Publications

Publications et travaux de recherche

2025

Kléber, Mathilde; Meunier-Beillard, Nicolas; Fournel, Isabelle; Ksiazek, Eléa; Jacquier, Marine; Ecarnot, Fiona; Rigaud, Jean-Philippe; Declercq, Pierre-Louis; Quenot, Jean-Pierre; Labruyère, Marie

Barriers to and facilitators of rehabilitation according to socio-economic status, after acute respiratory distress syndrome due to COVID-19: A qualitative study in the RECOVIDS cohort Article de journal

Dans: PLOS One, vol. 20, iss. 2, p. e0316318, 2025.

Résumé | Liens | BibTeX | Étiquettes: Covid-19

@article{Kléber2025,

title = {Barriers to and facilitators of rehabilitation according to socio-economic status, after acute respiratory distress syndrome due to COVID-19: A qualitative study in the RECOVIDS cohort},

author = {Mathilde Kléber and Nicolas Meunier-Beillard and Isabelle Fournel and Eléa Ksiazek and Marine Jacquier and Fiona Ecarnot and Jean-Philippe Rigaud and Pierre-Louis Declercq and Jean-Pierre Quenot and Marie Labruyère},

url = {https://www.researchgate.net/publication/389434833_Barriers_to_and_facilitators_of_rehabilitation_according_to_socio-economic_status_after_acute_respiratory_distress_syndrome_due_to_COVID-19_A_qualitative_study_in_the_RECOVIDS_cohort},

doi = {10.1371/journal.pone.0316318},

year  = {2025},

date = {2025-02-28},

journal = {PLOS One},

volume = {20},

issue = {2},

pages = {e0316318},

abstract = {Background

The COVID-19 pandemic may have compounded social disparities in access to healthcare, with possible deleterious consequences on the functional prognosis of patients after a stay in the intensive care unit (ICU). In the previous RECOVIDS study, we reported that despite comparable pulmonary sequelae and similar access to rehabilitation, socio-economically “vulnerable” patients had lower quality of life at 6 months after an ICU stay. We aimed to describe the barriers to, and facilitators of participation in rehabilitation, among patients from the RECOVIDS study, regardless of their socio-economic situation. 

Methods

Qualitative study using semi-structured interviews with adult patients admitted to ICU for PCR-proven SARS-CoV-2 infection, and who had acute respiratory distress syndrome (ARDS) or had received high flow nasal oxygen. In addition, patients had to have been living at home for the month prior to the interview and had to be proficient in French. Eligible patients were randomly selected, aiming to select the same number of socially deprived and non-socially-deprived patients. Interviews were transcribed for thematic analysis. 

Results 

In total, 31 interviews were performed from 10/2021 to 01/2022; 16 with socially deprived, and 15 with non-deprived participants. Average age was 65.2 (±11.6) years. Four themes emerged from the analysis of the interviews, namely: (1) the impact of the patient’s professional and socio-economic situation; (2) the feeling that age and socio-economic situation influence access to rehabilitation; (3) a perception that the healthcare system was saturated, and that inequalities exist in access to rehabilitation resources; (4) perception of previous own health and expectations of post-resuscitation health status. 

Conclusion 

A precarious socio-economic situation has a substantial impact on access to rehabilitation after ICU admission for ARDS caused by COVID-19. It represents a barrier to rehabilitation through the combined action of various social determinants that deserve to be detected early, in order to take appropriate action to ensure that the most socially vulnerable individuals can benefit from access to rehabilitation.},

keywords = {Covid-19},

pubstate = {published},

tppubtype = {article}

}

Fermer

Background
The COVID-19 pandemic may have compounded social disparities in access to healthcare, with possible deleterious consequences on the functional prognosis of patients after a stay in the intensive care unit (ICU). In the previous RECOVIDS study, we reported that despite comparable pulmonary sequelae and similar access to rehabilitation, socio-economically “vulnerable” patients had lower quality of life at 6 months after an ICU stay. We aimed to describe the barriers to, and facilitators of participation in rehabilitation, among patients from the RECOVIDS study, regardless of their socio-economic situation.
Methods
Qualitative study using semi-structured interviews with adult patients admitted to ICU for PCR-proven SARS-CoV-2 infection, and who had acute respiratory distress syndrome (ARDS) or had received high flow nasal oxygen. In addition, patients had to have been living at home for the month prior to the interview and had to be proficient in French. Eligible patients were randomly selected, aiming to select the same number of socially deprived and non-socially-deprived patients. Interviews were transcribed for thematic analysis.
Results
In total, 31 interviews were performed from 10/2021 to 01/2022; 16 with socially deprived, and 15 with non-deprived participants. Average age was 65.2 (±11.6) years. Four themes emerged from the analysis of the interviews, namely: (1) the impact of the patient’s professional and socio-economic situation; (2) the feeling that age and socio-economic situation influence access to rehabilitation; (3) a perception that the healthcare system was saturated, and that inequalities exist in access to rehabilitation resources; (4) perception of previous own health and expectations of post-resuscitation health status.
Conclusion
A precarious socio-economic situation has a substantial impact on access to rehabilitation after ICU admission for ARDS caused by COVID-19. It represents a barrier to rehabilitation through the combined action of various social determinants that deserve to be detected early, in order to take appropriate action to ensure that the most socially vulnerable individuals can benefit from access to rehabilitation.

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2024

Launay, Pauline; Clavandier, Gaëlle; Schrecker, Cherry

Des morts dangereux à l’épreuve de l’insularité. Tensions entre soin et protection en Ehpad durant la pandémie de Covid-19 Article de journal

Dans: Socio-anthropologie, no. 50, p. 79-96, 2024.

Résumé | Liens | BibTeX | Étiquettes: Covid-19, Fin de vie

2023

Jahier, Youna; Rabiaza, Andry; Gouriot, Mylène; Grandazzi, Guillaume; Humbert, Xavier

Ressenti des médecins généralistes français concernant la gestion par les autorités sanitaires de la pandémie liée au COVID-19 Article de journal

Dans: Médecine, vol. 19, no. 9, p. 426-431, 2023.

Résumé | Liens | BibTeX | Étiquettes: Covid-19

2022

Balard, Frédéric; Caradec, Vincent; Castra, Michel; Chassagne, Aline; Clavandier, Gaëlle; Launay, Pauline; Schrecker, Cherry; Trimaille, Hélène

Life in Care Homes during the Covid-19 Pandemic. The Social Logics of the Experience of the First Confinement Article de journal

Dans: Revue des politiques sociales et familiales, vol. 4, no. 145, p. 147-163, 2022.

Résumé | Liens | BibTeX | Étiquettes: Covid-19

Declercq, Pierre-Louis; Fournel, Isabelle; Demeyere, Matthieu; Ksiazek, Eléa; Meunier-Beillard, Nicolas; Rivière, Antoine; Clarot, Caroline; Maizel, Julien; Schnell, David; Plantefeve, Gaetan; Ampere, Alexandre; Daubin, Cédric; Sauneuf, Bertrand; Kalfon, Pierre; Federici, Laura; Redureau, Élise; Bousta, Mehdi; Lagache, Laurie; Vanderlinden, Thierry; Nseir, Saad; Combe, Béatrice La; Bourdin, Gaël; Monchi, Mehran; Nyunga, Martine; Ramakers, Michel; Oulehri, Walid; Georges, Hugues; Gandonniere, Charlotte Salmon; Badie, Julio; Delbove, Agathe; Monnet, Xavier; Beduneau, Gaetan; Artaud-Macari, Élise; Abraham, Paul; Delberghe, Nicolas; Bouar, Gurvan Le; Miailhe, Arnaud-Felix; Hraiech, Sami; Bironneau, Vanessa; Sedillot, Nicholas; Hoppe, Marie-Anne; Barbar, Saber Davide; Calcaianu, George-Daniel; Dellamonica, Jean; Terzi, Nicolas; Delpierre, Cyrille; Gélinotte, Stéphanie; Rigaud, Jean-Philippe; Labruyère, Marie; Georges, Marjolaine; Binquet, Christine; Quenot, Jean-Pierre; trial investigators, RECOVIDS

Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2 : the multicentre observational RECOVIDS study Article de journal

Dans: BMJ Open, vol. 12, no. e057368, 2022.

Résumé | Liens | BibTeX | Étiquettes: Covid-19

@article{Declercq2022b,

title = {Influence of socio-economic status on functional recovery after ARDS caused by SARS-CoV-2 : the multicentre observational RECOVIDS study},

author = {Pierre-Louis Declercq and Isabelle Fournel and Matthieu Demeyere and Eléa Ksiazek and Nicolas Meunier-Beillard and Antoine Rivière and Caroline Clarot and Julien Maizel and David Schnell and Gaetan Plantefeve and Alexandre Ampere and Cédric Daubin and Bertrand Sauneuf and Pierre Kalfon and Laura Federici and Élise Redureau and Mehdi Bousta and Laurie Lagache and Thierry Vanderlinden and Saad Nseir and Béatrice La Combe and Gaël Bourdin and Mehran Monchi and Martine Nyunga and Michel Ramakers and Walid Oulehri and Hugues Georges and Charlotte Salmon Gandonniere and Julio Badie and Agathe Delbove and Xavier Monnet and Gaetan Beduneau and Élise Artaud-Macari and Paul Abraham and Nicolas Delberghe and Gurvan Le Bouar and Arnaud-Felix Miailhe and Sami Hraiech and Vanessa Bironneau and Nicholas Sedillot and Marie-Anne Hoppe and Saber Davide Barbar and George-Daniel Calcaianu and Jean Dellamonica and Nicolas Terzi and Cyrille Delpierre and Stéphanie Gélinotte and Jean-Philippe Rigaud and Marie Labruyère and Marjolaine Georges and Christine Binquet and Jean-Pierre Quenot and RECOVIDS trial investigators},

url = {https://bmjopen.bmj.com/content/12/4/e057368},

doi = {10.1136/bmjopen-2021-057368},

year  = {2022},

date = {2022-04-04},

journal = {BMJ Open},

volume = {12},

number = {e057368},

abstract = {Introduction

Prognosis of patients with COVID-19 depends on the severity of the pulmonary affection. The most severe cases may progress to acute respiratory distress syndrome (ARDS), which is associated with a risk of long-term repercussions on respiratory function and neuromuscular outcomes. The functional repercussions of severe forms of COVID-19 may have a major impact on quality of life, and impair the ability to return to work or exercise. Social inequalities in healthcare may influence prognosis, with socially vulnerable individuals more likely to develop severe forms of disease. We describe here the protocol for a prospective, multicentre study that aims to investigate the influence of social vulnerability on functional recovery in patients who were hospitalised in intensive care for ARDS caused by COVID-19. This study will also include an embedded qualitative study that aims to describe facilitators and barriers to compliance with rehabilitation, describe patients’ health practices and identify social representations of health, disease and care.

Methods and analysis

The "Functional Recovery From Acute Respiratory Distress Syndrome (ARDS) Due to COVID-19: Influence of Socio-Economic Status" (RECOVIDS) study is a mixed-methods, observational, multicentre cohort study performed during the routine follow-up of post-intensive care unit (ICU) functional recovery after ARDS. All patients admitted to a participating ICU for PCR-proven SARS-CoV-2 infection and who underwent chest CT scan at the initial phase AND who received respiratory support (mechanical or not) or high-flow nasal oxygen, AND had ARDS diagnosed by the Berlin criteria will be eligible. The primary outcome is the presence of lung sequelae at 6 months after ICU discharge, defined either by alterations on pulmonary function tests, oxygen desaturation during a standardised 6 min walk test or fibrosis-like pulmonary findings on chest CT. Patients will be considered to be socially disadvantaged if they have an "Evaluation de la Précarité et des Inégalités de santé dans les Centres d’Examen de Santé" (EPICES) score ≥30.17 at inclusion.

Ethics and dissemination

The study protocol and the informed consent form were approved by an independent ethics committee (Comité de Protection des Personnes Sud Méditerranée II) on 10 July 2020 (2020-A02014-35). All patients will provide informed consent before participation. Findings will be published in peer-reviewed journals and presented at national and international congresses.},

keywords = {Covid-19},

pubstate = {published},

tppubtype = {article}

}

Fermer

Introduction
Prognosis of patients with COVID-19 depends on the severity of the pulmonary affection. The most severe cases may progress to acute respiratory distress syndrome (ARDS), which is associated with a risk of long-term repercussions on respiratory function and neuromuscular outcomes. The functional repercussions of severe forms of COVID-19 may have a major impact on quality of life, and impair the ability to return to work or exercise. Social inequalities in healthcare may influence prognosis, with socially vulnerable individuals more likely to develop severe forms of disease. We describe here the protocol for a prospective, multicentre study that aims to investigate the influence of social vulnerability on functional recovery in patients who were hospitalised in intensive care for ARDS caused by COVID-19. This study will also include an embedded qualitative study that aims to describe facilitators and barriers to compliance with rehabilitation, describe patients’ health practices and identify social representations of health, disease and care.
Methods and analysis
The "Functional Recovery From Acute Respiratory Distress Syndrome (ARDS) Due to COVID-19: Influence of Socio-Economic Status" (RECOVIDS) study is a mixed-methods, observational, multicentre cohort study performed during the routine follow-up of post-intensive care unit (ICU) functional recovery after ARDS. All patients admitted to a participating ICU for PCR-proven SARS-CoV-2 infection and who underwent chest CT scan at the initial phase AND who received respiratory support (mechanical or not) or high-flow nasal oxygen, AND had ARDS diagnosed by the Berlin criteria will be eligible. The primary outcome is the presence of lung sequelae at 6 months after ICU discharge, defined either by alterations on pulmonary function tests, oxygen desaturation during a standardised 6 min walk test or fibrosis-like pulmonary findings on chest CT. Patients will be considered to be socially disadvantaged if they have an "Evaluation de la Précarité et des Inégalités de santé dans les Centres d’Examen de Santé" (EPICES) score ≥30.17 at inclusion.
Ethics and dissemination
The study protocol and the informed consent form were approved by an independent ethics committee (Comité de Protection des Personnes Sud Méditerranée II) on 10 July 2020 (2020-A02014-35). All patients will provide informed consent before participation. Findings will be published in peer-reviewed journals and presented at national and international congresses.

Fermer