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Functional Disability 5 Years After ARDS

Functional Disability 5 Years After ARDS

Exercise limitation, physical and psychological sequelae, decreased physical quality of life, and increased costs and use of health care services are important legacies of severe lung injury.

At 5 years, the median 6-minute walk distance was 436 m (76% of predicted distance) and the Physical Component Score on the Medical Outcomes Study 36-Item Short-Form Health Survey was 41 (mean norm score matched for age and sex, 50).

With respect to this score, younger patients had a greater rate of recovery than older patients, but neither group returned to normal predicted levels of physical function at 5 years.

Pulmonary function was normal to near-normal.

A constellation of other physical and psychological problems developed or persisted in patients and family caregivers for up to 5 years.

Patients with more coexisting illnesses incurred greater 5-year costs.

109 survivors of ARDS at 3, 6, and 12 months and at 2, 3, 4, and 5 years after discharge from ICU were evaluated.

June 2, 2020

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