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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The pandemic caused by the new SARS-CoV2 was responsible for the death of more than 579&#44;010 Brazilians and 4&#44;470&#44;969 people worldwide until August 28&#44; 2021&#44; despite the lack of adequate reporting of deaths in some countries&#46; Additionally&#44; thousands of people died without confirmed diagnosis of COVID-19&#44; and part of the population still feels discouraged to seek hospital treatment due to precarious health care conditions and reduced access&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Besides impacts caused by mortality&#44; the period of hospitalization due to the disease and complications four to twelve weeks &#40;on average&#41; after infection led to thousands of individuals with physical&#44; functional&#44; emotional&#44; and cognitive impairments&#46; This condition is called post-COVID-19 syndrome&#44; persistent post-COVID-19 syndrome &#40;PPCS&#41;&#44; or long COVID&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">This syndrome represents a grey area of scientific knowledge regarding COVID-19&#46; If&#44; on the one hand&#44; attention is given to prevention and elimination of the disease&#44; on the other hand&#44; thousands of people face its sequelae after overcoming the infectious phase&#46; These people must also adapt to a &#8220;new health condition&#8221;&#44; which may aggravate underlying chronic diseases&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In this scenario&#44; the World Health Organization created a guideline on how cities should include strategies for rehabilitation of these patients in the national emergency health planning for COVID-19&#46; Thus&#44; this letter to the editor aims to alert the scientific community&#44; health managers&#44; and society about the need for early screening and continuity of multidisciplinary care in post-COVID-19 syndrome&#44; especially in patients with high risk factors for developing long COVID&#44; such as those who required hospitalization&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although hospital discharge is a reason to celebrate&#44; few services provide de-hospitalization or guidance regarding next steps and further health care&#46; This generates a false expectation that everything has been overcome&#46; To date&#44; more than 50 different types of post-COVID-19 sequelae were already confirmed&#44; despite mortality due to these sequelae when patients are not well managed or treated&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Below&#44; we propose an initial model to maintain a line of multidisciplinary care based on previous studies<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3&#8211;5</span></a>&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0030" class="elsevierStylePara elsevierViewall">Identify patients with higher risk factors for developing post-COVID-19 syndrome&#46; Priority should be directed to patients who were hospitalized in intensive care units or had prolonged hospital length of stay&#59;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0035" class="elsevierStylePara elsevierViewall">Clinical&#44; functional&#44; nutritional&#44; and psychological check-up before hospital discharge&#44; guidance for reassessment within the first 30 days after discharge&#44; and periodic reassessments at least in the first year&#59;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall">Create public and private reference services for rehabilitation of these patients &#40;whether individual or group face-to-face care&#41;&#44; home care&#44; or teleconsultation&#47;telerehabiliation&#44; and refer patients to these locations at hospital discharge&#59;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Implement screening and treatment for all levels of health care&#46;</p></li></ul></p><p id="par0050" class="elsevierStylePara elsevierViewall">Continuity of care&#44; especially rehabilitation&#44; is essential and urgent for individuals with post-COVID-19 syndrome&#46; In the same way that an international task force rapidly searched for disease prevention&#44; the time has come to join efforts to mitigate sequelae and restore functionality and quality of life of those affected&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contributions</span><p id="par0055" class="elsevierStylePara elsevierViewall">Conceptualization&#44; methodology&#44; formal analysis&#44; writing-review&#58; B&#225;rbara R&#46;A&#46;F Barros-Leite and L&#237;via Barboza de Andrade&#46; All authors have read and agreed to the published version of the manuscript&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0060" class="elsevierStylePara elsevierViewall">Funding agencies did not finance this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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Letter to the Editor
Post-COVID-19 syndrome: A call for continuity of multidisciplinary care
Síndrome post-COVID-19: Un llamado a la continuidad de la atención multidisciplinary
B.R.A.F. Barros-Leite, L.B.d. Andrade
Autor para correspondencia
ftliviabandrade@gmail.com

Corresponding author.
Instituto de Medicina Integral Professor Fernando Figueira (IMIP), Recife, Brazil
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    "titulo" => "Post-COVID-19 syndrome&#58; A call for continuity of multidisciplinary care"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The pandemic caused by the new SARS-CoV2 was responsible for the death of more than 579&#44;010 Brazilians and 4&#44;470&#44;969 people worldwide until August 28&#44; 2021&#44; despite the lack of adequate reporting of deaths in some countries&#46; Additionally&#44; thousands of people died without confirmed diagnosis of COVID-19&#44; and part of the population still feels discouraged to seek hospital treatment due to precarious health care conditions and reduced access&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Besides impacts caused by mortality&#44; the period of hospitalization due to the disease and complications four to twelve weeks &#40;on average&#41; after infection led to thousands of individuals with physical&#44; functional&#44; emotional&#44; and cognitive impairments&#46; This condition is called post-COVID-19 syndrome&#44; persistent post-COVID-19 syndrome &#40;PPCS&#41;&#44; or long COVID&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">This syndrome represents a grey area of scientific knowledge regarding COVID-19&#46; If&#44; on the one hand&#44; attention is given to prevention and elimination of the disease&#44; on the other hand&#44; thousands of people face its sequelae after overcoming the infectious phase&#46; These people must also adapt to a &#8220;new health condition&#8221;&#44; which may aggravate underlying chronic diseases&#46;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">In this scenario&#44; the World Health Organization created a guideline on how cities should include strategies for rehabilitation of these patients in the national emergency health planning for COVID-19&#46; Thus&#44; this letter to the editor aims to alert the scientific community&#44; health managers&#44; and society about the need for early screening and continuity of multidisciplinary care in post-COVID-19 syndrome&#44; especially in patients with high risk factors for developing long COVID&#44; such as those who required hospitalization&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although hospital discharge is a reason to celebrate&#44; few services provide de-hospitalization or guidance regarding next steps and further health care&#46; This generates a false expectation that everything has been overcome&#46; To date&#44; more than 50 different types of post-COVID-19 sequelae were already confirmed&#44; despite mortality due to these sequelae when patients are not well managed or treated&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Below&#44; we propose an initial model to maintain a line of multidisciplinary care based on previous studies<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3&#8211;5</span></a>&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0030" class="elsevierStylePara elsevierViewall">Identify patients with higher risk factors for developing post-COVID-19 syndrome&#46; Priority should be directed to patients who were hospitalized in intensive care units or had prolonged hospital length of stay&#59;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0035" class="elsevierStylePara elsevierViewall">Clinical&#44; functional&#44; nutritional&#44; and psychological check-up before hospital discharge&#44; guidance for reassessment within the first 30 days after discharge&#44; and periodic reassessments at least in the first year&#59;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall">Create public and private reference services for rehabilitation of these patients &#40;whether individual or group face-to-face care&#41;&#44; home care&#44; or teleconsultation&#47;telerehabiliation&#44; and refer patients to these locations at hospital discharge&#59;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Implement screening and treatment for all levels of health care&#46;</p></li></ul></p><p id="par0050" class="elsevierStylePara elsevierViewall">Continuity of care&#44; especially rehabilitation&#44; is essential and urgent for individuals with post-COVID-19 syndrome&#46; In the same way that an international task force rapidly searched for disease prevention&#44; the time has come to join efforts to mitigate sequelae and restore functionality and quality of life of those affected&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contributions</span><p id="par0055" class="elsevierStylePara elsevierViewall">Conceptualization&#44; methodology&#44; formal analysis&#44; writing-review&#58; B&#225;rbara R&#46;A&#46;F Barros-Leite and L&#237;via Barboza de Andrade&#46; All authors have read and agreed to the published version of the manuscript&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0060" class="elsevierStylePara elsevierViewall">Funding agencies did not finance this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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