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Erschienen in: Critical Care 4/2009

01.08.2009 | Viewpoint

Cognitive dysfunction after critical illness: measurement, rehabilitation, and disclosure

verfasst von: Cheryl Misak

Erschienen in: Critical Care | Ausgabe 4/2009

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Abstract

A growing consensus seems to be emerging that neurocognitive outcomes are poor for patients who have been critically ill with acute respiratory distress syndrome and multiple organ failure. However, intensive care unit delirium, post-traumatic stress disorder, and other outcomes must be considered as potentially confounding factors. Once the uncertainty around the causes of postmorbid cognitive functioning is acknowledged, there are practical implications for appropriate rehabilitative interventions and there are ethical implications for the kinds of appropriate disclosure to patients.
Literatur
1.
Zurück zum Zitat Hopkins RO, Brett S: Chronic neurocognitive effects of critical illness. Curr Opin Crit Care 2005, 11: 369-375. 10.1097/01.ccx.0000166399.88635.a5CrossRefPubMed Hopkins RO, Brett S: Chronic neurocognitive effects of critical illness. Curr Opin Crit Care 2005, 11: 369-375. 10.1097/01.ccx.0000166399.88635.a5CrossRefPubMed
2.
Zurück zum Zitat Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE, Inouye SK, Bernard GR, Dittus RS: Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291: 1753-1762. 10.1001/jama.291.14.1753CrossRefPubMed Ely EW, Shintani A, Truman B, Speroff T, Gordon SM, Harrell FE, Inouye SK, Bernard GR, Dittus RS: Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. JAMA 2004, 291: 1753-1762. 10.1001/jama.291.14.1753CrossRefPubMed
3.
Zurück zum Zitat Rosene KA, Copass MK, Kastner LS, Nolan CM, Eschenbach DS: Persistent neuropsychological sequelae of toxic shock. Ann Intern Med 1982, 96: 865-870.CrossRefPubMed Rosene KA, Copass MK, Kastner LS, Nolan CM, Eschenbach DS: Persistent neuropsychological sequelae of toxic shock. Ann Intern Med 1982, 96: 865-870.CrossRefPubMed
4.
Zurück zum Zitat Jackson JC, Hart RP, Gordon SM, Shintani A, Truman B, May L, Ely EW: Six month neuropsychological outcome of medical intensive care unit patients. Crit Care Med 2003, 31: 1226-1234. 10.1097/01.CCM.0000059996.30263.94CrossRefPubMed Jackson JC, Hart RP, Gordon SM, Shintani A, Truman B, May L, Ely EW: Six month neuropsychological outcome of medical intensive care unit patients. Crit Care Med 2003, 31: 1226-1234. 10.1097/01.CCM.0000059996.30263.94CrossRefPubMed
5.
Zurück zum Zitat Jones C, Griffiths RD, Slater T, Benjamin KS, Wilson S: Significant cognitive dysfunction in non-delirious patients identified during and persisting following critical illness. Intensive Care Med 2006, 32: 923-926. 10.1007/s00134-006-0112-yCrossRefPubMed Jones C, Griffiths RD, Slater T, Benjamin KS, Wilson S: Significant cognitive dysfunction in non-delirious patients identified during and persisting following critical illness. Intensive Care Med 2006, 32: 923-926. 10.1007/s00134-006-0112-yCrossRefPubMed
6.
Zurück zum Zitat Rothenhausler HB, Grieser B, Nollert G, Reichart B, Schelling G, Kapfhammer HP: Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12 month follow-up study. Gen Hosp Psychiatry 2005, 27: 18-28. 10.1016/j.genhosppsych.2004.09.001CrossRefPubMed Rothenhausler HB, Grieser B, Nollert G, Reichart B, Schelling G, Kapfhammer HP: Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12 month follow-up study. Gen Hosp Psychiatry 2005, 27: 18-28. 10.1016/j.genhosppsych.2004.09.001CrossRefPubMed
7.
Zurück zum Zitat Schelling G, Stoll C, Haller M, Briegel J, Manert W, Hummel T, Lenhart A, Heyduck M, Polasek J, Meier M, Preuss U, Bullinger M, Schuffel W, Peter K: Heath-related quality of life and post-traumatic stress disorder in survivors of the acute respiratory distress syndrome. Crit Care Med 1998, 26: 651-659. 10.1097/00003246-199804000-00011CrossRefPubMed Schelling G, Stoll C, Haller M, Briegel J, Manert W, Hummel T, Lenhart A, Heyduck M, Polasek J, Meier M, Preuss U, Bullinger M, Schuffel W, Peter K: Heath-related quality of life and post-traumatic stress disorder in survivors of the acute respiratory distress syndrome. Crit Care Med 1998, 26: 651-659. 10.1097/00003246-199804000-00011CrossRefPubMed
9.
Zurück zum Zitat Misak C: The critical care experience: a patient's view. Am J Respir Crit Care Med 2004, 170: 357-359. 10.1164/rccm.200403-309OECrossRefPubMed Misak C: The critical care experience: a patient's view. Am J Respir Crit Care Med 2004, 170: 357-359. 10.1164/rccm.200403-309OECrossRefPubMed
10.
Zurück zum Zitat Misak C: ICU psychosis and patient autonomy: some thoughts from the inside. J Med Philos 2005, 30: 411-430. 10.1080/03605310591008603CrossRefPubMed Misak C: ICU psychosis and patient autonomy: some thoughts from the inside. J Med Philos 2005, 30: 411-430. 10.1080/03605310591008603CrossRefPubMed
11.
Zurück zum Zitat Kapfhammer H, Rothenhausler H, Krauseneck T, Stoll C, Schelling G: Post-traumatic stress disorder and health-related quality of life in long term survivors of acute respiratory distress syndrome. Am J Psychiatry 2004, 161: 45-52. 10.1176/appi.ajp.161.1.45CrossRefPubMed Kapfhammer H, Rothenhausler H, Krauseneck T, Stoll C, Schelling G: Post-traumatic stress disorder and health-related quality of life in long term survivors of acute respiratory distress syndrome. Am J Psychiatry 2004, 161: 45-52. 10.1176/appi.ajp.161.1.45CrossRefPubMed
12.
Zurück zum Zitat Jones C, Griffiths R, Humphris G, Skirrow P: Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Crit Care Med 2001, 29: 573-580. 10.1097/00003246-200103000-00019CrossRefPubMed Jones C, Griffiths R, Humphris G, Skirrow P: Memory, delusions, and the development of acute posttraumatic stress disorder-related symptoms after intensive care. Crit Care Med 2001, 29: 573-580. 10.1097/00003246-200103000-00019CrossRefPubMed
13.
Zurück zum Zitat Perrin J, King N, Collings J: Assessment of long-term psychological well-being following intensive care. Intensive Crit Care Nurs 1998, 14: 108-116. 10.1016/S0964-3397(98)80351-0CrossRef Perrin J, King N, Collings J: Assessment of long-term psychological well-being following intensive care. Intensive Crit Care Nurs 1998, 14: 108-116. 10.1016/S0964-3397(98)80351-0CrossRef
14.
Zurück zum Zitat Jones C, Skirrow P, Griffiths R, Humphris G, Ingleby S, Eddleson J, Waldmann C, Gager M: Rehabilitation after critical illness: a randomized controlled trial. Crit Care Med 2003, 31: 2456-2461. 10.1097/01.CCM.0000089938.56725.33CrossRefPubMed Jones C, Skirrow P, Griffiths R, Humphris G, Ingleby S, Eddleson J, Waldmann C, Gager M: Rehabilitation after critical illness: a randomized controlled trial. Crit Care Med 2003, 31: 2456-2461. 10.1097/01.CCM.0000089938.56725.33CrossRefPubMed
15.
Zurück zum Zitat Katz I, Curyto K, TenHave T, Mossey J, Sands L, Kallan M: Validating the diagnosis of delirium and evaluating its association with deterioration over a one-year period. Am J Geriatr Psychiatry 2001, 9: 148-159.CrossRefPubMed Katz I, Curyto K, TenHave T, Mossey J, Sands L, Kallan M: Validating the diagnosis of delirium and evaluating its association with deterioration over a one-year period. Am J Geriatr Psychiatry 2001, 9: 148-159.CrossRefPubMed
16.
Zurück zum Zitat Jackson JC, Gordon SM, Ely WE, Burger C, Hopkins RO: Research issues in the evaluation of cognitive impairment in intensive care unit survivors. Intensive Care Med 2004, 30: 2009-2016. 10.1007/s00134-004-2422-2CrossRefPubMed Jackson JC, Gordon SM, Ely WE, Burger C, Hopkins RO: Research issues in the evaluation of cognitive impairment in intensive care unit survivors. Intensive Care Med 2004, 30: 2009-2016. 10.1007/s00134-004-2422-2CrossRefPubMed
17.
Zurück zum Zitat Richards PM, Ruff RM: Motivational effects on neuropsychological functioning: comparison of depressed vs. non-depressed individuals. J Consult Clin Psychol 1989, 57: 396-402. 10.1037/0022-006X.57.3.396CrossRefPubMed Richards PM, Ruff RM: Motivational effects on neuropsychological functioning: comparison of depressed vs. non-depressed individuals. J Consult Clin Psychol 1989, 57: 396-402. 10.1037/0022-006X.57.3.396CrossRefPubMed
18.
Zurück zum Zitat Rothenhausler HB, Ehrentraut S, Stoll C, Schelling G, Kapfhammer HP: The relationship between cognitive performance and employment and health status in long term survivors of the acute respiratory distress syndrome: results of an exploratory study. Gen Hosp Psychiatry 2001, 23: 90-96. 10.1016/S0163-8343(01)00123-2CrossRefPubMed Rothenhausler HB, Ehrentraut S, Stoll C, Schelling G, Kapfhammer HP: The relationship between cognitive performance and employment and health status in long term survivors of the acute respiratory distress syndrome: results of an exploratory study. Gen Hosp Psychiatry 2001, 23: 90-96. 10.1016/S0163-8343(01)00123-2CrossRefPubMed
19.
Zurück zum Zitat Hopkins RO, Weaver LK, Collingridge D, Parkinson RB, Chan K, Orme JF: Two year cognitive, emotional and quality of life outcomes in acute respiratory distress syndrome. Am J Respir Crit Care Med 2005, 171: 340-347. 10.1164/rccm.200406-763OCCrossRefPubMed Hopkins RO, Weaver LK, Collingridge D, Parkinson RB, Chan K, Orme JF: Two year cognitive, emotional and quality of life outcomes in acute respiratory distress syndrome. Am J Respir Crit Care Med 2005, 171: 340-347. 10.1164/rccm.200406-763OCCrossRefPubMed
20.
Zurück zum Zitat De Jonghe B, Cook D, Sharshar T, Lefaucheur JP, Carlet J, Outin H: Acquired neuromuscular disorders in critically ill patients: a systemic review. Intensive Care Med 1998, 24: 1242-1250. 10.1007/s001340050757CrossRefPubMed De Jonghe B, Cook D, Sharshar T, Lefaucheur JP, Carlet J, Outin H: Acquired neuromuscular disorders in critically ill patients: a systemic review. Intensive Care Med 1998, 24: 1242-1250. 10.1007/s001340050757CrossRefPubMed
21.
Zurück zum Zitat Herridge M, Cheung A, Tansey C, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper A, Guest C, Mazer D, Mehta S, Stewart T, Barr A, Cook D, Slutsky A: One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003, 348: 683-693. 10.1056/NEJMoa022450CrossRefPubMed Herridge M, Cheung A, Tansey C, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper A, Guest C, Mazer D, Mehta S, Stewart T, Barr A, Cook D, Slutsky A: One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med 2003, 348: 683-693. 10.1056/NEJMoa022450CrossRefPubMed
22.
Zurück zum Zitat Steele CM: A threat in the air: how stereotypes shape intellectual identity and performance. Am Psychol 1997, 52: 613-629. 10.1037/0003-066X.52.6.613CrossRefPubMed Steele CM: A threat in the air: how stereotypes shape intellectual identity and performance. Am Psychol 1997, 52: 613-629. 10.1037/0003-066X.52.6.613CrossRefPubMed
23.
Zurück zum Zitat Griffiths R, Jones C: Delirium, cognitive dysfunction and post-traumatic stress disorder. Curr Opin Anaesthesiol 2007, 20: 124-129. 10.1097/ACO.0b013e3280803d4bCrossRefPubMed Griffiths R, Jones C: Delirium, cognitive dysfunction and post-traumatic stress disorder. Curr Opin Anaesthesiol 2007, 20: 124-129. 10.1097/ACO.0b013e3280803d4bCrossRefPubMed
24.
Zurück zum Zitat Griffiths R, Jones C: Intensive Care Aftercare. Amsterdam: Elsevier; 2001. Griffiths R, Jones C: Intensive Care Aftercare. Amsterdam: Elsevier; 2001.
25.
Zurück zum Zitat Herridge M, Angus D: Acute lung injury – affecting many lives. N Engl J Med 2005, 353: 1736-1738. 10.1056/NEJMe058205CrossRefPubMed Herridge M, Angus D: Acute lung injury – affecting many lives. N Engl J Med 2005, 353: 1736-1738. 10.1056/NEJMe058205CrossRefPubMed
26.
Zurück zum Zitat Hacking I: Making up people. London Rev Books 2006, 28: 23-26. Hacking I: Making up people. London Rev Books 2006, 28: 23-26.
Metadaten
Titel
Cognitive dysfunction after critical illness: measurement, rehabilitation, and disclosure
verfasst von
Cheryl Misak
Publikationsdatum
01.08.2009
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 4/2009
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc7962

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