Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/184387
Title: | ICU-Acquired Pneumonia Is Associated with Poor Health Post-COVID-19 Syndrome |
Author: | Martin Loeches, Ignacio Gumucio Sanguino, Víctor D. Torres Martí, Antoni on behalf of CIBERESUCICOVID Project (COV20/00110 and ISCIII) |
Keywords: | Pneumònia COVID-19 SARS-CoV-2 Pulmó Pneumonia COVID-19 SARS-CoV-2 Lung |
Issue Date: | 2021 |
Publisher: | MDPI |
Abstract: | Background: Some patients previously presenting with COVID-19 have been reported to develop persistent COVID-19 symptoms. While this information has been adequately recognised and extensively published with respect to non-critically ill patients, less is known about the incidence and factors associated with the characteristics of persistent COVID-19. On the other hand, these patients very often have intensive care unit-acquired pneumonia (ICUAP). A second infectious hit after COVID increases the length of ICU stay and mechanical ventilation and could have an influence on poor health post-COVID 19 syndrome in ICU-discharged patients. Methods: This prospective, multicentre, and observational study was carrid out across 40 selected ICUs in Spain. Consecutive patients with COVID-19 requiring ICU admission were recruited and evaluated three months after hospital discharge. Results: A total of 1255 ICU patients were scheduled to be followed up at 3 months; however, the final cohort comprised 991 (78.9%) patients. A total of 315 patients developed ICUAP (97% of them had ventilated ICUAP). Patients requiring invasive mechanical ventilation had more persistent post-COVID-19 symptoms than those who did not require mechanical ventilation. Female sex, duration of ICU stay, development of ICUAP, and ARDS were independent factors for persistent poor health post-COVID-19. Conclusions: Persistent post-COVID-19 symptoms occurred in more than two-thirds of patients. Female sex, duration of ICU stay, development of ICUAP, and ARDS all comprised independent factors for persistent poor health post-COVID-19. Prevention of ICUAP could have beneficial effects in poor health post-COVID-19. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/jcm11010224 |
It is part of: | Journal of Clinical Medicine, 2021, vol. 11, num. 1, p. 224 |
URI: | http://hdl.handle.net/2445/184387 |
Related resource: | https://doi.org/10.3390/jcm11010224 |
ISSN: | 2077-0383 |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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