COVID-Syndrom?
title_sort gibt es ein post-covid-syndrom?
topic Leitthema
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7543035/
https://www.ncbi.nlm.nih.gov/pubmed/33052198
http://dx.doi.org/10.1007/s10405-020-00347-0
work_keys_str_mv AT lamprechtbernd gibteseinpostcovidsyndrom