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Evolution and major changes of the diagnosis and treatment protocol for COVID-19 patients in China 2020-2023

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机构: [1]Tsinghua Univ, Inst Hosp Management, Beijing, Peoples R China [2]Tsinghua Univ, Sch Med, Beijing, Peoples R China [3]Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA [4]Southern Med Univ, Nanfang Hosp, Guangzhou, Peoples R China [5]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [6]Digital Hlth China Technol, Beijing, Peoples R China [7]China Med Univ, Canc Hosp, Liaoning Canc Hosp & Inst, Shenyang, Peoples R China [8]Second Affiliated Hosp Chongqing Med Univ, Chongqing, Peoples R China [9]Imperial Coll London, MRC Ctr Environm & Hlth, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England [10]Imperial Coll London, Protect Res Unit Chem & Radiat Threats & Hazards, Natl Inst Hlth Res Hlth, London, England [11]Beijing Univ Chinese Med, Natl Inst Tradit Chinese Med Constitut & Prevent T, Beijing, Peoples R China [12]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Neurosurg, Wuhan, Peoples R China [13]Chengdu Med Coll, Affiliated Hosp 1, Dept Orthoped, Chengdu, Peoples R China [14]Capital Med Univ, Beijing Anzhen Hosp, Beijing Inst Heart Lung & Blood, Beijing, Peoples R China [15]Soochow Univ, Affiliated Hosp 3, Dept Neurosurg, Changzhou, Peoples R China [16]Sun Yat Sen Univ, Affiliated Hosp 1, Clin Trial Unit, Guangzhou, Peoples R China
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关键词: COVID-19 diagnosis treatment clinical guideline

摘要:
Since the identification of the first case of pneumonia of unknown cause in 2019, the COVID-19 pandemic has spread the globe for over 3 years. As the most populous country in the world, China's disease prevention policies and response plans concern the health of the country's 1.4 billion people and beyond. During the course of the pandemic, scientific research has been accumulated and given evidence-based support to the official guidance of COVID-19 management. The National Health Commission of China have compiled, published, and updated a total of 10 versions of the "Diagnosis and Treatment Protocol for COVID-19 Patients" to better inform clinical practitioners and staff to effectively screen, diagnose, manage, treat, and care for cases of severe acute respiratory syndrome coronavirus 2 infection. This paper compares and summarizes each version of the protocol in terms of etiology and epidemiology, clinical manifestation and diagnosis, treatment and nursing, disease control and management, presenting detailed changes, additions, deletions, and refinement of the protocols.

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第一作者机构: [1]Tsinghua Univ, Inst Hosp Management, Beijing, Peoples R China [2]Tsinghua Univ, Sch Med, Beijing, Peoples R China [3]Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA [*1]Inst Hosp Management, 30 Shuangqing Rd, Beijing 100084, Peoples R China
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通讯机构: [1]Tsinghua Univ, Inst Hosp Management, Beijing, Peoples R China [2]Tsinghua Univ, Sch Med, Beijing, Peoples R China [3]Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA [16]Sun Yat Sen Univ, Affiliated Hosp 1, Clin Trial Unit, Guangzhou, Peoples R China [*1]Inst Hosp Management, 30 Shuangqing Rd, Beijing 100084, Peoples R China [*2]58 Zhongshaner Rd, Guangzhou 510060, Peoples R China
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