COVID-19 does not influence functional status after ARDS therapy

• Published in: Critical care (London, England) England), 2023-02, Vol.27 (1), p.48-48, Article 48
• Main Authors: Bernard, Alice, Serna-Higuita, Lina Maria, Martus, Peter, Mirakaj, Valbona, Koeppen, Michael, Zarbock, Alexander, Marx, Gernot, Putensen, Christian, Rosenberger, Peter, Haeberle, Helene Anna
• Format: Article
• Language: English
• Subjects: Acute respiratory distress syndrome; Analysis; Barthel index; Care and treatment; COVID-19; COVID-19 - complications; COVID-19 - therapy; Critical care; Demographics; Diagnosis; Extracorporeal membrane oxygenation; Functional Status; Health aspects; Health-related quality of life; Humans; Infections; Intensive care; Missing data; Mortality; Pandemics; Patients; Pulmonary function tests; Quality of Life; Regression analysis; Respiratory Distress Syndrome - drug therapy; Risk factors; SARS-CoV-2; Software; Statistical analysis; Survival analysis; Values; Variables; Viral infections; Viral pneumonia
• ISSN: 1364-8535; 1466-609X; 1364-8535; 1366-609X
• DOI: 10.1186/s13054-023-04330-y

Health-related quality of life after surviving acute respiratory distress syndrome has come into focus in recent years, especially during the coronavirus disease 2019 pandemic. A total of 144 patients with acute respiratory distress syndrome caused by COVID-19 or of other origin were recruited in a randomized multicenter trial. Clinical data during intensive care treatment and data up to 180 days after study inclusion were collected. Changes in the Sequential Organ Failure Assessment score were used to quantify disease severity. Disability was assessed using the Barthel index on days 1, 28, 90, and 180. Mortality rate and morbidity after 180 days were compared between patients with and without COVID-19. Independent risk factors associated with high disability were identified using a binary logistic regression. The SOFA score at day 5 was an independent risk factor for high disability in both groups, and score dynamic within the first 5 days significantly impacted disability in the non-COVID group. Mortality after 180 days and impairment measured by the Barthel index did not differ between patients with and without COVID-19. Resolution of organ dysfunction within the first 5 days significantly impacts long-term morbidity. Acute respiratory distress syndrome caused by COVID-19 was not associated with increased mortality or morbidity.