Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study - Centre hospitalier public du Cotentin
Article Dans Une Revue Intensive Care Medicine Année : 2023

Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study

1 Centre hospitalier de Dieppe
2 CHU Dijon
3 CIC-EC - Centre d'Investigation Clinique 1432 (Dijon) - Epidemiologie Clinique/Essais Cliniques
4 CHU Rouen
5 Hôpitaux de Chartres [Chartres]
6 Centre Hospitalier de Roubaix
7 CHU Caen
8 CH Béthune - Centre Hospitalier de Béthune
9 CHPC - CH Centre Hospitalier Public du Cotentin
10 HNFC - Hôpital Nord Franche-Comté [Hôpital de Trévenans]
11 CHBA - Centre hospitalier Bretagne Atlantique (Morbihan)
12 Hôpital Roger Salengro [Lille]
13 UGSF - Unité de Glycobiologie Structurale et Fonctionnelle - UMR 8576
14 GRHV - Groupe de Recherche sur le Handicap Ventilatoire
15 CHU de Poitiers [La Milétrie] - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
16 CIC 1402 - CIC Poitiers – Centre d'investigation clinique de Poitiers
17 CH Saint-Lô - Centre Hospitalier Mémorial France États-Unis de Saint-Lô
18 CHU Amiens-Picardie
19 MP3CV - Mécanismes physiopathologiques et conséquences des calcifications cardiovasculaires - UR UPJV 7517
20 CHU Nantes - Centre Hospitalier Universitaire de Nantes = Nantes University Hospital
21 GHBS - Groupe Hospitalier Bretagne Sud
22 Centre Hospitalier Eure-Seine - Hôpital d'Evreux - Vernon (Evreux)
23 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
24 Centre Hospitalier Tourcoing
25 CHBBF - Centre Hospitalier Fleyriat [Bourg en Bresse]
26 Centre Hospitalier d'Abbeville
27 CHD Vendée - Centre Hospitalier Départemental - Hôpital de La Roche-sur-Yon
28 Centre hospitalier Saint Joseph - Saint Luc [Lyon]
29 Hôpital Louis Mourier - AP-HP [Colombes]
30 Hôpital Nord [CHU - APHM]
31 CH Angoulême - Centre Hospitalier d'Angoulême
32 Groupe Hospitalier du Havre
33 CHRU Tours - Centre Hospitalier Régional Universitaire de Tours
34 Hôpital Saint Philibert [Lomme]
35 ETHICS EA 7446 - Experience ; Technology & Human Interactions ; Care & Society :
36 CH Argenteuil - Centre hospitalier Argenteuil
37 Clinique du Cèdre
38 CERPOP - Centre d'Epidémiologie et de Recherche en santé des POPulations
39 GRHVN - Groupe de Recherche sur le Handicap Ventilatoire et Neurologique
40 LabEx LipSTIC - Laboratoire d'Excellence : Lipoprotéines et Santé : prévention et Traitement des maladies Inflammatoires et du Cancer
41 LIPNESS - Lipides et transfert des lipides dans l'inflammation et le sepsis (CTM UMR 1231)
Matthieu Demeyere
  • Fonction : Auteur
Cédric Daubin
  • Fonction : Auteur
Marjolaine Georges
  • Fonction : Auteur

Résumé

Purpose: Survivors after acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19) are at high risk of developing respiratory sequelae and functional impairment. The healthcare crisis caused by the pandemic hit socially disadvantaged populations. We aimed to evaluate the influence of socio-economic status on respiratory sequelae after COVID-19 ARDS.Methods: We carried out a prospective multicenter study in 30 French intensive care units (ICUs), where ARDS survivors were pre-enrolled if they fulfilled the Berlin ARDS criteria. For patients receiving high flow oxygen therapy, a flow ≥ 50 l/min and an FiO2 ≥ 50% were required for enrollment. Socio-economic deprivation was defined by an EPICES (Evaluation de la Précarité et des Inégalités de santé dans les Centres d'Examens de Santé - Evaluation of Deprivation and Inequalities in Health Examination Centres) score ≥ 30.17 and patients were included if they performed the 6-month evaluation. The primary outcome was respiratory sequelae 6 months after ICU discharge, defined by at least one of the following criteria: forced vital capacity < 80% of theoretical value, diffusing capacity of the lung for carbon monoxide < 80% of theoretical value, oxygen desaturation during a 6-min walk test and fibrotic-like findings on chest computed tomography.Results: Among 401 analyzable patients, 160 (40%) were socio-economically deprived and 241 (60%) non-deprived; 319 (80%) patients had respiratory sequelae 6 months after ICU discharge (81% vs 78%, deprived vs non-deprived, respectively). No significant effect of socio-economic status was identified on lung sequelae (odds ratio (OR), 1.19 [95% confidence interval (CI), 0.72-1.97]), even after adjustment for age, sex, most invasive respiratory support, obesity, most severe P/F ratio (adjusted OR, 1.02 [95% CI 0.57-1.83]).Conclusions: In COVID-19 ARDS survivors, socio-economic status had no significant influence on respiratory sequelae 6 months after ICU discharge.
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hal-04399156 , version 1 (15-07-2024)

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Pierre-Louis Declercq, Isabelle Fournel, Matthieu Demeyere, Anissa Berraies, Eléa Ksiazek, et al.. Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2: the multicentre, observational RECOVIDS study. Intensive Care Medicine, 2023, 49 (10), pp.1168-1180. ⟨10.1007/s00134-023-07180-y⟩. ⟨hal-04399156⟩
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