本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M24-0677

摘要内容如下：

背景

长COVID的定义正在演变，最佳护理模式尚不确定。

目的

对长COVID的定义进行范围审查，并提供护理模型的概述，包括描述和区分模型的建议框架。

数据源

Ovid MEDLINE、PsycInfo、The Cochrane Library、SocIndex、Scopus、EMBASE和Cinahl在2021年1月至2023年11月间发表的英文文章；灰色文学；并与18名关键信息提供者进行了讨论。

研究选择

描述长期COVID定义或护理模型的出版物，由关键信息提供者描述的模型补充。

数据提取

数据由一名评价者提取，并由另一名评价者验证其准确性。

数据综合

在1960篇筛选的引文中，有38篇被收录。长COVID的五种临床定义在症状出现的时间和诊断所需的最短持续时间方面各不相同；1其他定义是基于症状评分。49个长期COVID护理模式遵循5个关键原则：核心“领导”团队、多学科专业知识、全面获得诊断和治疗服务、以患者为中心的方法以及提供满足需求的能力。七个特征提供了区分模式的框架：家庭部门或临床环境、临床领导、其他专业的配置、初级保健角色、人口管理、远程服务的使用，以及模式是基于实践还是基于系统。利用这一框架，确定了10种具有代表性的基于实践的护理模式和3种基于系统的护理模式。

局限性

已发表的文献往往缺乏关键的模型细节，数据不足以评估模型结果，并且模型之间存在重叠和可变性。

结论

长期COVID和护理模式的定义正在演变。需要进行研究，以优化模型并评估不同模型的结果。

主要资金来源

医疗保健研究和质量机构。（协议张贴在https：//effectivehealthcare.ahrq.gov/products/long-covid-models-care/protocol.）。

英文原文如下：

Abstracts

BACKGROUND  Definitions of long COVID are evolving, and optimal models of care are uncertain.

PURPOSE  To perform a scoping review on definitions of long COVID and provide an overview of care models, including a proposed framework to describe and distinguish models.

DATA SOURCES  English-language articles from Ovid MEDLINE, PsycINFO, the Cochrane Library, SocINDEX, Scopus, Embase, and CINAHL published between January 2021 and November 2023; gray literature; and discussions with 18 key informants.

STUDY SELECTION  Publications describing long COVID definitions or models of care, supplemented by models described by key informants.

DATA EXTRACTION  Data were extracted by one reviewer and verified for accuracy by another reviewer.

DATA SYNTHESIS  Of 1960 screened citations, 38 were included. Five clinical definitions of long COVID varied with regard to timing since symptom onset and the minimum duration required for diagnosis; 1 additional definition was symptom score-based. Forty-nine long COVID care models were informed by 5 key principles: a core "lead" team, multidisciplinary expertise, comprehensive access to diagnostic and therapeutic services, a patient-centered approach, and providing capacity to meet demand. Seven characteristics provided a framework for distinguishing models: home department or clinical setting, clinical lead, collocation of other specialties, primary care role, population managed, use of teleservices, and whether the model was practice- or systems-based. Using this framework, 10 representative practice-based and 3 systems-based models of care were identified.

LIMITATIONS  Published literature often lacked key model details, data were insufficient to assess model outcomes, and there was overlap between and variability within models.

CONCLUSION  Definitions of long COVID and care models are evolving. Research is needed to optimize models and evaluate outcomes of different models.

PRIMARY FUNDING SOURCE  Agency for Healthcare Research and Quality. (Protocol posted at https://effectivehealthcare.ahrq.gov/products/long-covid-models-care/protocol.).

-----------分割线---------

点击链接：https://www.mediecogroup.com/community/user/vip/categories/ ，成为医咖会员，获取12项专属权益。