Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study.
ARDS
COVID-19
Deprivation
Respiratory sequelae
Socio-economic
Journal
Intensive care medicine
ISSN: 1432-1238
Titre abrégé: Intensive Care Med
Pays: United States
ID NLM: 7704851
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
05
03
2023
accepted:
28
07
2023
medline:
3
11
2023
pubmed:
25
8
2023
entrez:
24
8
2023
Statut:
ppublish
Résumé
Survivors after acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) are at high risk of developing respiratory sequelae and functional impairment. The healthcare crisis caused by the pandemic hit socially disadvantaged populations. We aimed to evaluate the influence of socio-economic status on respiratory sequelae after COVID-19 ARDS. We carried out a prospective multicenter study in 30 French intensive care units (ICUs), where ARDS survivors were pre-enrolled if they fulfilled the Berlin ARDS criteria. For patients receiving high flow oxygen therapy, a flow ≥ 50 l/min and an FiO Among 401 analyzable patients, 160 (40%) were socio-economically deprived and 241 (60%) non-deprived; 319 (80%) patients had respiratory sequelae 6 months after ICU discharge (81% vs 78%, deprived vs non-deprived, respectively). No significant effect of socio-economic status was identified on lung sequelae (odds ratio (OR), 1.19 [95% confidence interval (CI), 0.72-1.97]), even after adjustment for age, sex, most invasive respiratory support, obesity, most severe P/F ratio (adjusted OR, 1.02 [95% CI 0.57-1.83]). In COVID-19 ARDS survivors, socio-economic status had no significant influence on respiratory sequelae 6 months after ICU discharge.
Identifiants
pubmed: 37620561
doi: 10.1007/s00134-023-07180-y
pii: 10.1007/s00134-023-07180-y
pmc: PMC10556111
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Multicenter Study
Journal Article
Comment
Langues
eng
Sous-ensembles de citation
IM
Pagination
1168-1180Investigateurs
Mélody De Jesus
(M)
Sébastien Normant
(S)
Jean-Nicolas Dacher
(JN)
Thomas Stoup
(T)
Christophe Vinsonneau
(C)
Anne Dewatine
(A)
Pierre Cuchet
(P)
Delphine Rots
(D)
Julien Calus
(J)
Gabriel Le Moel
(G)
Pierre Kalfon
(P)
Gaëtan Badre
(G)
Jean-François Roy
(JF)
Damien Roux
(D)
Jean-Damien Ricard
(JD)
Marie Marcq
(M)
Thomas Georges
(T)
Caroline Pouplet
(C)
Laurie Lagache
(L)
Nicolas Masson
(N)
Matthieu Devos
(M)
Raphaël Favory
(R)
Sébastien Preau
(S)
Alexandre Gaudet
(A)
Pierre Bouju
(P)
Lidia Nichita
(L)
Pascal Maignan
(P)
Laurence Labourot
(L)
Francesco Molinari
(F)
Laurence Thirard
(L)
Charlotte Larrat
(C)
Fernando Berdaguer
(F)
Meltem Karakaya Akgun
(MK)
Yannick Fedun
(Y)
Thiphaine Guy
(T)
Marie Gousseff
(M)
Déborah Boyer
(D)
Tristan Bonnevie
(T)
Elsa Demarest
(E)
Sami Hraiech
(S)
Aude Sylvestre
(A)
Céline Sanz
(C)
Anne Veinstein
(A)
Commentaires et corrections
Type : CommentOn
Type : ErratumIn
Informations de copyright
© 2023. The Author(s).
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