Outcomes, Sequelae, and Ventilatory Strategies in Long COVID Patients with Severe ARDS: A Retrospective Cohort Study.

Outcomes, Sequelae, and Ventilatory Strategies in Long COVID Patients with Severe ARDS: A Retrospective Cohort Study.

Publication date: Oct 13, 2025

Background and Aims: Severe acute respiratory distress syndrome (ARDS) in patients with long COVID remains associated with extremely high mortality and significant long-term sequelae. Non-invasive ventilatory strategies such as continuous positive airway pressure (CPAP) and high-flow nasal cannula (HFNC) are widely used before endotracheal intubation (ETI). Still, their comparative effectiveness in this population is not well established. Understanding survival outcomes and sequelae can help refine treatment strategies for this high-risk group. This study aimed to evaluate outcomes, sequelae, and treatment strategies in long COVID patients with severe ARDS, focusing on non-invasive ventilatory support before ETI. Materials and Methods: A retrospective cohort analysis was performed using a study comparing severe ARDS patients with and without COVID-19. The inclusion criterion was a Horovitz quotient (PaO/FiO)

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Concepts Keywords
Accounting COVID-19
Covid endotracheal intubation
Endotracheal high-flow nasal cannula
Pulmonary non-invasive ventilation
ventilation treatment

Semantics

Type Source Name
disease MESH Sequelae
disease MESH Long COVID
disease MESH acute respiratory distress syndrome
disease MESH COVID-19
disease MESH dyspnea
disease MESH hypoxemia

Original Article

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