Abstract:
:The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes coronavirus disease 2019 (COVID-19), which presents an unprecedented challenge to medical providers worldwide. Although most SARS-CoV-2-infected individuals manifest with a self-limited mild disease that resolves with supportive care in the outpatient setting, patients with moderate to severe COVID-19 will require a multidisciplinary collaborative management approach for optimal care in the hospital setting. Laboratory and radiologic studies provide critical information on disease severity, management options, and overall prognosis. Medical management is mostly supportive with antipyretics, hydration, oxygen supplementation, and other measures as dictated by clinical need. Among its medical complications is a characteristic proinflammatory cytokine storm often associated with end-organ dysfunction, including respiratory failure, liver and renal insufficiency, cardiac injury, and coagulopathy. Specific recommendations for the management of these medical complications are discussed. Despite the issuance of emergency use authorization for remdesivir, there are still no proven effective antiviral and immunomodulatory therapies, and their use in COVID-19 management should be guided by clinical trial protocols or treatment registries. The medical care of patients with COVID-19 extends beyond their hospitalization. Postdischarge follow-up and monitoring should be performed, preferably using telemedicine, until the patients have fully recovered from their illness and are released from home quarantine protocols.
journal_name
Mayo Clin Procjournal_title
Mayo Clinic proceedingsauthors
Razonable RR,Pennington KM,Meehan AM,Wilson JW,Froemming AT,Bennett CE,Marshall AL,Virk A,Carmona EMdoi
10.1016/j.mayocp.2020.05.010subject
Has Abstractpub_date
2020-07-01 00:00:00pages
1467-1481issue
7eissn
0025-6196issn
1942-5546pii
S0025-6196(20)30515-2journal_volume
95pub_type
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journal_title:Mayo Clinic proceedings
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