{"id":21406,"date":"2022-05-17T04:48:00","date_gmt":"2022-05-16T20:48:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=21406"},"modified":"2022-05-17T05:35:36","modified_gmt":"2022-05-16T21:35:36","slug":"icu-management-practice-%e6%96%b0%e5%86%a0%e8%82%ba%e7%82%8e%e7%9a%84%e4%b8%ad%e6%9c%9f%e4%b8%8e%e9%95%bf%e6%9c%9f%e5%bd%b1%e5%93%8d","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=21406","title":{"rendered":"[ICU Management & Practice]: \u65b0\u51a0\u80ba\u708e\u7684\u4e2d\u671f\u4e0e\u957f\u671f\u5f71\u54cd"},"content":{"rendered":"\n

Medium-Term and Long-Term Impact of COVID-19<\/h1>\n\n\n\n
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As countries around the world become more accustomed to living with COVID-19, an important topic of discussion has been the medium-term and long-term impact of COVID-19 on respiratory function and health-related quality of life. <\/p>\n\n\n\n

Most published studies on COVID-19 include patients with varying degrees of severity and evaluate patients up to six months after a COVID-19 episode. None of these studies specifically focus on patients admitted to the ICU with severe COVID-19. Therefore, it is still unclear how COVID-19 could impact health-related quality of life and breathing comfort up to 12 months after ICU admission.\u00a0
The purpose of this study was to describe health-related quality of life and dyspnoea of COVID-19, two months and 12 months after a stay in the ICU. Ninety-four patients were enrolled in the study.\u00a0
Findings show that patients who survived COVID-19 were 9% below their baseline body weight two months after ICU admission. 13% of patients were still receiving oxygen at the 2-month visit. 47% of patients had a restrictive syndrome, 10% had an obstructive syndrome, 69% had a decreased diffusing capacity for carbon monoxide, and 56% had respiratory muscle weakness. 26% of patients could not perform a 6-min walk test due to muscle weakness.\u00a0<\/p>\n\n\n\n

At 12 months, patients who survived COVID-19 were 3% below their baseline body weight. 16% reported persistent pain or dysesthesia, 16% reported decreased range of motion of large joints, 27% reported an altered appearance of the neck skin, and 22% reported upper airway symptoms, including voice change. 65% of patients reported at least one symptom that was not present before their ICU admission. 61% of patients who were previously working returned to work.\u00a0<\/p>\n\n\n\n

Overall, these findings show that twelve months after ICU admission or COVID-19 and subsequent rehabilitation, a large proportion of COVID-19 patients reported alterations of health-related quality of life, dyspnoea and symptoms that were not present before ICU admission. A substantial portion of these patients had not returned to work.\u00a0<\/p>\n\n\n\n

These findings highlight the importance of identifying patients with a higher risk of poorer 12-month quality of life.\u00a0<\/p>\n\n\n\n

Source:\u00a0Annals of Intensive Care<\/a><\/p>\n\n\n\n

Image Credit: iStock<\/p>\n\n\n\n

References:<\/h4>\n\n\n\n

Demoule A, Morawiec E, Decavele M et al. (2022) Health-related quality of life of COVID-19 two and 12 months after intensive care unit admission.<\/a> Ann. Intensive Care. 12,<\/strong>16. <\/p>\n\n\n\n

Published on : Tue, 1 Mar 2022<\/p>\n","protected":false},"excerpt":{"rendered":"

Medium-Term and Long-Term Impact of COVID-19 As countri […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[24,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21406"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=21406"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21406\/revisions"}],"predecessor-version":[{"id":21407,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/21406\/revisions\/21407"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}