Long-term outcomes of COVID-19 intensive care unit survivors and their family members: a one year follow-up prospective study

Frontiers in Public Health

Public Health

Eric Diconne¹  Patricia Correia¹  Dominique Page¹  Pierre-Alban Guenier¹  Raphael Lachand¹  Franklin Bruna¹  Raphael Laurent¹  Eric Ezingeard¹  Guillaume Thiéry²  Sophie Périnel-Ragey³ 

[1] Service de Médecine Intensive Réanimation G, Centre Hospitalier Universitaire de Saint-Etienne, St Etienne, France;Service de Médecine Intensive Réanimation G, Centre Hospitalier Universitaire de Saint-Etienne, St Etienne, France;Université Jean Monnet, Saint-Etienne, France;Laboratoire INSERM 1059 SAINBIOSE, Université Jean Monnet, Saint-Etienne, France;Service de Médecine Intensive Réanimation G, Centre Hospitalier Universitaire de Saint-Etienne, St Etienne, France;Université Jean Monnet, Saint-Etienne, France;Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon, Lyon, France;

关键词: COVID-19;    ARDS;    intensive care;    post-traumatic stress disorder;    follow-up;    mental disorders;    family members;   

DOI  :  10.3389/fpubh.2023.1236990

 received in 2023-06-08, accepted in 2023-07-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

PurposeTo describe the long-term physical, functional and mental status of COVID-19 intensive care unit (ICU) patients and their family members 1 year after ICU discharge.MethodsWe performed a prospective observational cohort study among patients admitted to the ICU for COVID-19-associated respiratory failure and their family members. Patients attended a one-year follow-up consultation with family members. Physical, functional and respiratory outcomes were collected. In addition, participants completed the Hospital Anxiety and Depression Scale and the Revised Impact of Event Scale. Qualitative components were collected during a 2-h face-to-face interview.ResultsFifty-four patients and 42 family members were included. Thirty-four (63%) patients reported chronic fatigue and 37 (68.5%) dyspnea. Computed tomography scans were abnormal in 34 patients (72.3%). Anxiety symptoms were present in 23 (48%) patients and 26 (66%) family members, depression in 11 (23%) and 13 (33%), and post-traumatic stress disorder in 12 (25%) and 23 (55%), respectively. Visit limitation was reported as the most painful experience for family members. Numerous patients recalled nightmares that contributed to the anxiety. Long-term reconstruction was difficult for both patients and family members.ConclusionThe vast majority of patients and their relatives reported long-term consequences on various physical and mental components, leading to a profound impact on their well-being.

【 授权许可】

Unknown   
Copyright © 2023 Laurent, Correia, Lachand, Diconne, Ezingeard, Bruna, Guenier, Page, Périnel-Ragey and Thiéry.