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Thiolliere F, Falandry C, Allaouchiche B, Geoffray V, Bitker L, Reignier J, Abraham P, Malaquin S, Balança B, Boyer H, Seguin P, Guichon C, Simon M, Friggeri A, Vacheron CH. Intensive care-related loss of quality of life and autonomy at 6 months post-discharge: Does COVID-19 really make things worse? Crit Care 2022; 26:94. [PMID: 35379312 PMCID: PMC8978758 DOI: 10.1186/s13054-022-03958-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 03/22/2022] [Indexed: 12/15/2022] Open
Abstract
Objective To compare old patients hospitalized in ICU for respiratory distress due to COVID-19 with old patients hospitalized in ICU for a non-COVID-19-related reason in terms of autonomy and quality of life.
Design Comparison of two prospective multi-centric studies. Setting This study was based on two prospective multi-centric studies, the Senior-COVID-Rea cohort (COVID-19-diagnosed ICU-admitted patients aged over 60) and the FRAGIREA cohort (ICU-admitted patients aged over 70). Patients We included herein the patients from both cohorts who had been evaluated at day 180 after admission (ADL score and quality of life). Interventions None. Measurements and main results A total of 93 COVID-19 patients and 185 control-ICU patients were included. Both groups were not balanced on age, body mass index, mechanical ventilation, length of ICU stay, and ADL and SAPS II scores. We modeled with ordered logistic regression the influence of COVID-19 on the quality of life and the ADL score. After adjustment on these factors, we observed COVID-19 patients were less likely to have a loss of usual activities (aOR [95% CI] 0.47 [0.23; 0.94]), a loss of mobility (aOR [95% CI] 0.30 [0.14; 0.63]), and a loss of ADL score (aOR [95% CI] 0.30 [0.14; 0.63]). On day 180, 52 (56%) COVID-19 patients presented signs of dyspnea, 37 (40%) still used analgesics, 17 (18%) used anxiolytics, and 14 (13%) used antidepressant. Conclusions COVID-19-related ICU stay was not associated with a lower quality of life or lower autonomy compared to non-COVID-19-related ICU stay. Supplementary Information The online version contains supplementary material available at 10.1186/s13054-022-03958-6.
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Affiliation(s)
- Fabrice Thiolliere
- Département d'Anesthésie Réanimation, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France
| | - Claire Falandry
- Hospices Civils de Lyon, Geriatrics Unit, Centre Hospitalier Lyon Sud, Pierre-Bénite, France.,University of Lyon, CarMeN Laboratory, Inserm U1060, INRA U1397, Université Claude Bernard Lyon 1, INSA Lyon, Charles Mérieux Medical School, Pierre-Bénite, France
| | - Bernard Allaouchiche
- Département d'Anesthésie Réanimation, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France.,Université Claude Bernard, Lyon1, Villeurbanne, France.,Université de Lyon, VetAgro Sup, Campus Vétérinaire de Lyon, UPSP 2016.A101, Pulmonary and Cardiovascular Aggression in Sepsis, 69280, Marcy l'Étoile, France
| | - Victor Geoffray
- Département d'Anesthésie Réanimation, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France
| | - Laurent Bitker
- Service de Médecine Intensive - Réanimation, Hôpital de La Croix Rousse, Hospices Civils de Lyon, Lyon, France.,Université Claude Bernard, Lyon 1, INSA-Lyon, UJM-Saint Etienne, CNRS, Inserm, CREATIS, UMR 5220, U1206, Université de Lyon, 69621, Lyon, France
| | - Jean Reignier
- Service de Médecine Intensive Réanimation, CHU de Nantes, Nantes, France
| | - Paul Abraham
- Service d'Anesthésie-Réanimation, Hôpital Édouard Herriot, 69008, Hospices civils de LyonLyon, France
| | | | - Baptiste Balança
- Hospices Civils de Lyon, service d'anesthésie réanimation neurologique, Hôpital Pierre Wertheimer, département d'anesthésie reanimation, 59 Boulevard Pinel, 69500, Bron, France.,Centre de Recherche en Neurosciences de Lyon, U1028, Bron, France
| | - Hélène Boyer
- Direction de la Recherche en Santé, Hospices Civils de Lyon, Lyon, France
| | - Philippe Seguin
- Réanimation chirurgicale. CHU Rennes, 2 rue Henri Le Guilloux, 35000, Rennes, France
| | - Céline Guichon
- Département d'anesthésie et réanimation chirurgicale, hôpital Croix Rousse, Hospices Civils de Lyon, Lyon, France.,Laboratoire Inter universitaire de Biologie de la Motricité (LIBM), Lyon, France
| | - Marie Simon
- Médecine Intensive - Réanimation- Hôpital Edouard Herriot, 1 place d'Arsonval, 69003, Lyon, France
| | - Arnaud Friggeri
- Département d'Anesthésie Réanimation, Centre Hospitalier Lyon Sud Hospices Civils de Lyon, Pierre-Bénite, France.,CIRI, Centre International de Recherche en Infectiologie (Equipe Laboratoire des Pathogènes Emergents), Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, Lyon, France.,Faculté de Médecine Lyon Est, Université Claude Bernard Lyon 1, Lyon, France
| | - Charles-Hervé Vacheron
- Département d'Anesthésie Réanimation, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France. .,CIRI, Centre International de Recherche en Infectiologie (Equipe Laboratoire des Pathogènes Emergents), Inserm, U1111, Université Claude Bernard Lyon 1, CNRS, UMR5308, Lyon, France. .,Pôle Santé Publique, Service de Biostatistique - Bioinformatique, 165, chemin du grand revoyet, 69495, Pierre-Bénite, Lyon, France.
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Abstract
INTRODUCTION Afibrinogenemia is a rare coagulation disorder. Clinical features of spontaneous bleeding, bleeding after minor trauma, or after surgery have been described as well as thrombo-embolic complications. In this article, we presented the case of a 19-year old female with congenital afibrinogenemia who was admitted with a spontaneous intrahepatic hematoma. CONCLUSIONS Supportive treatment including transfusion and fibrinogen administration, associated with repeated packing surgeries and selective embolization, were successfully performed.
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Affiliation(s)
- Stephanie Malaquin
- Surgical Intensive Care Unit
- Correspondence: Stephanie Malaquin, Surgical Intensive Care Unit, Amiens Picardy University Hospital, Réanimation Chirurgicale, CHU d’Amiens Picardie, 80054 Amiens Cedex, France (e-mail: )
| | | | - Cyril Chivot
- Department of Radiology, Amiens Picardy University Hospital
| | | | - Yazine Mahjoub
- Surgical Intensive Care Unit
- INSERM U1088, University of Picardy Jules Verne, Amiens, France
| | - Herve Dupont
- Surgical Intensive Care Unit
- INSERM U1088, University of Picardy Jules Verne, Amiens, France
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Duwat A, Petiot S, Malaquin S, Hinard S, Dupont H. [Life-saving cricothyrotomy before surgical tracheotomy: two cases]. ACTA ACUST UNITED AC 2014; 33:364-6. [PMID: 24821338 DOI: 10.1016/j.annfar.2014.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2014] [Accepted: 04/04/2014] [Indexed: 10/25/2022]
Abstract
The two current cases reported present the situation of "can't intubate can't ventilate" patients with life-saving cricothyrotomy before surgical tracheotomy. These situations emphasize the necessity for clinicians to master difficult intubation and oxygenation algorithms and all available alternative techniques.
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Affiliation(s)
- A Duwat
- Département d'anesthésie-réanimation polyvalente, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex 1, France.
| | - S Petiot
- Département d'anesthésie-réanimation polyvalente, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex 1, France
| | - S Malaquin
- Département d'anesthésie-réanimation polyvalente, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex 1, France
| | - S Hinard
- Département d'anesthésie-réanimation polyvalente, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex 1, France
| | - H Dupont
- Département d'anesthésie-réanimation polyvalente, centre hospitalier Nord, place Victor-Pauchet, 80054 Amiens cedex 1, France
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