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Long-term impact of COVID-19 associated acute respiratory distress syndrome.
Aranda, Judit; Oriol, Isabel; Martín, Miguel; Feria, Lucía; Vázquez, Núria; Rhyman, Nicolás; Vall-Llosera, Estel; Pallarés, Natàlia; Coloma, Ana; Pestaña, Melani; Loureiro, Jose; Güell, Elena; Borjabad, Beatriz; León, Elena; Franz, Elena; Domènech, Anna; Pintado, Sara; Contra, Anna; Cortés, María Del Señor; Chivite, Iván; Clivillé, Raquel; Vacas, Montserrat; Ceresuela, Luis Miguel; Carratalà, Jordi.
  • Aranda J; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain. Electronic address: Judit.ArandaLobo@sanitatintegral.org.
  • Oriol I; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain; Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Spain; Clinical Science Department, Faculty of Medicine, University of Barcelona, Spain. Electronic address: Isabel.OriolBermudez@
  • Martín M; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Feria L; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Vázquez N; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Rhyman N; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Vall-Llosera E; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Pallarés N; Statistics Advisory Service, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Spain.
  • Coloma A; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Pestaña M; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Loureiro J; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Güell E; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Borjabad B; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • León E; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Franz E; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Domènech A; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Pintado S; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Contra A; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Cortés MDS; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Chivite I; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Clivillé R; Department or Microbiology of CLILAB Diagnòstics, Barcelona, Spain.
  • Vacas M; Department of Psychiatry and Psychology, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Ceresuela LM; Department of Internal Medicine, Complex Hospitalari Moisès Broggi, Sant Joan Despí, Spain.
  • Carratalà J; Infectious Disease Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain; Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Spain; Spanish Network for Research in Infectious Diseases (REIPI), Madrid, Spain; Clinical Science Department, Faculty o
J Infect ; 83(5): 581-588, 2021 11.
Article in English | MEDLINE | ID: covidwho-1356312
ABSTRACT

OBJECTIVES:

To determine the health status, exercise capacity, and health related quality of life (HRQoL) of COVID-19 associated acute respiratory distress syndrome (ARDS) survivors, 8 months after diagnosis.

METHODS:

All eligible patients were interviewed and underwent a physical examination, chest X-ray, and 6 min walk test (6MWT). Scales to evaluate post-traumatic stress disorder, depression, anxiety, and HRQoL were applied.

RESULTS:

Of 1295 patients, 365 suffered ARDS and 166 survived to hospital discharge. Five died after discharge and 48 were lost to follow-up. Of the 113 remaining patients, 81% had persistent symptoms. More than 50% of patients completed less than 80% of the theoretical distance on the 6MWT, 50% had an abnormal X-ray and 93% of patients developed psychiatric disorders. Mean SF-36 scores were worse than in the general population. After multivariate regression analysis, female sex, non-Caucasian race, and Charlson index>2 were independent risk factors for a worse mental health component summary score on the SF-36, and age was associated with a better prognosis. Female sex and chronic obstructive pulmonary disease were independently associated with a worse physical component summary score.

CONCLUSION:

COVID-19 associated ARDS survivors have long-term consequences in health status, exercise capacity, and HRQoL. Strategies addressed to prevent these sequelae are needed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans Language: English Journal: J Infect Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans Language: English Journal: J Infect Year: 2021 Document Type: Article