High rates of impaired quality of life and social and economic problems at 6 months after COVID-19-related ARDS.

ARDS C-ARDS COVID-19 Critical illness Health-related quality of life Socio-economic status

Journal

Journal of anesthesia, analgesia and critical care
ISSN: 2731-3786
Titre abrégé: J Anesth Analg Crit Care
Pays: England
ID NLM: 9918591885906676

Informations de publication

Date de publication:
16 May 2022
Historique:
received: 17 03 2022
accepted: 21 04 2022
medline: 16 5 2022
pubmed: 16 5 2022
entrez: 29 6 2023
Statut: epublish

Résumé

Assess long-term quality of life (HR-QoL) and socio-economic impact in COVID-19-related ARDS (C-ARDS) survivors. C-ARDS survivors were followed up at 6 months in this prospective, cohort study. HR-QoL was assessed using SF-36 and EQ-5D-5L, and the socio-economic burden of COVID-19 was evaluated with a dedicated questionnaire. Clinical data were prospectively recorded. Seventy-nine survivors, age 63 [57-71], 84% male, were enrolled. The frequency of EQ-5D-5L reported problems was significantly higher among survivors compared to normal, in mobility, usual activities, and self-care; anxiety and depression and pain were not different. SF-36 scores were lower than the reference population, and physical and mental summary scores were below normal in 52% and 33% of the subjects, respectively. In the multivariable analysis, prolonged hospital length of stay (OR 1.45; p 0.02) and two or more comorbidities on admission (OR 7.42; p 0.002) were significant predictors of impaired "physical" and "mental" HR-QoL, respectively. A total of 38% subjects worsened social relations, 42% changed their employment status, and 23% required personal care support. C-ARDS survivors have long-term impairment in HR-QoL and socio-economic problems. Prolonged hospital stay and previous comorbidities are risk factors for developing health-related issues.

Identifiants

pubmed: 37386529
doi: 10.1186/s44158-022-00048-5
pii: 10.1186/s44158-022-00048-5
pmc: PMC9109430
doi:

Types de publication

Journal Article

Langues

eng

Pagination

20

Informations de copyright

© 2022. The Author(s).

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Auteurs

Michele Umbrello (M)

Department of Anesthesia and Intensive Care II, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, Milano, Italy.

Sara Miori (S)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Andrea Sanna (A)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Sergio Lassola (S)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Elena Baruzzo (E)

Center for Neurocognitive Rehabilitation (CeRiN), CIMeC, Trento University, Trento, Italy.

Daniele Penzo (D)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Giovanni Pedrotti (G)

Department of Anesthesia and Intensive Care, S. Maria del Carmine Hospital, Rovereto, Italy.

Annamaria Perino (A)

Department of Sociology and Social Research, Trento University, Trento, Italy.

Angelo Colombo (A)

Department of Anesthesia and Intensive Care, S. Maria del Carmine Hospital, Rovereto, Italy.

Rocco Pace (R)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy.

Sandra Magnoni (S)

Department of Anesthesia and Intensive Care, Santa Chiara Hospital, Trento, Italy. sandra.magnoni@apss.tn.it.

Classifications MeSH