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One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients

The long-term clinical management and evolution of a cohort of critical COVID-19 survivors have not been described in detail. We report a prospective observational study of COVID-19 patients admitted to the ICU between March and August 2020. The follow-up in a post-COVID consultation comprised sympt...

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Autores principales: González, Jessica, Zuil, María, Benítez, Iván D., de Gonzalo-Calvo, David, Aguilar, María, Santisteve, Sally, Vaca, Rafaela, Minguez, Olga, Seck, Faty, Torres, Gerard, de Batlle, Jordi, Gómez, Silvia, Barril, Silvia, Moncusí-Moix, Anna, Monge, Aida, Gort-Paniello, Clara, Ferrer, Ricard, Ceccato, Adrián, Fernández, Laia, Motos, Ana, Riera, Jordi, Menéndez, Rosario, Garcia-Gasulla, Darío, Peñuelas, Oscar, Labarca, Gonzalo, Caballero, Jesús, Barberà, Carme, Torres, Antoni, Barbé, Ferran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329578/
https://www.ncbi.nlm.nih.gov/pubmed/35911414
http://dx.doi.org/10.3389/fmed.2022.897990
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author González, Jessica
Zuil, María
Benítez, Iván D.
de Gonzalo-Calvo, David
Aguilar, María
Santisteve, Sally
Vaca, Rafaela
Minguez, Olga
Seck, Faty
Torres, Gerard
de Batlle, Jordi
Gómez, Silvia
Barril, Silvia
Moncusí-Moix, Anna
Monge, Aida
Gort-Paniello, Clara
Ferrer, Ricard
Ceccato, Adrián
Fernández, Laia
Motos, Ana
Riera, Jordi
Menéndez, Rosario
Garcia-Gasulla, Darío
Peñuelas, Oscar
Labarca, Gonzalo
Caballero, Jesús
Barberà, Carme
Torres, Antoni
Barbé, Ferran
author_facet González, Jessica
Zuil, María
Benítez, Iván D.
de Gonzalo-Calvo, David
Aguilar, María
Santisteve, Sally
Vaca, Rafaela
Minguez, Olga
Seck, Faty
Torres, Gerard
de Batlle, Jordi
Gómez, Silvia
Barril, Silvia
Moncusí-Moix, Anna
Monge, Aida
Gort-Paniello, Clara
Ferrer, Ricard
Ceccato, Adrián
Fernández, Laia
Motos, Ana
Riera, Jordi
Menéndez, Rosario
Garcia-Gasulla, Darío
Peñuelas, Oscar
Labarca, Gonzalo
Caballero, Jesús
Barberà, Carme
Torres, Antoni
Barbé, Ferran
author_sort González, Jessica
collection PubMed
description The long-term clinical management and evolution of a cohort of critical COVID-19 survivors have not been described in detail. We report a prospective observational study of COVID-19 patients admitted to the ICU between March and August 2020. The follow-up in a post-COVID consultation comprised symptoms, pulmonary function tests, the 6-minute walking test (6MWT), and chest computed tomography (CT). Additionally, questionnaires to evaluate the prevalence of post-COVID-19 syndrome were administered at 1 year. A total of 181 patients were admitted to the ICU during the study period. They were middle-aged (median [IQR] of 61 [52;67]) and male (66.9%), with a median ICU stay of 9 (5–24.2) days. 20% died in the hospital, and 39 were not able to be included. A cohort of 105 patients initiated the follow-up. At 1 year, 32.2% persisted with respiratory alterations and needed to continue the follow-up. Ten percent still had moderate/severe lung diffusion (DLCO) involvement (<60%), and 53.7% had a fibrotic pattern on CT. Moreover, patients had a mean (SD) number of symptoms of 5.7 ± 4.6, and 61.3% met the criteria for post-COVID syndrome at 1 year. During the follow-up, 46 patients were discharged, and 16 were transferred to other consultations. Other conditions, such as emphysema (21.6%), COPD (8.2%), severe neurocognitive disorders (4.1%), and lung cancer (1%) were identified. A high use of health care resources is observed in the first year. In conclusion, one-third of critically ill COVID-19 patients need to continue follow-up beyond 1 year, due to abnormalities on DLCO, chest CT, or persistent symptoms.
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spelling pubmed-93295782022-07-29 One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients González, Jessica Zuil, María Benítez, Iván D. de Gonzalo-Calvo, David Aguilar, María Santisteve, Sally Vaca, Rafaela Minguez, Olga Seck, Faty Torres, Gerard de Batlle, Jordi Gómez, Silvia Barril, Silvia Moncusí-Moix, Anna Monge, Aida Gort-Paniello, Clara Ferrer, Ricard Ceccato, Adrián Fernández, Laia Motos, Ana Riera, Jordi Menéndez, Rosario Garcia-Gasulla, Darío Peñuelas, Oscar Labarca, Gonzalo Caballero, Jesús Barberà, Carme Torres, Antoni Barbé, Ferran Front Med (Lausanne) Medicine The long-term clinical management and evolution of a cohort of critical COVID-19 survivors have not been described in detail. We report a prospective observational study of COVID-19 patients admitted to the ICU between March and August 2020. The follow-up in a post-COVID consultation comprised symptoms, pulmonary function tests, the 6-minute walking test (6MWT), and chest computed tomography (CT). Additionally, questionnaires to evaluate the prevalence of post-COVID-19 syndrome were administered at 1 year. A total of 181 patients were admitted to the ICU during the study period. They were middle-aged (median [IQR] of 61 [52;67]) and male (66.9%), with a median ICU stay of 9 (5–24.2) days. 20% died in the hospital, and 39 were not able to be included. A cohort of 105 patients initiated the follow-up. At 1 year, 32.2% persisted with respiratory alterations and needed to continue the follow-up. Ten percent still had moderate/severe lung diffusion (DLCO) involvement (<60%), and 53.7% had a fibrotic pattern on CT. Moreover, patients had a mean (SD) number of symptoms of 5.7 ± 4.6, and 61.3% met the criteria for post-COVID syndrome at 1 year. During the follow-up, 46 patients were discharged, and 16 were transferred to other consultations. Other conditions, such as emphysema (21.6%), COPD (8.2%), severe neurocognitive disorders (4.1%), and lung cancer (1%) were identified. A high use of health care resources is observed in the first year. In conclusion, one-third of critically ill COVID-19 patients need to continue follow-up beyond 1 year, due to abnormalities on DLCO, chest CT, or persistent symptoms. Frontiers Media S.A. 2022-07-14 /pmc/articles/PMC9329578/ /pubmed/35911414 http://dx.doi.org/10.3389/fmed.2022.897990 Text en Copyright © 2022 González, Zuil, Benítez, de Gonzalo-Calvo, Aguilar, Santisteve, Vaca, Minguez, Seck, Torres, de Batlle, Gómez, Barril, Moncusí-Moix, Monge, Gort-Paniello, Ferrer, Ceccato, Fernández, Motos, Riera, Menéndez, Garcia-Gasulla, Peñuelas, Labarca, Caballero, Barberà, Torres and Barbé. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
González, Jessica
Zuil, María
Benítez, Iván D.
de Gonzalo-Calvo, David
Aguilar, María
Santisteve, Sally
Vaca, Rafaela
Minguez, Olga
Seck, Faty
Torres, Gerard
de Batlle, Jordi
Gómez, Silvia
Barril, Silvia
Moncusí-Moix, Anna
Monge, Aida
Gort-Paniello, Clara
Ferrer, Ricard
Ceccato, Adrián
Fernández, Laia
Motos, Ana
Riera, Jordi
Menéndez, Rosario
Garcia-Gasulla, Darío
Peñuelas, Oscar
Labarca, Gonzalo
Caballero, Jesús
Barberà, Carme
Torres, Antoni
Barbé, Ferran
One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title_full One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title_fullStr One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title_full_unstemmed One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title_short One Year Overview and Follow-Up in a Post-COVID Consultation of Critically Ill Patients
title_sort one year overview and follow-up in a post-covid consultation of critically ill patients
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329578/
https://www.ncbi.nlm.nih.gov/pubmed/35911414
http://dx.doi.org/10.3389/fmed.2022.897990
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