Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors
IMPORTANCE:. At present, it is not clear if critically ill COVID-19 survivors have different needs in terms of follow-up compared with other critically ill survivors, and thus if duplicated post-ICU trajectories are mandatory. OBJECTIVES:. To compare the post-intensive care syndrome (PICS) of COVID-...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-01-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000000850 |
| _version_ | 1797947146211688448 |
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| author | Anne-Françoise Rousseau, MD, PhD Camille Colson, RN Pauline Minguet, RN Isabelle Kellens, PT, PhD Maxine Collard, PT Camille Vancraybex, PT Julien Guiot, MD, PhD Bernard Lambermont, MD, PhD Benoit Misset, MD |
| author_facet | Anne-Françoise Rousseau, MD, PhD Camille Colson, RN Pauline Minguet, RN Isabelle Kellens, PT, PhD Maxine Collard, PT Camille Vancraybex, PT Julien Guiot, MD, PhD Bernard Lambermont, MD, PhD Benoit Misset, MD |
| author_sort | Anne-Françoise Rousseau, MD, PhD |
| collection | DOAJ |
| description | IMPORTANCE:. At present, it is not clear if critically ill COVID-19 survivors have different needs in terms of follow-up compared with other critically ill survivors, and thus if duplicated post-ICU trajectories are mandatory.
OBJECTIVES:. To compare the post-intensive care syndrome (PICS) of COVID-19 acute respiratory distress syndrome and non-COVID-19 (NC) survivors referred to a follow-up clinic at 3 months (M3) after ICU discharge.
DESIGN, SETTING, AND PARTICIPANTS:. Adults who survived an ICU stay greater than or equal to 7 days and attended the M3 consultation were included in this observational study performed in a post-ICU follow-up clinic of a single tertiary hospital.
MAIN OUTCOMES AND MEASURES:. Patients underwent a standardized assessment, addressing health-related quality of life (3-level version of EQ-5D), sleep disorders (Pittsburgh Sleep Quality Index [PSQI]), physical status (Barthel index, handgrip and quadriceps strengths), mental health disorders (Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised [IES-R]), and cognitive impairment (Montreal Cognitive Assessment [MoCA]).
RESULTS:. A total of 143 survivors (86 COVID and 57 NC) attended the M3 consultation. Their median age and severity scores were similar. NC patients had a shorter ICU stay (10 d [8–17.2 d]) compared with COVID group (18 d [10.8–30 d]) (p = 0.001). M3 outcomes were similar in the two groups, except for a higher PSQI (p = 0.038) in the COVID group (6 [3–9.5]) versus NC group (4 [2–7]), and a slightly lower Barthel index in the NC group (100 [100–100]) than in the COVID group (100 [85–100]) (p = 0.026). However, the proportion of patients with abnormal values at each score was similar in the two groups. Health-related quality of life was similar in the two groups. The three MoCA (≥ 26), IES-R (<33), and Barthel (=100) were normal in 58 of 143 patients (40.6%). In contrast, 68.5% (98/143) had not returned to their baseline level of daily activities.
CONCLUSIONS AND RELEVANCE:. In our follow-up clinic at 3 months after discharge, the proportion of patients presenting alterations in the main PICS domains was similar whether they survived a COVID-19 or another critical illness, despite longer ICU stay in COVID group. Cognition and sleep were the two most affected PICS domains. |
| first_indexed | 2024-04-10T21:23:14Z |
| format | Article |
| id | doaj.art-d32fa5102b494e22b560656e203be211 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-04-10T21:23:14Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-d32fa5102b494e22b560656e203be2112023-01-20T02:33:54ZengWolters KluwerCritical Care Explorations2639-80282023-01-0151e085010.1097/CCE.0000000000000850202301000-00023Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 SurvivorsAnne-Françoise Rousseau, MD, PhD0Camille Colson, RN1Pauline Minguet, RN2Isabelle Kellens, PT, PhD3Maxine Collard, PT4Camille Vancraybex, PT5Julien Guiot, MD, PhD6Bernard Lambermont, MD, PhD7Benoit Misset, MD81 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.3 Department of Pneumology, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.1 Department of Intensive Care and Burn Center, University Hospital of Liège, Liège, Belgium.IMPORTANCE:. At present, it is not clear if critically ill COVID-19 survivors have different needs in terms of follow-up compared with other critically ill survivors, and thus if duplicated post-ICU trajectories are mandatory. OBJECTIVES:. To compare the post-intensive care syndrome (PICS) of COVID-19 acute respiratory distress syndrome and non-COVID-19 (NC) survivors referred to a follow-up clinic at 3 months (M3) after ICU discharge. DESIGN, SETTING, AND PARTICIPANTS:. Adults who survived an ICU stay greater than or equal to 7 days and attended the M3 consultation were included in this observational study performed in a post-ICU follow-up clinic of a single tertiary hospital. MAIN OUTCOMES AND MEASURES:. Patients underwent a standardized assessment, addressing health-related quality of life (3-level version of EQ-5D), sleep disorders (Pittsburgh Sleep Quality Index [PSQI]), physical status (Barthel index, handgrip and quadriceps strengths), mental health disorders (Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised [IES-R]), and cognitive impairment (Montreal Cognitive Assessment [MoCA]). RESULTS:. A total of 143 survivors (86 COVID and 57 NC) attended the M3 consultation. Their median age and severity scores were similar. NC patients had a shorter ICU stay (10 d [8–17.2 d]) compared with COVID group (18 d [10.8–30 d]) (p = 0.001). M3 outcomes were similar in the two groups, except for a higher PSQI (p = 0.038) in the COVID group (6 [3–9.5]) versus NC group (4 [2–7]), and a slightly lower Barthel index in the NC group (100 [100–100]) than in the COVID group (100 [85–100]) (p = 0.026). However, the proportion of patients with abnormal values at each score was similar in the two groups. Health-related quality of life was similar in the two groups. The three MoCA (≥ 26), IES-R (<33), and Barthel (=100) were normal in 58 of 143 patients (40.6%). In contrast, 68.5% (98/143) had not returned to their baseline level of daily activities. CONCLUSIONS AND RELEVANCE:. In our follow-up clinic at 3 months after discharge, the proportion of patients presenting alterations in the main PICS domains was similar whether they survived a COVID-19 or another critical illness, despite longer ICU stay in COVID group. Cognition and sleep were the two most affected PICS domains.http://journals.lww.com/10.1097/CCE.0000000000000850 |
| spellingShingle | Anne-Françoise Rousseau, MD, PhD Camille Colson, RN Pauline Minguet, RN Isabelle Kellens, PT, PhD Maxine Collard, PT Camille Vancraybex, PT Julien Guiot, MD, PhD Bernard Lambermont, MD, PhD Benoit Misset, MD Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors Critical Care Explorations |
| title | Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors |
| title_full | Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors |
| title_fullStr | Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors |
| title_full_unstemmed | Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors |
| title_short | Characteristics of Mid-Term Post-Intensive Care Syndrome in Patients Attending a Follow-Up Clinic: A Prospective Comparison Between COVID-19 and Non-COVID-19 Survivors |
| title_sort | characteristics of mid term post intensive care syndrome in patients attending a follow up clinic a prospective comparison between covid 19 and non covid 19 survivors |
| url | http://journals.lww.com/10.1097/CCE.0000000000000850 |
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