Post-Acute Sequelae of COVID-19 Checklist (PASC-C): a screening tool for Long COVID physical, psychological, and cognitive symptoms.

Daniela Mancini, Marina Maffoni, Valeria Torlaschi, Alessandra Gorini, Maria Teresa La Rovere, Cira Fundarò, Francesco Fanfulla, Maurizio Bussotti, Sergio Masnaghetti, Antonia Pierobon
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Abstract

Background: The management of Long COVID symptoms is necessary. This study proposes a screening tool for psycho-physical COVID-19 sequelae. Patients' experiences after COVID-19 are also described.

Method: 84 COVID-19 patients (66.2±11.0 years old; 71.4% male) underwent a phone interview 1-2 years after the disease using the ad-hoc "Post-Acute Sequelae of COVID-19 Checklist (PASC-C)". It explores 30 physical, psychological, and cognitive symptoms clustered into 10 areas, with possible clinical recommendations in case of high severity scores (>50) of a symptom or the presence of two or more ones within the same area.

Results: Overall, fatigue (69%), dyspnea (52.4%), memory disturbances (44%), joint-muscle pain (41.7%), vision/hearing loss (40.5%), anxiety (40.5%) persist one-two years after COVID-19 disease. Being a survivor was primarily defined in terms of being "lucky".

Conclusions: PASC-C seems promising in monitoring psycho-physical sequelae of Long COVID and providing tailored suggestions to care for the patient over time.

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COVID-19 急性后遗症核对表(PASC-C):COVID 长期生理、心理和认知症状筛查工具。
背景:有必要对长 COVID 症状进行管理。本研究提出了一种针对 COVID-19 后遗症的心理-生理筛查工具。方法:84 名 COVID-19 患者(66.2±11.0 岁;71.4% 为男性)在患病 1-2 年后接受了电话访谈,访谈中使用了临时制作的 "COVID-19 后遗症检查表(PASC-C)"。该表列出了 30 种身体、心理和认知症状,共分为 10 个方面,如果某一症状严重程度较高(>50 分)或同一方面出现两种或两种以上症状,则可能需要临床建议:总的来说,在 COVID-19 病发一两年后,疲劳(69%)、呼吸困难(52.4%)、记忆障碍(44%)、关节肌肉疼痛(41.7%)、视力/听力下降(40.5%)、焦虑(40.5%)等症状仍然存在。幸存者的主要定义是 "幸运":PASC-C似乎有望监测长COVID的心理-生理后遗症,并为长期护理患者提供量身定制的建议。
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