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

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...

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Detalles Bibliográficos
Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10556111/
https://www.ncbi.nlm.nih.gov/pubmed/37620561
http://dx.doi.org/10.1007/s00134-023-07180-y
Descripción
Sumario: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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00134-023-07180-y.