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- Title
ICU-Acquired Pneumonia Is Associated with Poor Health Post-COVID-19 Syndrome.
- Authors
Martin-Loeches, Ignacio; Motos, Anna; Menéndez, Rosario; Gabarrús, Albert; González, Jessica; Fernández-Barat, Laia; Ceccato, Adrián; Pérez-Arnal, Raquel; García-Gasulla, Dario; Ferrer, Ricard; Riera, Jordi; Lorente, José Ángel; Peñuelas, Óscar; Bermejo-Martin, Jesús F.; Gonzalo-Calvo, David de; Rodríguez, Alejandro; Barbé, Ferran; Aguilera, Luciano; Amaya-Villar, Rosario; Barberà, Carme
- 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
- Subjects
SPAIN; COVID-19 pandemic; VENTILATOR-associated pneumonia; COVID-19; PNEUMONIA; ARTIFICIAL respiration; HOSPITAL admission &; discharge
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 1, p224
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11010224