Syndrome de détresse respiratoire aiguë (SDRA) : quel est le devenir à long terme de ces patients ?

Auteurs

  • Juliette Chommeloux 1. Sorbonne Université, INSERM, UMRS_1166-ICAN, Institut de Cardiométabolisme et Nutrition (ICAN), Paris, France. .2. Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié–Salpêtrière, Service de Médecine Intensive-Réanimation, Paris, France.
  • Schmidt Matthieu 1. Sorbonne Université, INSERM, UMRS_1166-ICAN, Institut de Cardiométabolisme et Nutrition (ICAN), Paris, France. 2. Assistance Publique-Hôpitaux de Paris (APHP), Hôpital La Pitié–Salpêtrière, Service de Médecine Intensive-Réanimation, Paris, France.

DOI :

https://doi.org/10.37051/mir-00117

Mots-clés :

ARDS, follow-up studies, quality of life, survivors

Résumé

In the last decades, improvements in acute respiratory distress syndrome (ARDS) management decreased in-hospital mortality. Most of the time, these young patients with ARDS suffer from post-intensive care syndrome (PICS) after discharge. The special features of PICS after ARDS include a similar global recovery for the most severe patients with ECMO, a good pulmonary function recovery but a high prevalence of physical and psychological dysfunction. Physical impairment concerns fatigue and fatigability. Half of the patients had cognitive impairment at one year and a third suffer from post-traumatic stress disorder (PTSD), anxiety, or depression during the first year. These symptoms persist later, associated with a reduced quality of life. As a witness to global dysfunction, only 50 % of patients return to their original work at one year. Being aware of the long-term impact of ARDS is crucial for intensivists to set up a multi-disciplinary and individual follow-up after intensive care unit discharge.

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Publiée

2022-06-24

Comment citer

Chommeloux, J., & Matthieu, S. (2022). Syndrome de détresse respiratoire aiguë (SDRA) : quel est le devenir à long terme de ces patients ? . Médecine Intensive Réanimation, 31(Hors-série 1), 25–36. https://doi.org/10.37051/mir-00117

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