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Physical, cognitive and mental health outcomes in 1-year survivors of COVID-19-associated ARDS.
Latronico, Nicola; Peli, Elena; Calza, Stefano; Rodella, Federica; Novelli, Maria Paola; Cella, Andrea; Marshall, John; Needham, Dale M; Rasulo, Frank Antony; Piva, Simone.
  • Latronico N; Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy nicola.latronico@unibs.it.
  • Peli E; Department of Anesthesia, Critical Care and Emergency, ASST Spedali Civili di Brescia, Brescia, Italy.
  • Calza S; 'Alessandra Bono' University Research Center on long-term outcome in patients who survive critical illness, University of Brescia, Brescia, Italy.
  • Rodella F; Department of Anesthesia, Critical Care and Emergency, ASST Spedali Civili di Brescia, Brescia, Italy.
  • Novelli MP; Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
  • Cella A; Department of Anesthesia, Critical Care and Emergency, ASST Spedali Civili di Brescia, Brescia, Italy.
  • Marshall J; Department of Anesthesia, Critical Care and Emergency, ASST Spedali Civili di Brescia, Brescia, Italy.
  • Needham DM; Department of Anesthesia, Critical Care and Emergency, ASST Spedali Civili di Brescia, Brescia, Italy.
  • Rasulo FA; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
  • Piva S; Department of Critical Care, University of Toronto, Toronto, Ontario, Canada.
Thorax ; 77(3): 300-303, 2022 03.
Article in English | MEDLINE | ID: covidwho-1443628
ABSTRACT
We report on the outcome of 114 COVID-19-associated acute respiratory distress syndrome (ARDS) survivors evaluated at 3, 6 and 12 months after intensive care unit discharge with assessment of physical, mental and cognitive impairments. Critical illness polyneuromyopathy was diagnosed in 23 patients (39%). Handgrip dynamometry was 70% predicted at 3 months and significantly improved over time, whereas the 6 min walk test (80% predicted) and severe fatigue (27% of patients) did not. Independence in activities of daily living (ADL) was achieved by 98% at 3 months. Cognitive impairment (28% at 3 months) improved over time, whereas depression, anxiety and post-traumatic stress disorder symptoms, present in 9%, 10% and 4% at 3 months, did not. Normalised health-related quality of life was good. COVID-19-associated ARDS leads to persisting impairment in performance-based measures of physical function, while ADL, cognitive and mental health status, and health-related quality of life may be less impaired. Trial registration number NCT04608994.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Thorax Year: 2022 Document Type: Article Affiliation country: Thoraxjnl-2021-218064

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Humans Language: English Journal: Thorax Year: 2022 Document Type: Article Affiliation country: Thoraxjnl-2021-218064