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Título

The cognitive impact of Post-Intensive Care Syndrome: a Review of Recent Perspectives

Resumo

INTRODUCTION: Mortality from critical illness has decreased in recent decades. Intensive care unit survivors experience cognitive impairments and mental health problems, referred to as part of post-intensive care syndrome (PICS).¹
OBJECTIVE: In this review, we summarize recent data on PICS cognitive impairment and its new challenges.
METHODS: This is a literature review article that studied patients in the Intensive Care Unit. The data search used LILACS, SciELO and Cochrane databases.
RESULT: In current studies, questionnaires such as the Short-Memory Questionnaire (SMQ) were used. Cognitive impairment occurs in approximately 40% of ICU survivors within 3-6 months of critical illness and persists for at least 1 year in some patients². Areas commonly affected are attention, concentration, memory, mental processing speed, and executive functions. Among them, the most commonly affected domains are memory and executive functions.² Risk factors for cognitive impairment after admission to the Intensive Care Unit are preexisting cognitive dysfunction, delirium, sepsis, hypoxia, and invasive mechanical ventilation. It has been seen that patients face the difficulty of returning to their original lives due to disabilities that persist for up to years after discharge from the ICU.¹ Also, it was seen that bundles like ABCDEF can help to prevent PICS.¹
CONCLUSIONS: Survivors of critical illness are at high risk of developing post-intensive care syndrome. These findings highlight the importance of adequate post-ICU care planning to diagnose and treat this population.
Rudd, K.E.; Johnson, S.C.; Agesa, K.M.; Shackelford, K.A.; Tsoi, D.; Kievlan, D.R.; Colombara, D.V.; Ikuta, K.S.; Kissoon, N.; Finfer, S.; et al. Global, regional, and national sepsis incidence and mortality, 1990–2017: Analysis for the global burden of disease study. Lancet 2020, 395, 200–211.
O. A. Ige1,*; I. K. Kolawole1 ; P. O. Ajiboye1.The psychological impact of intensive care unit admission on relatives of critically ill patients. Rwanda Medical Journal, Vol. 78, no. 4, p. 17-26, 2021.

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Área

Neurointensivismo