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Clinical identification of cognitive impairment in ICU survivors: insights for intensivists |
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| Authors: | Gordon Sharon M. Jackson James C. Ely E. Wesley Burger Candace Hopkins Ramona O. |
| Affiliation: | (1) Center for Health Services Research, Vanderbilt University, 6100 Medical Center East, Nashville, TN 37232, USA;(2) Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN 37232, USA;(3) VA Tennessee Valley Geriatric, Education and Clinical Center, Nashville, Tenn., USA;(4) Division of Allergy/Pulmonary/Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232, USA;(5) Psychology Department and Neuroscience Center, Brigham Young University, Provo, Utah, USA;(6) Department of Medicine, Pulmonary and Critical Care Divisions, LDS Hospital, Salt Lake City, Utah, USA |
| Abstract: | Background A growing body of research has demonstrated the presence of ongoing cognitive impairment in large numbers of ICU survivors.Objective This review offers a practical framework for practicing intensivists and those following patients after their ICU stay for the identification of cognitive impairment in ICU survivors.Conclusions Early detection of cognitive impairment in critically ill patients is an important and achievable goal, but overt cognitive impairment remains unrecognized in most cases. However, it can be identified by objective (test scores) or subjective evidence (clinical judgment, patient observation, family interaction). |
| Keywords: | Cognitive impairment Neuropsychological assessment Encephalopathy Geriatrics Critical illness Intensive care unit |
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