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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ksma</journal-id><journal-title-group><journal-title xml:lang="ru">Кубанский научный медицинский вестник</journal-title><trans-title-group xml:lang="en"><trans-title>Kuban Scientific Medical Bulletin</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1608-6228</issn><issn pub-type="epub">2541-9544</issn><publisher><publisher-name>Kuban State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25207/1608-6228-2021-28-6-90-116</article-id><article-id custom-type="elpub" pub-id-type="custom">ksma-2625</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Постковидный синдром: распространенность и патогенез органных поражений, направления коррекции. Систематический обзор</article-title><trans-title-group xml:lang="en"><trans-title>Post-COVID syndrome: prevalence, organ pathogenesis and routes of correction. A systematic review</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1510-9204</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Канорский</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Kanorskii</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Канорский Сергей Григорьевич — доктор медицинских наук, профессор, заведующий кафедрой терапии № 2 ФПК и ППС</p><p>ул. им. Митрофана Седина, д. 4 г. Краснодар, 350063</p></bio><bio xml:lang="en"><p>Sergey G. Kanorskii — Dr. Sci. (Med.), Prof., Head of Chair of Therapy No. 2, Faculty of Advanced Vocational Training and Retraining</p><p>Pushkina str., 4, korp. Б, apt. 30, Krasnodar, 350063</p></bio><email xlink:type="simple">kanorskysg@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет»  Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kuban State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>06</day><month>12</month><year>2021</year></pub-date><volume>28</volume><issue>6</issue><fpage>90</fpage><lpage>116</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Канорский С.Г., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Канорский С.Г.</copyright-holder><copyright-holder xml:lang="en">Kanorskii S.G.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ksma.elpub.ru/jour/article/view/2625">https://ksma.elpub.ru/jour/article/view/2625</self-uri><abstract><sec><title>Введение</title><p>Введение. Продолжающаяся пандемия COVID-19 сопровождается быстрым ростом количества людей, перенесших инфекцию SARS-CoV-2 и имеющих ряд сохраняющихся полиорганных поражений с широким спектром стойких симптомов и/или отсроченных осложнений. Важно оценить требующийся объем мероприятий системы здравоохранения по их диагностике и лечению, реабилитации пациентов.</p><p>Цель — собрать и систематизировать накопленную за последнее время информацию об эпидемиологии, патофизиологии органоспецифических последствиях COVID-19 и направлениях их коррекции.</p></sec><sec><title>Методы</title><p>Методы. Проведен поиск литературных источников в базах данных eLibrary и MEDLINE/PubMed по ключевым словам «постковидный синдром» и «COVID-19», «SARS-CoV-2», «post-covid syndrome», «organ lesions», «pathogenesis», «treatment» с выбором типов статей «Clinical Trial», «Meta-Analysis», «Review», «Systematic Review», опубликованных за период с 1 января 2020 по 10 июля 2021 года на английском и русском языках. Для включения в обзор рассматривались исследования любого дизайна, отражающие современные представления об эпидемиологии, патогенезе, поздних проявлениях и осложнениях перенесенного COVID-19 со стороны органов и систем, направлениях их коррекции. Предпочтение при выборе публикаций отдавали полнотекстовым статьям в рецензируемых журналах, имеющих высокий импакт-фактор.</p></sec><sec><title>Результаты</title><p>Результаты. После скрининга 1163 источников литературы отобраны и проанализированы 480 наиболее значимых статей, доступных в полнотекстовом формате, в обзор вошла 131 из них. За 2020–2021 гг. опубликован ряд исследований стойких проявлений COVID-19. Среди них, как правило, упоминаются легочные, сердечно-сосудистые, почечные осложнения, гематологические расстройства, нейропсихиатрические, эндокринные последствия. Менее изучены желудочно-кишечные, гепатобилиарные и дерматологические осложнения инфекции SARS-CoV-2. Формируются представления о патогенезе поражений органов и систем организма, сохраняющихся в течение недель и месяцев после острой фазы COVID-19. Понимание этих патофизиологических процессов позволит врачам проводить целенаправленные мероприятия по комплексному лечению постковидного синдрома. В настоящее время проводятся клинические исследования, которые обеспечат доказательную базу профилактики и терапии осложнений COVID-19 после выписки из стационара.</p></sec><sec><title>Заключение</title><p>Заключение. Ведение пациентов с COVID-19 не завершается при выписке из стационара, и многим из них требуется комплексная междисциплинарная медицинская помощь в амбулаторных условиях. Активный процесс накопления базы данных и профессиональной информации о постковидном синдроме закладывает основы успешного лечения и реабилитации пациентов, перенесших COVID-19.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Background</title><p>Background. The ongoing COVID-19 pandemic is building up a population of previous SARS-CoV-2 patients with non-transient multiorgan failures having diverse stable symptoms and/or delayed complications. Proper measures should be defined in public healthcare to tackle patients’ diagnosis, treatment and rehabilitation.</p></sec><sec><title>Objectives</title><p>Objectives. A systematic review of recent evidence in epidemiology and pathophysiology of organ-specific COVID-19 aftereffects and their routes of correction.</p></sec><sec><title>Methods</title><p>Methods. Sources were mined in eLibrary and Medline/PubMed using the keywords “post-covid syndrome” [постковидный синдром], COVID-19, SARS-CoV-2, “organ lesions”, pathogenesis, treatment; the article type were “Clinical Trial”, “Meta-Analysis”, Review and “Systematic Review” published in English or Russian during 01 January 2020–10 July 2021. All study designs considered reflected the current understanding of epidemiology, pathogenesis, late manifestations and complications of old systemic and organ COVID-19, as well as their correction measures. Full-text peer-reviewed high-impact journal articles had preference.</p></sec><sec><title>Results</title><p>Results. A screening of 1,163 sources selected 480 most relevant full-text articles for analysis, with 131 included in the final review. A number of 2020–2021 studies reported persistent COVID-19 representations, including pulmonary, cardiovascular, renal complications, haematological disorders, neuropsychiatric and endocrine aftereffects. Gastrointestinal, hepatobiliary and dermatological complications of SARS-CoV-2 are less elaborated. Insights are emerging into the pathogenesis of weeks-to-months persisting post-acute COVID-19 organ and systemic lesions. Understanding their pathophysiology will enable targeting measures towards a comprehensive treatment of post-COVID syndrome. Clinical trials are currently underway that will evidence-ground the prevention and therapy of COVID-19 complications in discharged patients.</p></sec><sec><title>Conclusion</title><p>Conclusion. COVID-19 patients should be managed beyond hospital discharge, as many of them require comprehensive inter-specialty medical care in outpatient follow-up. A rapid enrichment of databases and professional evidence for post-COVID syndrome lays the grounds for successful treatment and rehabilitation of patients who had coped with this disease.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>COVID-19</kwd><kwd>SARS-CoV-2</kwd><kwd>постковидный синдром</kwd><kwd>органные поражения</kwd><kwd>патогенез</kwd><kwd>лечение</kwd></kwd-group><kwd-group xml:lang="en"><kwd>COVID-19</kwd><kwd>SARS-CoV-2</kwd><kwd>post-covid syndrome</kwd><kwd>organ lesions</kwd><kwd>pathogenesis</kwd><kwd>treatment.</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Dong E., Du H., Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect. Dis. 2020; 20(5): 533–534. DOI: 10.1016/S1473-3099(20)30120-1</mixed-citation><mixed-citation xml:lang="en">Dong E., Du H., Gardner L. 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