For the last years, studies have described the " Post-intensive care Syndrome " (PICS), which consists in alteration of quality of life, cognition, autonomy and psychological disorders within the months after intensive-care. Patients with COVID-19 in intensive care units are at high risks to develop PICS. The primary objective is to analyse the incidence of the post-traumatic stress disorder at 12 months after intensive-care for a COVID-19 Acute Respiratory Distress Syndrome (ARDS).
Many studies have showed that ARDS survivors keep, even a long time after hospitalization, a
functional respiratory disability, resulting on one hand from impaired diffusion of carbon
monoxide, and on the other hand from a muscular weakness. Indeed, 67% of patients ventilated
more than 10 days have a neuromyopathy whose recovery is uncertain.
Beside this, Long-term quality of life is worse than in general population, due in particular
to depressive and anxiety disorders such as post-traumatic syndrome disorder with a
prevalence around 22% after one year.
The follow-up will consist in phone call with an intensive care doctor. These visits would be
the opportunity to screen the complications after intensive-care with, find solutions to cure
them or decrease their impact on patient's life to improve quality of life and prevent the
post-traumatic syndrome disorder PTSD. A review would be sent to the patients' General
Practitioners at the end of each visit.
Other: Follow up calls
The follow-up will consist in phone call with an intensive care doctor. These visits would be the opportunity to screen the complications after intensive-care with, find solutions to cure them or decrease their impact on patient's life to improve quality of life and prevent the post-traumatic syndrome disorder PTSD. A review would be sent to the patients' General Practitioners at the end of each visit.
Inclusion Criteria:
- adult patient
- hospitalized in intensive care of the CHU anesthesia-intensive care unit (Rangueil,
URM, Neurosurgery)
- intubated and ventilated
- supported for an ARDS according to the Berlin criteria (PaO2 / FiO2 ratio <300 mmHg)
- with an rt-PCR positive to SARS-CoV-2
- affiliated to the french social security
Exclusion Criteria:
- minor patient
- patient under protective measure
- ARDS in the pandemic context but rt-PCR negative to SARS-CoV-2
University Hospital of Toulouse
Toulouse, France
Investigator: Fanny BOUNES, PH
Fanny BOUNES, PH
05 61 32 23 11 - +33
Bounes.f@chu-toulouse.fr
Fanny BOUNES, Principal Investigator
University Hospital, Toulouse