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array:22 [ "pii" => "S0300289623002764" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.08.006" "estado" => "S300" "fechaPublicacion" => "2023-10-01" "aid" => "3385" "copyright" => "The Authors" "copyrightAnyo" => "2023" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:691-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:18 [ "pii" => "S0300289623002612" "issn" => "03002896" "doi" => "10.1016/j.arbres.2023.07.023" "estado" => "S300" "fechaPublicacion" => "2023-10-01" "aid" => "3371" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2023;59:688-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Bronchiectasis: Changes in the Characterization of Patients During 20 Years of Follow-up. Data from the Spanish Bronchiectasis Registries" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "688" "paginaFinal" => "690" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Ángel Martínez-García, Grace Oscullo, Jose Daniel Gómez-Olivas, Casilda Olveira, Rosa Girón, Marta García-Clemente, Luis Máiz, Oriol Sibila, Rafael Golpe, Juan Luis Rodríguez-Hermosa, Esther Barreiro, Raúl Méndez, Concepción Prados, Juan Rodríguez-López, David de la Rosa" "autores" => array:15 [ 0 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Martínez-García" ] 1 => array:2 [ "nombre" => "Grace" "apellidos" => "Oscullo" ] 2 => array:2 [ "nombre" => "Jose Daniel" "apellidos" => "Gómez-Olivas" ] 3 => array:2 [ "nombre" => "Casilda" "apellidos" => "Olveira" ] 4 => array:2 [ "nombre" => "Rosa" "apellidos" => "Girón" ] 5 => array:2 [ "nombre" => "Marta" "apellidos" => "García-Clemente" ] 6 => array:2 [ "nombre" => "Luis" "apellidos" => "Máiz" ] 7 => array:2 [ "nombre" => "Oriol" "apellidos" => "Sibila" ] 8 => array:2 [ "nombre" => "Rafael" "apellidos" => "Golpe" ] 9 => array:2 [ "nombre" => "Juan Luis" "apellidos" => "Rodríguez-Hermosa" ] 10 => array:2 [ "nombre" => "Esther" "apellidos" => "Barreiro" ] 11 => array:2 [ "nombre" => "Raúl" "apellidos" => "Méndez" ] 12 => array:2 [ "nombre" => "Concepción" "apellidos" => "Prados" ] 13 => array:2 [ "nombre" => "Juan" "apellidos" => "Rodríguez-López" ] 14 => array:2 [ "nombre" => "David" "apellidos" => "de la Rosa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623002612?idApp=UINPBA00003Z" "url" => "/03002896/0000005900000010/v2_202312180422/S0300289623002612/v2_202312180422/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Long-term Outcomes in Critical COVID-19 Survivors: A 2-Year Longitudinal Cohort" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Director</span>," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "691" "paginaFinal" => "697" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jessica González, María Zuil, Iván D. Benítez, Jordi de Batlle, Maria Aguilà, Sally Santisteve, Natalia Varvará, Aida Monge, Nuria Forns, Rafaela Vaca, Olga Minguez, Faty Seck, Clara Gort-Paniello, Anna Moncusí-Moix, Jesús Caballero, Carme Barberà, David de Gonzalo-Calvo, Antonio Torres, Ferran Barbé" "autores" => array:20 [ 0 => array:3 [ "nombre" => "Jessica" "apellidos" => "González" "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] ] ] 1 => array:3 [ "nombre" => "María" "apellidos" => "Zuil" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] ] ] 2 => array:3 [ "nombre" => "Iván D." "apellidos" => "Benítez" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Jordi" "apellidos" => "de Batlle" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Maria" "apellidos" => "Aguilà" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Sally" "apellidos" => "Santisteve" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 6 => array:3 [ "nombre" => "Natalia" "apellidos" => "Varvará" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 7 => array:3 [ "nombre" => "Aida" "apellidos" => "Monge" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 8 => array:3 [ "nombre" => "Nuria" "apellidos" => "Forns" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 9 => array:3 [ "nombre" => "Rafaela" "apellidos" => "Vaca" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 10 => array:3 [ "nombre" => "Olga" "apellidos" => "Minguez" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 11 => array:3 [ "nombre" => "Faty" "apellidos" => "Seck" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 12 => array:3 [ "nombre" => "Clara" "apellidos" => "Gort-Paniello" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 13 => array:3 [ "nombre" => "Anna" "apellidos" => "Moncusí-Moix" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 14 => array:3 [ "nombre" => "Jesús" "apellidos" => "Caballero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 15 => array:3 [ "nombre" => "Carme" "apellidos" => "Barberà" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] ] 16 => array:3 [ "nombre" => "David" "apellidos" => "de Gonzalo-Calvo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 17 => array:3 [ "nombre" => "Antonio" "apellidos" => "Torres" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] ] 18 => array:4 [ "nombre" => "Ferran" "apellidos" => "Barbé" "email" => array:1 [ 0 => "febarbe.lleida.ics@gencat.cat" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 19 => array:1 [ "colaborador" => "on behalf of the CIBERESUCICOVID Project (COV20/00110, ISCIII)" ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Translational Research in Respiratory Medicine, Hospital Universitari Arnau de Vilanova-Santa Maria, IRBLleida, Lleida, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "CIBER of Respiratory Diseases (CIBERES), Institute of Health Carlos III, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Pulmonary Department, Hospital Universitari Arnau de Vilanova-Santa Maria, Lleida, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Intensive Care Department, Hospital Universitari Arnau de Vilanova, Lleida, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Intensive Care Department, Hospital Universitari Santa Maria, Lleida, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Department of Pneumology, Hospital Clinic of Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona, Barcelona, Spain" "etiqueta" => "f" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 4167 "Ancho" => 2351 "Tamanyo" => 578795 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Longitudinal progression of outcomes according to severity. Outcome evolution was fitted using linear mixed models that were adjusted for confounding factors (age, sex and body mass index). Estimated marginal means (±standard errors) of outcomes over time are described in the figure. Statistically significant differences between groups are indicated with an asterisk. Longitudinal progression of lung function and exercise capacity at follow-up points (3, 6, 12 and 24 months). Note: Lung function and exercise capacity parameters were classified as invasive mechanical ventilation (IMV) required (ICU<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>IMV) and non-intubated patients (ICU). Longitudinal progression of CT scan findings at follow-up points (3, 6, 12 and 24 months). Note: Total severity score and number of lobes affected were classified as IMV required (ICU<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>IMV) and non-intubated patients (ICU). <span class="elsevierStyleItalic">Abbreviations</span>: D<span class="elsevierStyleInf">LCO</span>, diffusing capacity for carbon monoxide; IMV, invasive mechanical ventilation; KCO, carbon monoxide transfer coefficient; 6MWT, six-minute walking test; CT, computed tomography. Longitudinal progression of anxiety, depression and quality of life during the follow-up. Outcome evolution was fitted using linear mixed models that were adjusted for confounding factors (age, sex and body mass index). Estimated marginal means (±standard errors) of outcomes over time are described in the figure. Statistically significant differences between groups are indicated with an asterisk. <span class="elsevierStyleItalic">Abbreviations</span>: ICU, intensive care unit; IMV, invasive mechanical ventilation; HADS, Hospital Anxiety and Depression Scale.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">With the progression of the coronavirus disease 2019 pandemic (COVID-19), evidence has pointed critically ill survivors as one of the populations most at risk of experiencing long-term impairment and persistent COVID-19 symptoms.<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">1,2</span></a> Despite the large number of ICU admissions that COVID-19 has caused and the impact of this on health care systems worldwide,<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">3</span></a> ICU patient cohorts remain underrepresented in studies of COVID-19 survivors.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">1</span></a> Additionally, studies focusing on post-ICU COVID-19 patients are limited to one-year follow-up periods without exploring all health care outcome domains and their trajectories.<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">2–4</span></a> For these reasons, our objective was to explore 24-month health outcomes in a cohort of patients who required ICU admission to describe the longitudinal progress of (1) pulmonary function tests, (2) radiological abnormalities, (3) symptoms and (3) quality of life, as well as to determine their (4) impact on health care resources consumption during the follow-up. This was a prospective observational study among patients who required ICU admission due to severe COVID-19 between March and December 2020 at the University Hospitals Arnau de Vilanova and Santa Maria of Lleida, Catalonia, Spain. This study was a substudy of the CIBERESUCICOVID study (ClinicalTrials.gov Identifier: <a href="ctgov:NCT04457505">NCT04457505</a>) and details of the protocol and follow-up were previously described.<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">5–7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">During the study period, a total of 209 critical COVID-19 patients survived, and 180 were eligible to be followed in the post-COVID consultation. Patients were evaluated at 6, 12 and 24 months after hospital discharge. Finally, 109 completed all visits over 24 months after hospital discharge. Five patients died during the follow-up. Baseline ch