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One-Year Mental and Physical Health Assessment in Survivors after Extracorporeal Membrane Oxygenation for COVID-19-related Acute Respiratory Distress Syndrome.
Chommeloux, Juliette; Valentin, Simon; Winiszewski, Hadrien; Adda, Mélanie; Pineton de Chambrun, Marc; Moyon, Quentin; Mathian, Alexis; Capellier, Gilles; Guervilly, Christophe; Levy, Bruno; Jaquet, Pierre; Sonneville, Romain; Voiriot, Guillaume; Demoule, Alexandre; Boussouar, Samia; Painvin, Benoit; Lebreton, Guillaume; Combes, Alain; Schmidt, Matthieu.
Afiliación
  • Chommeloux J; Sorbonne University, Groupe de Recherche Clinique 30 RESPIRE, Institute of Cardiometabolism and Nutrition, INSERM UMRS_1166-iCAN, Paris, France.
  • Valentin S; Medical Intensive Care Unit and.
  • Winiszewski H; Médecine Intensive et Réanimation, CHRU Nancy, Pôle Cardio-Médico-Chirurgical, Vandoeuvre-les-Nancy, France.
  • Adda M; Faculté de Médecine, INSERM U1116, Vandoeuvre-les-Nancy, France.
  • Pineton de Chambrun M; Université de Lorraine, Nancy, France.
  • Moyon Q; Medical Intensive Care Unit, University Hospital, Besancon, France.
  • Mathian A; Médecine Intensive Réanimation, Hôpital Nord, Assistance Publique Hopitaux de Marseille Centre d'Etudes et de Recherches sur les Services de Santé et Qualité de Vie EA 3279, Marseille, France.
  • Capellier G; Sorbonne University, Groupe de Recherche Clinique 30 RESPIRE, Institute of Cardiometabolism and Nutrition, INSERM UMRS_1166-iCAN, Paris, France.
  • Guervilly C; Medical Intensive Care Unit and.
  • Levy B; Medical Intensive Care Unit and.
  • Jaquet P; Sorbonne Universite, AP-HP, Groupement Hospitalier Pitié-Salpêtrière, Service de Medecine Interne 2, Inserm UMRS, Paris, France.
  • Sonneville R; Sorbonne Universite, AP-HP, Groupement Hospitalier Pitié-Salpêtrière, Service de Medecine Interne 2, Inserm UMRS, Paris, France.
  • Voiriot G; Medical Intensive Care Unit, University Hospital, Besancon, France.
  • Demoule A; Médecine Intensive Réanimation, Hôpital Nord, Assistance Publique Hopitaux de Marseille Centre d'Etudes et de Recherches sur les Services de Santé et Qualité de Vie EA 3279, Marseille, France.
  • Boussouar S; Médecine Intensive et Réanimation, CHRU Nancy, Pôle Cardio-Médico-Chirurgical, Vandoeuvre-les-Nancy, France.
  • Painvin B; Faculté de Médecine, INSERM U1116, Vandoeuvre-les-Nancy, France.
  • Lebreton G; Université de Lorraine, Nancy, France.
  • Combes A; Médecine Intensive-Réanimation, AP-HP, Hôpital Bichat-Claude Bernard, Paris, France.
  • Schmidt M; Médecine Intensive-Réanimation, AP-HP, Hôpital Bichat-Claude Bernard, Paris, France.
Am J Respir Crit Care Med ; 207(2): 150-159, 2023 01 15.
Article en En | MEDLINE | ID: mdl-36150112
Rationale: Long-term outcomes of patients with coronavirus disease (COVID-19)-related acute respiratory distress syndrome treated with extracorporeal membrane oxygenation (ECMO) are unknown. Objectives: To assess physical examination, pulmonary function tests, anxiety, depression, post-traumatic stress disorder and quality of life at 6 and 12 months after ECMO onset. Methods: Multicenter, prospective study in patients who received ECMO for COVID-19 acute respiratory distress syndrome from March to June 2020 and survived hospital discharge. Measurements and Main Results: Of 80 eligible patients, 62 were enrolled in seven French ICUs. ECMO and invasive mechanical ventilation duration were 18 (11-25) and 36 (27-62) days, respectively. All were alive, but only 19/50 (38%) returned to work and 13/42 (31%) had recovered a normal sex drive at 1 year. Pulmonary function tests were almost normal at 6 months, except for DlCO, which was still impaired at 12 months. Mental health, role-emotional, and role-physical were the most impaired domain compared with patients receiving ECMO who did not have COVID-19. One year after ICU admission, 19/43 (44%) patients had significant anxiety, 18/43 (42%) had depression symptoms, and 21/50 (42%) were at risk for post-traumatic stress disorders. Conclusions: Despite the partial recovery of the lung function tests at 1 year, the physical and psychological function of this population remains impaired. Based on the comparison with long-term follow-up of patients receiving ECMO who did not have COVID-19, poor mental and physical health may be more related to COVID-19 than to ECMO in itself, although this needs confirmation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Oxigenación por Membrana Extracorpórea / COVID-19 Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Dificultad Respiratoria / Oxigenación por Membrana Extracorpórea / COVID-19 Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Am J Respir Crit Care Med Asunto de la revista: TERAPIA INTENSIVA Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos