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Since 2021, the Haute Autorité de Santé has been regularly updating its treatment recommendations on the symptoms of long covid, as research progresses. This April 21, she notably updates two new quick answers on the psychological aspect and physiotherapy.
It is said to be a sign of underlying bodily distress, ephemeral, more or less severe depending on the patient… Anyway, the covid-long is still intriguing, but must be taken care of in the event of suffering. To this end, the High Authority for Health has developed quick answers to support first-line healthcare professionals in the diagnosis and management of these symptoms. Updated for the last time in January 2023, these rapid responses have so far been accompanied by fourteen technical sheets, designed by symptoms or by specialty (pain, fatigue, eye disorders, dyspnea, etc.).
A sheet on psychological disorders
Because the experience of prolonged symptoms following Covid-19 can also be associated with psychological repercussions, HAS therefore published a fifteenth sheet on April 21 devoted to psychiatric disorders and the psychological aspects associated with prolonged symptoms of Covid. -19. This sheet, intended for caregivers and patients, characterizes the main disorders and offers recommendations for their diagnosis and treatment.
Thus, it is necessary to determine the possible disorders of covid-long such as anxiety disorders, post-traumatic stress disorder, depressive disorders, suicidal ideas/behaviours and suicide and to involve a differential diagnosis. The management of psychiatric disorders must be multidisciplinary and multidimensional, advises the HAS in its new sheet.
An update of the recommendations in physiotherapy
The other contribution of this month of April is the update of the physiotherapy sheet on progressive exercise retraining, so as to respect the capacities of each patient. It offers the contours of a diagnostic assessment and session content adapted to the patient’s situation, especially if his symptoms are exacerbated after exercise. It also incorporates a decision support algorithm for the physiotherapist when faced with an inappropriate cardiovascular reaction to effort.
According to its press release, the HAS announces that it is also in the process of developing four critical analyzes relating respectively to the epidemiology, physiopathology, care pathway and treatment of prolonged symptoms of Covid-19. They will be published as they are finalized. It is in particular on the basis of this consolidated data that HAS will be able to draw up a recommendation of good practice on the subject.