Cited by 759Respiratory Support and MechanismsIntensive Care Unit Cognitive DisordersLong-Term Effects of COVID-19

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Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

Hopkins, Ramona O., Weaver, Lindell K., Collingridge, Dave, Parkinson, R. Bruce, Chan, Karen J., Orme, James F.·2005·American Journal of Respiratory and Critical Care Medicine

DOI 10.1164/rccm.200406-763oc

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Abstract

Acute respiratory distress syndrome (ARDS) has a high mortality and is associated with significant morbidity. Prior outcome studies have focused predominant on short-term outcomes (6–12 months). We assessed longitudinal neurocognitive, emotional, and quality of life in ARDS survivors at hospital discharge, and 1 and 2 years after hospital discharge using neuropsychologic tests and emotional and quality-of-life questionnaires. Neurocognitive sequelae occurred in 73% (54 of 74) of ARDS survivors at hospital discharge, 46% (30 of 66) at 1 year, and 47% (29 of 62) at 2 years. ARDS survivors report moderate to severe depression (16% and 23%) and anxiety (24% and 23%) at 1 and 2 years, respectively. The ARDS survivors had decreased quality of life, with the physical domains improving at 1 year, with no additional change at 2 years. Role emotional, pain, and general health did not change from hospital discharge to 2 years. Mental health improved during the first year and declined at 2 years. ARDS results in significant neurocognitive and emotional morbidity and decreased quality of life that persists at least 2 years after hospital discharge. ARDS can cause significant long-term, brain-related morbidity manifest by neurocognitive impairments and decreased quality of life.

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Authors: Hopkins, R. O., Weaver, L. K., Collingridge, D., Parkinson, R. B., Chan, K. J., & Orme, J. F.
Affiliations: Brigham Young University (US)
ORCID: Collingridge, Dave
Venue: American Journal of Respiratory and Critical Care Medicine
Publisher: Oxford University Press (OUP)
Published: 2005-02
Volume: 171
Issue: 4
Pages: 340-347
ISSN: 1073-449X (ISSN-L)
1535-4970
DOI: 10.1164/rccm.200406-763oc
OpenAlex: W2077201173
Cited by: 759
References: 66
Citations by year: 2026: 14 · 2025: 25 · 2024: 36 · 2023: 25 · 2022: 41 · 2021: 74 · 2020: 57 · 2019: 38 · 2018: 32 · 2017: 32 · 2016: 38 · 2015: 38 · 2014: 29 · 2013: 34 · 2012: 38
FWCI: 20.21
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: National Heart, Lung, and Blood Institute (HL-50513)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
Keywords: acute respiratory distress syndrome, ARDS survivors, neuropsychological sequelae, post-traumatic cognitive impairment, depression, anxiety, quality of life, long-term outcomes, brain injury
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Analysis of Variance, Cognition Disorders, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Neuropsychological Tests, Quality of Life, Surveys and Questionnaires, Respiratory Distress Syndrome, Time Factors, Comorbidity, Outcome Assessment, Health Care, Survivors, Sickness Impact Profile, Mood Disorders

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Two-Year Cognitive, Emotional, and Quality-of-Life Outcomes in Acute Respiratory Distress Syndrome

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