在COVID-19和非COVID-19重症监护室幸存者的一年结果
Hidde Heesakkers1, Johannes G van der Hoeven1, Stijn Corsten2
1Radboud university medical center, Department Intensive Care, Nijmegen, the Netherlands.
Journal of critical care
|July 14, 2024
概括
COVID-19重症监护室 (ICU) 幸存者在出院一年后报告的身体和心理健康问题比非COVID-19患者少. 然而,COVID-19幸存者在生活质量 (QoL) 中出现了较大的下降.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
背景情况:
- 对于COVID-19重症监护室 (ICU) 入院的长期健康后果仍然不完全理解.
- 将COVID-19和被送往ICU的非COVID-19幸存者之间的结果进行比较对于有针对性的康复策略至关重要.
研究的目的:
- 调查和比较在ICU治疗COVID-19的成年幸存者与其他呼吸道疾病治疗的成年幸存者的一年多域健康结果.
主要方法:
- 一项比较研究涉及506名COVID-19 ICU幸存者和228名非COVID-19 ICU幸存者 (因ARDS或肺炎入院).
- 经过验证的问卷评估了身体,精神和认知症状,以及生活质量 (QoL) 评分,ICU前和ICU后的一年.
- 在一年的随访中,两组的结果进行了比较.
主要成果:
- 一年后,COVID-19幸存者与非COVID-19幸存者相比,身体 (76.2%vs. 86.9%) 和精神症状 (32.0%vs. 47.1%) 的比例显著降低.
- 认知症状在两组之间是可比的 (22.5%对17.2%).
- 虽然两组都显示ICU后症状负担增加,但COVID-19幸存者与ICU前基线和对照组相比,QoL下降更大.
结论:
- 与非COVID-19 ARDS或肺炎幸存者相比,COVID-19 ICU幸存者在出院一年后通常会经历类似或更少的身体和心理健康问题.
- 一个重要的和令人担忧的发现是,在ICU入院后的COVID-19幸存者中观察到的生活质量下降的程度更大.
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