COVID-19 患者体外膜氧合支持术后的功能和社交能力恢复及疗效。

IF 3.1 3区 医学 Q2 ENGINEERING, BIOMEDICAL
Mustafa Mert Ozgur, Ece Altinay, Halide Ogus, Rezzan Deniz Acar, Pinar Atagun Guney, Kaan Kirali
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引用次数: 0

摘要

随着 COVID 大流行,世界各地的许多患者都接受了静脉-静脉(VV)体外膜氧合(ECMO)治疗。与 COVID 相关的急性呼吸窘迫综合征(ARDS)或其他原因导致的 ARDS 患者接受 ECMO 支持后的随访和康复数据非常有限。在我们的研究中,我们分享了出院患者的 1 年随访结果和心肺运动测试结果。在 2020 年 4 月至 2022 年 2 月期间,共有 29 例因冠状病毒病 2019(COVID-19)相关 ARDS 而接受 VV ECMO 支持的患者成功断奶并出院回家,出院后定期随访并接受检查。共有35名患者成功断奶。30 名患者出院回家。患者的平均年龄为 37.1(±10.3)岁,16 名(55%)患者为男性。平均 ECMO 支持时间为 49.1 (±22.3) 天。出院后一年的存活率为 100%。在 12 个月的随访结束时,没有一名患者出现活动障碍。12 个月结束时,最大 VO2 平均值为 18.9。重返工作岗位率为 90%。我们认为,在早期开始康复治疗,并将患者纳入 ECMO 中心的 ECMO 术后随访计划,不仅能显著促进患者的功能恢复,还能帮助他们融入社会生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional and Social Recovery and Outcomes After Extracorporeal Membrane Oxygenation Support in COVID-19 Patients.

With the COVID pandemic, veno-venous (VV) extracorporeal membrane oxygenation (ECMO) was implanted in many patients around the world. Data regarding follow-up and recovery of patients who are placed on ECMO support after COVID-related acute respiratory distress syndrome (ARDS) or ARDS for any other reason are limited. In our study, we share the 1 year follow-up results and cardiopulmonary exercise test results of the discharged patients. Between April 2020 and February 2022, a total of 29 patients who were supported with VV ECMO due to coronavirus disease 2019 (COVID-19)-related ARDS, weaned successfully and discharged to home, and who came for regular follow-up after discharge from the hospital and underwent examinations were included in the study. A total of 35 patients weaned successfully. Thirty patients were discharged to home. Mean age of the patients was 37.1 (±10.3) and 16 (55%) patients were male. Mean ECMO support time was 49.1 (±22.3) days. One year of survival after discharge was 100%. None of the patients had mobilization problems at the end of 12 month follow-up. Mean VO2 max was 18.9 at the end of 12 months. Return to work rate was 90%. We think that starting rehabilitation in the early period, and including patients in post-ECMO follow-up programs by ECMO centers will contribute significantly not only to the functional recovery of patients but also to their integration into social life.

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来源期刊
ASAIO Journal
ASAIO Journal 医学-工程:生物医学
CiteScore
6.60
自引率
7.10%
发文量
651
审稿时长
4-8 weeks
期刊介绍: ASAIO Journal is in the forefront of artificial organ research and development. On the cutting edge of innovative technology, it features peer-reviewed articles of the highest quality that describe research, development, the most recent advances in the design of artificial organ devices and findings from initial testing. Bimonthly, the ASAIO Journal features state-of-the-art investigations, laboratory and clinical trials, and discussions and opinions from experts around the world. The official publication of the American Society for Artificial Internal Organs.
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