almost 70% of patients suffer post-resuscitation syndrome

THE ESSENTIAL

  • Among the 70% of patients with Covid-19 sequelae, there were both young and old or even very old.
  • Currently, there are around 100 intensive care admissions per day due to Covid-19 in France.

“We wanted to look at the quality of life of patients in the first and second waves between three and six months after their passage through intensive care. That is why we contacted 52 patients by telephone, others by teleconsultation. We asked them if they had psychotherapy, muscle, pain, mobility or nutritional problems,” explained to 20 minutesFanny Bounes, an anesthetist-resuscitator at Rangueil Hospital in Toulouse, who supervised Alizee Assad’s thesis what is called “post-resuscitation syndrome (PRS) and post-resuscitation rehabilitation programs”.

The result is worrying: six months later, “More than 70% (of the patients questioned) had a long Covid”. The participants had been admitted to intensive care at Rangueil hospital between March and October 2020, that is, during the first and second waves. They were between 19 and 80 years old. Scientists have observed both physical and psychological symptoms.

Signs of depression and nightmares.

For the former, they noted sleep disturbances, shortness of breath, or even difficulty standing up. For the latter, “seven out of ten patients also had signs of depression. One of the long-term patients in intensive care indicated that he had nightmares for months after being discharged. Almost 40% also have pain that “didn’t exist before, often due to placement in intensive care,” Fanny Bounes developed. In fact, this ventral position can cause injuries, in particular to the cornea of ​​the eyes or joint disorders.

Once discharged from the hospital, the vast majority of patients must therefore live with these side effects of Covid-19, without any specific treatment. To improve it but also better detect post-resuscitation syndrome, the University Hospital of Toulouse has joined the Algo-Réa studio, coordinated by the University Hospital of Nantes. Therefore, they hope to include and analyze all patients discharged from intensive care to better understand their long-term sequelae.

“Wondering about gestures that are sometimes poorly explained”

“Until now, these patients were not specially monitored. Now we are going to set up a multidisciplinary consultation in the day hospital, to work on the different pathologies. This will also allow us to better detect the signs of postoperative resuscitation syndrome but also to improve our practices, also to question gestures that are sometimes poorly explained. Following up on resuscitation patients, Covid or not, makes you humble,” Fanny Bounes underlined.


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