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Intensive Care Medicine
Published in: Intensive Care Medicine 5/2016

01-05-2016 | Review

Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers

Authors: Margaret S. Herridge, Marc Moss, Catherine L. Hough, Ramona O. Hopkins, Todd W. Rice, O. Joseph Bienvenu, Elie Azoulay

Published in: Intensive Care Medicine | Issue 5/2016

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Abstract

Outcomes after acute respiratory distress syndrome (ARDS) are similar to those of other survivors of critical illness and largely affect the nerve, muscle, and central nervous system but also include a constellation of varied physical devastations ranging from contractures and frozen joints to tooth loss and cosmesis. Compromised quality of life is related to a spectrum of impairment of physical, social, emotional, and neurocognitive function and to a much lesser extent discrete pulmonary disability. Intensive care unit-acquired weakness (ICUAW) is ubiquitous and includes contributions from both critical illness polyneuropathy and myopathy, and recovery from these lesions may be incomplete at 5 years after ICU discharge. Cognitive impairment in ARDS survivors ranges from 70 to 100 % at hospital discharge, 46 to 80 % at 1 year, and 20 % at 5 years, and mood disorders including depression and post-traumatic stress disorder (PTSD) are also sustained and prevalent. Robust multidisciplinary and longitudinal interventions that improve these outcomes are still uncertain and data in our literature are conflicting. Studies are needed in family members of ARDS survivors to better understand long-term outcomes of the post-ICU family syndrome and to evaluate how it affects patient recovery.
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Metadata
Title
Recovery and outcomes after the acute respiratory distress syndrome (ARDS) in patients and their family caregivers
Authors
Margaret S. Herridge
Marc Moss
Catherine L. Hough
Ramona O. Hopkins
Todd W. Rice
O. Joseph Bienvenu
Elie Azoulay
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 5/2016
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-016-4321-8

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