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Master Thesis

Devenir fonctionnel à 4 et 6 mois des patients hospitalisés en réanimation pour une infection sévère à la Covid-19

Abstract : Many patients present with severe Covid 19 infections, requiring intensive care. Prolonged stays in intensive care units provide a variety of symptoms: motor, neuropsychological, and psychiatric, known as the post-intensive care syndrome. These symptoms are more recently described in the long covid. Objective: Describe the functional outcome of patients hospitalized in intensive care following severe covid-19 infection. Methods: All patients hospitalized in the intensive care units of La Manche for severe SARS COV 2 infection between 01/03 and 31/05/2020 were included. We contacted them by telephone at 4 and 6 months of their admission in order to reassess their functional disability, mood and fatigue. Results: 34 patients were included in the study, including 9 patients who died. At 4 months, 11 patients had moderate disability and 7 had good recovery. At 6 months, 13 patients had moderate disability and 11 had good recovery. Significant improvement between 4 and 6 months of the GOSE (p<0.05). Fatigue was severe in the majority of patients (64%) at 4 and 6 months. 10 patients had probable anxiety and 3 had definite anxiety. At 6 months, 9 patients had probable anxiety. Significant decrease in HAD scores from 4 to 6 months (p<0.05). Conclusion: The functional outcome was satisfactory with 44% good recovery and 52% moderate disability. The major symptom remains severe fatigue, persistent at 6 months. The symptoms that we can highlight at the end of the intensive care unit are similar to those currently described in the long covid.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03538572
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Submitted on : Friday, January 21, 2022 - 10:20:14 AM
Last modification on : Monday, January 24, 2022 - 3:23:08 AM
Long-term archiving on: : Friday, April 22, 2022 - 6:58:20 PM

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Adeline Perrard. Devenir fonctionnel à 4 et 6 mois des patients hospitalisés en réanimation pour une infection sévère à la Covid-19. Médecine humaine et pathologie. 2021. ⟨dumas-03538572⟩

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