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Berger M, Daubin D, Charriot J, Klouche K, Le Moing V, Morquin D, Halimi L, Jaussent A, Taourel P, Hayot M, Cristol JP, Nagot N, Fesler P, Roubille C. Mid-Term Sequelae of Surviving Patients Hospitalized in Intensive Care Unit for COVID-19 Infection: The REHCOVER Study. J Clin Med 2023; 12:jcm12031000. [PMID: 36769648 PMCID: PMC9917891 DOI: 10.3390/jcm12031000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/16/2023] [Accepted: 01/19/2023] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVES The objective of this prospective, single-center study was to explore the mid-term outcomes 6 to 9 months after hospitalization in an Intensive Care Unit (ICU) for severe COVID-19 infection. METHODS Patients systematically underwent biological tests, pulmonary function tests, chest computed tomography (CT) scan, and psychological tests. RESULTS Among 86 patients, including 71 (82.6%) men, median age of 65.8 years (56.7; 72.4), 57 (71.3%) patients presented post-COVID-19 asthenia, 39 (48.1%) muscle weakness, and 30 (36.6%) arthralgia. Fifty-two (64.2%) patients had a decreased diffusion capacity for carbon monoxide (DLCO) <80% and 16 (19.8%) had DLCO <60%. Chest CT-scans showed ground glass opacities in 35 (40.7%) patients, and reticular changes in 28 patients (33.7%), including fibrosis-like changes in 18 (21.7%) patients. Reticular changes and DLCO <60% were associated with length of stay in ICU, and reticular changes with higher maximal CRP level. The psychological questionnaires found 37.7% suffered from depression, 23.5% from anxiety, 42.4% from insomnia, and 9.4% from post-traumatic stress. Being female was associated with a higher frequency of depression and anxiety, with depression scores being associated with obesity. CONCLUSIONS Many patients hospitalized in ICU for severe COVID-19 infection have mid-term sequelae. Additional studies on the prognostic factors seem necessary.
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Affiliation(s)
- Marie Berger
- Department of Internal Medicine, Montpellier University Hospital, 34090 Montpellier, France
| | - Delphine Daubin
- Critical Care Unit, Montpellier University Hospital, 34090 Montpellier, France
| | - Jeremy Charriot
- Department of Respiratory Diseases, Montpellier University Hospital, 34090 Montpellier, France
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
| | - Kada Klouche
- Critical Care Unit, Montpellier University Hospital, 34090 Montpellier, France
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
| | - Vincent Le Moing
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Department of Infectious Diseases, Montpellier University Hospital, 34090 Montpellier, France
| | - David Morquin
- Department of Infectious Diseases, Montpellier University Hospital, 34090 Montpellier, France
| | - Laurence Halimi
- Department of Respiratory Diseases, Montpellier University Hospital, 34090 Montpellier, France
| | - Audrey Jaussent
- Clinical Research and Epidemiology Unit, Montpellier University Hospital, 34090 Montpellier, France
| | - Patrice Taourel
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Department of Medical Imaging, Montpellier University Hospital, 34090 Montpellier, France
| | - Maurice Hayot
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Department of Clinical Physiology, University Hospital of Montpellier, 34090 Montpellier, France
| | - Jean-Paul Cristol
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Department of Biochemistry and Hormonology, University Hospital of Montpellier, 34090 Montpellier, France
| | - Nicolas Nagot
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Clinical Research and Epidemiology Unit, Montpellier University Hospital, 34090 Montpellier, France
| | - Pierre Fesler
- Department of Internal Medicine, Montpellier University Hospital, 34090 Montpellier, France
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
| | - Camille Roubille
- Department of Internal Medicine, Montpellier University Hospital, 34090 Montpellier, France
- PhyMedExp, INSERM U1046, CNRS UMR 9214, University of Montpellier, 34295 Montpellier, France
- Faculty of Medicine, University of Montpellier, 34090 Montpellier, France
- Correspondence: ; Tel.: +33(0)-4-6733-8443; Fax: +33(0)-4-6733-8453
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