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Recommendation for standardized medical care for children and adolescents with long COVID [German]. Statement of a ..., 2022, Töpfner et al

Discussion in 'Long Covid research' started by Dolphin, May 31, 2022.

  1. Dolphin

    Dolphin Senior Member (Voting Rights)

    Messages:
    3,502
    Full title:
    Recommendation for standardized medical care for children and adolescents with long COVID [German].
    Statement of a multidisciplinary pediatric expert group of the DGKJ convent societies (status: February 2022)


    From: Dr. Marc-Alexander Fluks


    Source: Monatsschrift Kinderheilkunde
    Preprint
    Date: May 25, 2022
    URL: https://link.springer.com/article/10.1007/s00112-021-01408-1
    Ref: DGKJ = Deutsche Gesellschaft fur Kinder- und Jugendmedizin,
    German Society of Pediatrics and Adolescent Medicine


    Recommendation for standardized medical care for children and adolescents with long COVID [German].
    Statement of a multidisciplinary pediatric expert group of the DGKJ convent societies (status: February 2022)
    -----------------------------------------------

    Nicole Topfner, Martin Alberer, Tobias Ankermann, Stephan Bender,
    Reinhard Berner, Jan de Laffolie, Jens Dingemann, Dirk Heinicke,
    Johannes Peter Haas, Markus Hufnagel, Thomas Hummel, Hans-Iko
    Huppertz, Markus Knuf, Robin Kobbe, Thomas Lucke, Joachim Riedel,
    Josef Rosenecker, Joachim Wolfle, Barbara Schneider, Dominik
    Schneider, Valentin Schriever, Anne Schroeder, Silvia Stojanov,
    Tobias Tenenbaum, Stefan Trapp, Daniel Vilser, Folke Brinkmann
    (*), Uta Behrends
    - German Societies of Medicine
    * Corresponding author. Klinik fur Kinder- und Jugendmedizin,
    Katholisches Klinikum Bochum gGmbH, Standort St. Josef-Hospital,
    Alexandrinenstr. 5, 44791, Bochum, Deutschland

    Accepted 20 December 2021
    Published 25 May 2022


    Abstract

    This current consensus paper for long COVID complements the existing
    AWMF S1 guidelines for long COVID with a detailed overview on the
    various clinical aspects of long COVID in children and adolescents.
    Members of 19 different pediatric societies of the DGKJ convent and
    collaborating societies together provide expert-based recommendations
    for the clinical management of long COVID based on the currently
    available but limited academic evidence for long COVID in children and
    adolescents. It contains screening questions for long COVID and
    suggestions for a structured, standardized pediatric medical history and
    diagnostic evaluation for patients with suspected long COVID. A time and
    resource-saving questionnaire, which takes the clinical complexity of
    long COVID into account, is offered via the DGKJ and DGPI websites as
    well as additional questionnaires suggested for an advanced screening of
    specific neurocognitive and/or psychiatric symptoms including
    post-exertional malaise (PEM) and myalgic encephalomyelitis/chronic
    fatigue syndrome (ME/CFS). According to the individual medical history
    as well as clinical signs and symptoms a step by step diagnostic
    procedure and a multidisciplinary therapeutic approach are recommended.

    Keywords: SARS-CoV-2, Long COVID, Children, Consensus, Germany
     
  2. Arnie Pye

    Arnie Pye Senior Member (Voting Rights)

    Messages:
    5,131
    Location:
    UK
    People with Long Covid don't all have the same symptoms. Why should doctors freedom to treat depending on symptoms be taken away?

    And using questionnaires might save time and resources but they are almost never designed well.

    Are they suggesting that PEM and ME/CFS are psychiatric problems? I thought we were past that now.
     
  3. Solstice

    Solstice Senior Member (Voting Rights)

    Messages:
    528
    Why waste good doctors on those scummy patients. Have your questionnaire, download your app and let's get cracking! 100% of patients never come back and must therefore be cured.
     

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