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

[Dolphin]

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

 

[Arnie Pye]

Recommendation for standardized medical care for children and adolescents with long COVID

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.

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).

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

 

[Solstice]

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

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.