Details

Autor(en) / Beteiligte

• Declercq, Pierre-Louis
• Fournel, Isabelle
• Demeyere, Matthieu
• Berraies, Anissa
• Ksiazek, Eléa
• Nyunga, Martine
• Daubin, Cédric
• Ampere, Alexandre
• Sauneuf, Bertrand
• Badie, Julio
• Delbove, Agathe
• Nseir, Saad
• Artaud-Macari, Elise
• Bironneau, Vanessa
• Ramakers, Michel
• Maizel, Julien
• Miailhe, Arnaud-Felix
• Lacombe, Béatrice
• Delberghe, Nicolas
• Oulehri, Walid
• Georges, Hugues
• Tchenio, Xavier
• Clarot, Caroline
• Redureau, Elise
• Bourdin, Gaël
• Federici, Laura
• Adda, Mélanie
• Schnell, David
• Bousta, Mehdi
• Salmon-Gandonnière, Charlotte
• Vanderlinden, Thierry
• Plantefeve, Gaëtan
• Delacour, David
• Delpierre, Cyrille
• Le Bouar, Gurvan
• Sedillot, Nicholas
• Beduneau, Gaëtan
• Rivière, Antoine
• Meunier-Beillard, Nicolas
• Gélinotte, Stéphanie
• Rigaud, Jean-Philippe
• Labruyère, Marie
• Georges, Marjolaine
• Binquet, Christine
• Quenot, Jean-Pierre

Titel

Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study

Ist Teil von

• Intensive care medicine, 2023-10, Vol.49 (10), p.1168-1180

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2023

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Purpose 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. Methods 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 2  ≥ 50% were required for enrollment. Socio-economic deprivation was defined by an EPICES (Evaluation de la Précarité et des Inégalités de santé dans les Centres d’Examens de Santé - Evaluation of Deprivation and Inequalities in Health Examination Centres) score ≥ 30.17 and patients were included if they performed the 6-month evaluation. The primary outcome was respiratory sequelae 6 months after ICU discharge, defined by at least one of the following criteria: forced vital capacity < 80% of theoretical value, diffusing capacity of the lung for carbon monoxide < 80% of theoretical value, oxygen desaturation during a 6-min walk test and fibrotic-like findings on chest computed tomography. Results 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]). Conclusions In COVID-19 ARDS survivors, socio-economic status had no significant influence on respiratory sequelae 6 months after ICU discharge.