J Korean Med Assoc.  2023 Jan;66(1):50-59. 10.5124/jkma.2023.66.1.50.

Healthcare response strategies for the long-COVID era

• Kim, HJ
• Song J
• Park SM

• KMID: 2539079
• DOI: http://doi.org/10.5124/jkma.2023.66.1.50

Abstract

Background
Coronavirus disease (COVID-19), first reported at the end of 2019, is characterized by a broad spectrum of clinical manifestations ranging from asymptomatic to multi-organ dysfunction. These symptoms may persist even after the acute phase has passed. Post-acute COVID-19 syndrome (long-COVID) is a condition characterized by COVID-19 symptoms that persist for longer than two months after infection. Fatigue, muscle and joint pain, dyspnea, cognitive impairment, and anxiety are the most common symptoms of long-COVID. Given the substantial impact of COVID-19 sequelae on the quality of life of its survivors, as well as its socioeconomic burden, proactive measures are required.
Current Concepts
Following the identification of long-COVID characteristics and symptoms, patient-centered care based on vaccination, COVID-19 medications, and digital healthcare is recommended. Furthermore, people who are more vulnerable to long-COVID, such as those with respiratory dysfunctions or the older adults, require more specialized and attentive management. Big data and artificial intelligence will hopefully enable a more timely and effective response to this healthcare issue.
Discussion and Conclusion
Infectious diseases threaten our lives constantly, as evidenced by the recent COVID-19 pandemic and its lingering consequences. A novel virus can emerge at any time and place, resulting in substantial clinical and economic loss. At this stage, it is crucial to establish prompt and effective strategies against long-COVID, as well as against potential pandemics.

Keyword

Post-acute COVID-19 syndrome; COVID-19; Public health; 만성 코로나19 증후군; 코로나바이러스병-19; 공중보건