ARDS, Covid19, Functional Recovery
Conditions
Brief summary
In this study, the investigators are attempting to evaluate the influence of socio-economic factors on the functional recovery (physical and psychological) of patients who developed ARDS after a COVID-19 infection, with the aim of offering personalized medical and social follow-up and support measures in order to avoid medium- and long-term complications, which can result in handicaps, reduced quality of life, and a higher risk of death.
Interventions
Respiratory functional tests
Clinical Examination
By phone
SF36, VSRQ, IESR, HADS
Sponsors
Study design
Eligibility
Inclusion criteria
* Inpatient in ICU for PCR-proven SARS-VOC-2 infection regardless of specimen type * Patient who received a chest CT scan in the initial phase of management (either just before or during hospitalization in the intensive care unit) * Patient who has received invasive or non-invasive ventilatory support, or humidified and heated high-flow oxygen (HFO). * ARDS meeting the criteria of the 2012 Berlin definition. For patients who have received only HFO, a flow rate at least equal to 50L/minute with a FiO2 strictly greater than 50% with a PaO2/FiO2 ratio less than or equal to 200 will be required for inclusion. * Patient who gave oral consent after being informed about the conduct of this study.
Exclusion criteria
* Patient with limited autonomy prior to hospitalization in limited intensive care unit: walking distance of less than 50 meters, WHO classification status 3 and 4. * Patient with a history of chronic respiratory failure as defined by the use of long-term oxygen therapy or non-invasive home ventilation, excluding patients with SAS and/or hypoventilation obesity syndrome. * Patient with a history of central or peripheral neurological conditions limiting the patient's motor autonomy and the performance on gait tests or Pulmonary function Tests * Patient refusing to participate * Patient \< 18 years of age * Patient not affiliated or not benefiting from national health insurance * Patient under guardianship, curatorship or protected adult * Patient unable to understand and consent to the research protocol SECONDARY
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory sequelae 6 months after resuscitation. | Through study completion, an average of 6 months | Defined by the presence of at least one of the following : * An alteration of the alveolar-capillary diffusion of CO \<80% of the predicted normal values * And/or a forced vital capacity \<80% of predicted normal values * and/or O2 desaturation in the 6-minute walk test * And/or pulmonary parenchymatous disease with fibrosis in tomodensitometry. |
Countries
France