ISSN Print 2713-2757
ISSN Online 2713-2765
Extreme Medicine
SCIENTIFIC AND PRACTICAL REVIEWED JOURNAL OF FMBA OF RUSSIA
REVIEW
Particularities of curation of athletes with protracted course of COVID-19
About authors
1 National Research Mordovia State University, Saransk, Russia
2 Federal Research and Clinical Center for Sports Medicine and Rehabilitation of the Federal Medical Biological Agency, Moscow, Russia
3 Pirogov Russian National Research Medical University, Moscow, Russia
Correspondence should be addressed: Maria S. Tarasova
B.Dorogomilovskaya, 5, Moscow, 121059, Russia; ur.abmftrops@smavosarat
About paper
Funding: the article was prepared as part of the applied research work "Investigation of the impact of COVID-19 on health and functional state of elite athletes and development of methodological recommendations for examination of athletes, including minors, before allowing them to train and compete after COVID-19, with the aim to ensure restoration of their health and functional state" (code "COVID-22"); the work is done by the Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency of Russia under state contract № 107.003.22.14 of July 25, 2022.
Author contributions: LA Balykova — development of the concept, text authoring, editing; AV Zholinsky — development of the concept, editing; MS Tarasova, MV Shirmankina, ZhV Grishina — search for and analysis of sources, text authoring; SA Ivyanskiy, RA Bespalov — search for and analysis of sources, development of the mathematical modeling tool, text authoring; SA Bazanovich — definition of approaches to mathematical modeling and their optimization; PV Efimov — search for and analysis of sources, definition of approaches to mathematical modeling and their optimization, text authoring; SA Parastaev — search for and analysis of sources, editing.
Received: 2023-05-25
Accepted: 2023-06-20
Published online: 2023-06-30
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This paper reviews publications covering the delayed clinical and functional manifestations of SARS-CoV2 among athletes competing at national and international levels; we describe the prevalence of multiorgan failure associated with protracted COVID as registered in sportsmen and people not going in for sports. The review reports the results of a retrospective analysis of data yielded from clinical, instrumental and laboratory tests undertaken by the Russian national team athletes that had COVID-19. We highlight the most informative indicators that reflect the condition of sportsmen with protracted coronavirus infection course, define the approaches making resumption of active training safe and compile the list of the most significant criteria supporting admission to such training and competitions. Lastly, the paper presents the parameters subject to inclusion in the prognostic model (binary logistic regression) describing the dynamics of residual multiorgan failure in athletes, including minors, who have had COVID-19 or viral pneumonia of a different etiology.
Keywords: multisystem inflammatory syndrome, elite athletes, post-COVID syndrome, elite sports, SARS-CoV2 coronavirus infection, post-Covid syndrome, cardiovascular system, myocarditis in sports, binary logistic regression