MONITORING POST-COVID-19 SEQUELAE IN PRIMARY HEALTH CARE: A SCOPING REVIEW
Notice bibliographique
Résumé
Post-COVID-19 sequelae include signs, symptoms and/or conditions that persist or emerge four weeks after infection with the SARS-CoV-2 virus and Primary Health Care (PHC) has a fundamental role in conducting a careful approach to physical and psychosocial sequelae that persist in individuals who survived the disease, contributing to the control and mitigation of damage resulting from the pandemic. This research aims to identify and map the care process of monitoring and multidisciplinary follow-up of post-COVID-19 sequelae within the global PHC. This is a scoping review, following the methodological recommendations of the Joanna Briggs Institute (JBI), focused on understanding how care occurs for people with post-COVID-19 sequelae in PHC. The database search was conducted during July and August 2023, including research articles, theses, dissertations, and official documents. Eight studies were selected for analysis. Publications occurred in 2021 (25%), 2022 (37.5%), and 2023 (37.5%), with a predominance of studies from the United States (25%), although other countries such as Canada, Chile, Germany, Brazil, Spain, and the United Kingdom were also represented. Regarding the level of evidence, most studies (50%) were classified as level 3 (single qualitative study). Among the most severe complications reported in the studies are Acute Respiratory Distress Syndrome, hypoxia, cardiac arrhythmias, myocarditis, pulmonary embolism, and neurological, hepatic, and renal issues. Additionally, more common symptoms such as fatigue, dyspnea, chest discomfort, and psychological issues like anxiety and depression highlight the virus's prolonged systemic effects. It was identified that in PHC, managing post-COVID-19 sequelae requires an expansion of health teams and enhanced psychological support. Continuous identification and classification of symptoms are essential for effective referral, aiming for integrated and persistent care. Challenges such as delays in care, communication problems, and underreporting of symptoms point to the need for a more holistic and multidisciplinary approach. This should include enhanced professional training and strengthening of PHC services to mitigate the late effects of COVID-19. Lastly, this review underscores the complexity of post-COVID-19 sequelae and the vital role of PHC in its management, necessitating a patient-centered multidisciplinary approach. The efficacy of PHC depends on the availability of resources, a well-trained team, and effective coordination with other levels of care. The need for contextual adaptations in PHC services and collaboration among healthcare systems to improve accessibility and outcomes of post-COVID rehabilitation is emphasized, highlighting the challenges and increasing demands faced by healthcare professionals.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,013 | 0,064 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,005 | 0,005 |
| Bibliométrie | 0,017 | 0,022 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,005 | 0,004 |
| Science ouverte | 0,002 | 0,003 |
| Intégrité de la recherche | 0,003 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».