ICU-Acquired Pneumonia Is Associated with Poor HealthPost-COVID-19 Syndrome

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2021Author
Martín 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, Oscar
Bermejo Martin, Jesús F.
de Gonzalo Calvo, David
Rodríguez, Alejandro
Aguilera, Luciano
Amaya Villar, Rosario
Barberà, Carme
Barberán, José
Blandino Ortiz, Aaron
Bustamante Munguira, Elena
Caballero, Jesús
Carbajales, Cristina
Carbonell, Nieves
Catalán González, Mercedes
Galbán, Cristóbal
Gumucio Sanguino, Víctor D.
de la Torre, Maria del Carmen
Díaz, Emili
Gallego, Elena
García Garmendia, José Luis
Garnacho Montero, José
Gómez, José Manuel
Jorge García, Ruth Noemí
Loza Vázquez, Ana
Marin Corral, Judith
Martínez de la Gándara, Amalia
Martínez Varela, Ignacio
López Messa, Juan
Albaiceta, Guillermo M.
Novo, Mariana Andrea
Peñasco, Yhivian
Ricart, Pilar
Urrelo Cerrón, Luis
Sánchez Miralles, Angel
Sancho Chinesta, Susana
Socias, Lorenzo
Solé Violan, Jordi
Tamayo Lomas, Luis
Vidal, Pablo
Torres, Antoni
Suggested citation
Martín Loeches, Ignacio;
Motos, Anna;
Menéndez, Rosario;
Gabarrús, Albert;
González, Jessica;
Fernández Barat, Laia;
...
Torres, Antoni.
(2021)
.
ICU-Acquired Pneumonia Is Associated with Poor HealthPost-COVID-19 Syndrome.
Journal of Clinical Medicine, 2021, vol. 11, núm. 1.
https://doi.org/10.3390/jcm11010224.
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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
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Journal of Clinical Medicine, 2021, vol. 11, núm. 1European research projects
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