Defining Post-COVID Symptoms (Post-Acute COVID, Long COVID, Persistent Post-COVID): An Integrative Classification, 2021, Fernández-de-las-Peñas et al

[rvallee]

The pandemic of the coronavirus disease 2019 (COVID-19) has provoked a second pandemic, the “long-haulers”, i.e., individuals presenting with post-COVID symptoms. We propose that to determine the presence of post-COVID symptoms, symptoms should appear after the diagnosis of SARS-CoV-2 infection; however, this situation has some problems due to the fact that not all people infected by SARS-CoV-2 receive such diagnosis.

Based on relapsing/remitting nature of post-COVID symptoms, the following integrative classification is proposed: potentially infection related-symptoms (up to 4–5 weeks), acute post-COVID symptoms (from week 5 to week 12), long post-COVID symptoms (from week 12 to week 24), and persistent post-COVID symptoms (lasting more than 24 weeks).

The most important topic is to establish the time reference points. The classification also integrates predisposing intrinsic and extrinsic factors and hospitalization data which could promote post-COVID symptoms. The plethora of symptoms affecting multiple systems exhibited by “long-haulers” suggests the presence of different underlying mechanisms.

https://www.mdpi.com/1660-4601/18/5/2621/htm

 

[alktipping]

what exactly changed in medicine that made long covid the exception ie post viral syndromes .

 

[Wyva]

what exactly changed in medicine that made long covid the exception ie post viral syndromes .

I think from now on I'll call my problem persistent post-mono syndrome, aka long mono, maybe it'll help.

 

[Snow Leopard]

what exactly changed in medicine that made long covid the exception ie post viral syndromes .

Probably the number of medical practitioners who were affected all at once.

 

[DigitalDrifter]

what exactly changed in medicine that made long covid the exception ie post viral syndromes

Probably the number of medical practitioners who were affected all at once.

That and the fact that the world's media is focused on Covid. It will be way more difficult to sweep under the rug than ME was.

 

[DokaGirl]

Probably the number of medical practitioners who were affected all at once.

Aha!

 

[Milo]

Why do they feel the need to mention “integrative”? I don’t get it

 

[Ravn]

It will be way more difficult to sweep under the rug than ME was.

Not so sure. I have a horrible feeling that once we're post-pandemic the world will just want to move on and not be reminded of tough times by those pesky long-haulers. Seems to be what happens after disasters of every kind. All people want to do is focus single-mindedly on building back their lives. Those too damaged to do so, in this case the long-haulers but it could be war veterans or earthquake survivors, initially get sympathy though usually without enough practical help, and after a while people tire of them and just want them to go away, reasoning that surely they should have pulled themselves together by now. Very much hope to be wrong...

 

[Midnattsol]

Not so sure. I have a horrible feeling that once we're post-pandemic the world will just want to move on and not be reminded of tough times by those pesky long-haulers. Seems to be what happens after disasters of every kind. All people want to do is focus single-mindedly on building back their lives. Those too damaged to do so, in this case the long-haulers but it could be war veterans or earthquake survivors, initially get sympathy though usually without enough practical help, and after a while people tire of them and just want them to go away, reasoning that surely they should have pulled themselves together by now. Very much hope to be wrong...

Same.