Source: Annual Congress 2002 - Monitoring respiratory parameters in critically ill patients
Disease area: Airway diseases, Respiratory critical care

Abstract

Setting: ICU follow up clinic in a district general hospital.
Patients: 60 consecutive patients surviving ARDS to six months post ICU discharge.
Studied outcomes: spirometry, flow-volume loop and health status as measured by SF-36 questionnaire.
Outcome: patients surviving ARDS at six months have spirometry near to normal. Flow volume loops were also normal, despite the routine use of percutaneous tracheostomy in our unit. Health status as measured by SF-36 showed significant levels of morbidity, including ongoing dyspnoea, limb weakness and depression compared to age-matched control data.
Conclusion: ARDS is a multisystem illness. Even when respiratory physiology has returned to normal, patients have significant levels of ill health. Patients recovering from ARDS might benefit from a pulmonary rehabilitation programme to improve outcome.

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Citations should be made in the following way:
M. Longshaw, A. Barlow (Manchester, United Kingdom). Patients with ARDS: six month follow up reveals ongoing morbidity despite normal pulmonary physiology. Eur Respir J 2002; 20: Suppl. 38, 616

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