Evidence map›Paper›PMID 34717097›Full record

ArticleRespiratory medicine

Health-related quality of life profiles, trajectories, persistent symptoms and pulmonary function one year after ICU discharge in invasively ventilated COVID-19 patients, a prospective follow-up study.

Lorenzo Gamberini, Carlo Alberto Mazzoli, Irene Prediletto, Harri Sintonen, Gaetano Scaramuzzo, Davide Allegri, Davide Colombo, Tommaso Tonetti, Gianluca Zani, Chiara Capozzi and 25 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04411459 (Risk Factors for Prolonged Invasive Mechanical Ventilation in COVID-19 Acute Respiratory Distress Syndrome), which is not on this map. Cited by 51 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 7 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04411459 completednot on this map

Risk Factors for Prolonged Invasive Mechanical Ventilation in COVID-19 Acute Respiratory Distress Syndrome

TypeobservationalSponsorAzienda Usl di BolognaRan2020 to 2020Enrolled470ConditionsCOVID-19, Mechanical Ventilation, Quality of Life, Radiologic Increased Density of LungArmsInvasive mechanical ventilation
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 7 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Post-COVID-19 dyspnoea and pulmonary imaging: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  3. Pooled it
  4. Prevalence, risk factors and treatments for post-COVID-19 breathlessness: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Long-Term Consequences of COVID-19 at 6 Months and Above: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Article
  19. Observational
  20. COVID-19-related health utility values and changes in COVID-19 patients and the general population: a scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors at 17 institutions in 3 countries.

Lorenzo GamberiniDepartment of Anaesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Carlo Alberto MazzoliDepartment of Anaesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Irene PredilettoAlma Mater Studiorum University of Bologna, Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Bologna, Italy; IRCCS Azienda Ospedaliero Universitaria di Bologna, University Hospital Sant'Orsola-Malpighi - Respiratory and Critical Care Unit, Bologna, Italy. Electronic address: irene.prediletto@unibo.it.
Harri SintonenDepartment of Public Health, University of Helsinki, Helsinki, Finland.
Gaetano ScaramuzzoDepartment of Translational Medicine and for Romagna, University of Ferrara, Ferrara, Italy.
Davide AllegriDepartment of Clinical Governance and Quality, Bologna Local Healthcare Authority, Bologna, Italy.
Davide ColomboAnaesthesia and Intensive Care Department - SS. Trinità Hospital, ASL Novara, Italy; Health Science Department - Eastern Piedmont University, Italy.
Tommaso TonettiAlma Mater Studiorum, Dipartimento di Scienze Mediche e Chirurgiche, Anesthesia and Intensive Care Medicine, Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.
Gianluca ZaniDepartment of Anesthesia and Intensive Care, Santa Maria Delle Croci Hospital, Ravenna, Italy.
Chiara CapozziIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Giorgia DalpiazDepartment of Radiology, Bellaria Hospital, Bologna, Italy.
Vanni AgnolettiAnaesthesia and Intensive Care Unit - M.Bufalini Hospital, Cesena, Italy.
Iacopo CappelliniDepartment of Critical Care Section of Anesthesiology and Intensive Care, Azienda USL Toscana Centro, Prato, Italy.
Gabriele MelegariDepartment of Anaesthesiology, University Hospital of Modena, Via Del Pozzo 71, 41100, Modena, Italy.
Federica DamianiDepartment of Anaesthesia, Intensive Care and Pain Therapy - Imola Hospital, Imola, Italy.
Maurizio FusariDepartment of Anesthesia and Intensive Care, Santa Maria Delle Croci Hospital, Ravenna, Italy.
Giovanni GordiniDepartment of Anaesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Cristiana LaiciPostoperative Intensive Care Unit. Medical and Surgical Department of Digestive, Liver and Endocrine-Metabolic Diseases. IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Maria Concetta LanzaDepartment of Anesthesia and Intensive Care, G.B. Morgagni-Pierantoni Hospital, Forlì, Italy.
Mirco LeoDepartment of Anaesthesia and Intensive Care, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Andrea MarudiDepartment of Anaesthesiology, University Hospital of Modena, Via Del Pozzo 71, 41100, Modena, Italy.
Raffaella PapaAnaesthesia and Intensive Care Unit, Santa Maria Annunziata Hospital, Firenze, Italy.
Antonella PotalivoDepartment of Anaesthesia and Intensive Care - Infermi Hospital, Rimini, Italy.
Jonathan MontomoliDepartment of Anaesthesia and Intensive Care - Infermi Hospital, Rimini, Italy.
Stefania TaddeiAnaesthesia and Intensive Care Unit, Bentivoglio Hospital, Bentivoglio, Italy.
Massimiliano MazzoliniDepartment of Respiratory Medicine, Bellaria Hospital, Bologna, Italy.
Anna Filomena FerravanteDepartment of Respiratory Medicine- Infermi Hospital, Rimini, Italy.
Roberta NicaliOutpatient Pneumology Department. - SS. Trinità Hospital Borgomanero, ASL NO, Novara, Italy.
Vito Marco RanieriAlma Mater Studiorum, Dipartimento di Scienze Mediche e Chirurgiche, Anesthesia and Intensive Care Medicine, Policlinico di Sant'Orsola, Università di Bologna, Bologna, Italy.
Emanuele RussoAnaesthesia and Intensive Care Unit - M.Bufalini Hospital, Cesena, Italy.
Carlo Alberto VoltaDepartment of Translational Medicine and for Romagna, University of Ferrara, Ferrara, Italy.
Savino SpadaroDepartment of Translational Medicine and for Romagna, University of Ferrara, Ferrara, Italy.
ICU-RER COVID-19 Collaboration
Radiology Collaborators (to be indexed and searchable into PubMed)
Pneumology Collaborators (to be indexed and searchable into PubMed)
Ospedale Maggiore Carlo Alberto Pizzardi · ITUniversity of Bologna · ITOspedale Infermi di Rimini · ITOspedale "Santa Maria delle Croci" di Ravenna · ITUniversity of Ferrara · ITAzienda USL di Bologna · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale “M. Bufalini” di Cesena · ITUniversity of Modena and Reggio Emilia · ITOspedale Bellaria · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Usl Toscana Centro · ITOspedale G.B. Morgagni - L.Pierantoni · ITOspedale Santa Maria Annunziata · ITSacmi (Italy) · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth-related quality of life (HRQoL) impairment is often reported among COVID-19 ICU survivors, and little is known about their long-term outcomes. We evaluated the HRQoL trajectories between 3 months and 1 year after ICU discharge, the factors influencing these trajectories and the presence of clusters of HRQoL profiles in a population of COVID-19 patients who underwent invasive mechanical ventilation (IMV). Moreover, pathophysiological correlations of residual dyspnea were tested.

methodsWe followed up 178 survivors from 16 Italian ICUs up to one year after ICU discharge. HRQoL was investigated through the 15D instrument. Available pulmonary function tests (PFTs) and chest CT scans at 1 year were also collected. A linear mixed-effects model was adopted to identify factors associated with different HRQoL trajectories and a two-step cluster analysis was performed to identify HRQoL clusters.

resultsWe found that HRQoL increased during the study period, especially for the significant increase of the physical dimensions, while the mental dimensions and dyspnea remained substantially unchanged. Four main 15D profiles were identified: full recovery (47.2%), bad recovery (5.1%) and two partial recovery clusters with mostly physical (9.6%) or mental (38.2%) dimensions affected. Gender, duration of IMV and number of comorbidities significantly influenced HRQoL trajectories. Persistent dyspnea was reported in 58.4% of patients, and weakly, but significantly, correlated with both DLCO and length of IMV.

conclusionsHRQoL impairment is frequent 1 year after ICU discharge, and the lowest recovery is found in the mental dimensions. Persistent dyspnea is often reported and weakly correlated with PFTs alterations.

trial registrationNCT04411459.

Indexed as

Intensive Care UnitsQuality of LifeRespiration, ArtificialRespiratory Function TestsAgedCOVID-19DyspneaFemaleFollow-Up StudiesHumansItalyMaleMiddle AgedPatient DischargeProspective StudiesRespiratory Distress SyndromeAcute respiratory distress syndromeCOVID-19DyspneaHealth-related quality of lifeRespiratory function tests

Identifiers

PMID34717097
PMCPMC8531241
OpenAlexW3209437038

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.