2023-04-24 00:17:15
In 2021, the Haute Autorité de Santé (HAS) began to develop Rapid Responses on the symptoms of long-term COVID in order to support first-line healthcare professionals in the diagnosis and management of these disorders which affect the daily life of many patients. The last update of these sheets, 14 in number, dated from January 2023: sheets pains, chest pain, dyspnea, fatigue, physiotherapy – exercise retraining, physiotherapy – hyperventilation syndrome, skin lesions, neurological manifestations, eye disorders, digestive symptoms, dysautonomic symptoms, taste and smell disorders, functional somatic disorders, child and teenager.
A 15e form
The HAS has just published a new sheet devoted to psychiatric disorders and psychological aspects associated with prolonged symptoms of COVID-19. This sheet, intended for both patients and caregivers, characterizes the main disorders (depressive, anxiety, post-traumatic stress, etc.) and offers recommendations as to their diagnosis and treatment.
Update of the physiotherapy sheet
HAS has also just updated the ” physiotherapy – exercise retraining ” who proposes :
- A diagnostic assessment;
- Content of sessions adapted to the patient’s situation, especially if his symptoms are exacerbated after exercise;
- A decision support algorithm for physiotherapists faced with an inappropriate cardiovascular reaction to effort.
Other work in progress
HAS is also in the process of carrying out four critical analyzes of the literature on the epidemiology, physiopathology, care pathway and treatments for prolonged symptoms of COVID-19. They will be published as soon as they are finalized and will serve as a basis for drawing up a recommendation of good practice on the subject.
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