Skip to main content
Top
Published in: Critical Care 3/2013

01-06-2013 | Editorial

Cognitive stimulation in ICU patients: should we pay more attention?

Authors: Marc Turon, Sol Fernandez-Gonzalo, Victor Gomez-Simon, Lluís Blanch, Mercè Jodar

Published in: Critical Care | Issue 3/2013

Login to get access

Excerpt

Advances in ICUs have raised survival rates, but they have highlighted the need to reduce the morbidity of ICU patients and improve their short- and long-term functional outcomes. Frequently these patients, especially with acute respiratory distress syndrome, present neurocognitive impairments [1] that extend beyond their acute phase and hospital stay and lead to significant deficits in quality of life [2, 3]. These neurocognitive sequelae generate health and economic problems related to the dependency of survivors. Neurocognitive impairments may be understood as a manifestation of occult brain damage secondary to underlying pathophysiological mechanisms related to critical illness [4]. Therefore, it might be interesting to consider these patients as brain damaged patients and apply therapeutic tools, such as cognitive stimulation, that have proven effective in treating neurocognitive impairments in acquired brain injury patients [5]. …
Appendix
Available only for authorised users
Literature
1.
go back to reference Hopkins RO, Jackson JC: Short- and long-term cognitive outcomes in intensive care unit survivors. Clin Chest Med 2009, 30: 143-153. 10.1016/j.ccm.2008.11.001CrossRefPubMed Hopkins RO, Jackson JC: Short- and long-term cognitive outcomes in intensive care unit survivors. Clin Chest Med 2009, 30: 143-153. 10.1016/j.ccm.2008.11.001CrossRefPubMed
2.
go back to reference Hopkins RO, Weaver LK, Collingridge D, Parkinson RB, Chan KJ, Orme JF Jr: 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 KJ, Orme JF Jr: 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
3.
go back to reference Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D, Slutsky AS, Cheung AM, Canadian Critical Care Trials Group: Functional disability 5 years after acute respiratory distress syndrome. N Eng J Med 2011, 364: 1293-1304. 10.1056/NEJMoa1011802CrossRef Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D, Slutsky AS, Cheung AM, Canadian Critical Care Trials Group: Functional disability 5 years after acute respiratory distress syndrome. N Eng J Med 2011, 364: 1293-1304. 10.1056/NEJMoa1011802CrossRef
4.
go back to reference Pustavoitau A, Stevens RD: Mechanisms of neurologic failure in critical illness. Crit Care Clin 2008, 24: 1-24.CrossRefPubMed Pustavoitau A, Stevens RD: Mechanisms of neurologic failure in critical illness. Crit Care Clin 2008, 24: 1-24.CrossRefPubMed
5.
go back to reference Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T: Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil 2011, 92: 519-530. 10.1016/j.apmr.2010.11.015CrossRefPubMed Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T: Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil 2011, 92: 519-530. 10.1016/j.apmr.2010.11.015CrossRefPubMed
6.
go back to reference Gunther ML, Jackson JC, Ely EW: The cognitive consequences of critical illness: practical recommendations for screening and assessment. Crit Care Clin 2007, 23: 491-506. 10.1016/j.ccc.2007.07.001CrossRefPubMed Gunther ML, Jackson JC, Ely EW: The cognitive consequences of critical illness: practical recommendations for screening and assessment. Crit Care Clin 2007, 23: 491-506. 10.1016/j.ccc.2007.07.001CrossRefPubMed
7.
go back to reference Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, Gordon SM, Canonico AE, Dittus RS, Bernard GR, Ely EW: Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 2010, 38: 1513-1520. 10.1097/CCM.0b013e3181e47be1PubMedCentralCrossRefPubMed Girard TD, Jackson JC, Pandharipande PP, Pun BT, Thompson JL, Shintani AK, Gordon SM, Canonico AE, Dittus RS, Bernard GR, Ely EW: Delirium as a predictor of long-term cognitive impairment in survivors of critical illness. Crit Care Med 2010, 38: 1513-1520. 10.1097/CCM.0b013e3181e47be1PubMedCentralCrossRefPubMed
8.
go back to reference Hopkins RO, Jackson JC: Short- and long-term cognitive outcomes in intensive care unit survivors. Clin Chest Med 2009, 30: 143-153. 10.1016/j.ccm.2008.11.001CrossRefPubMed Hopkins RO, Jackson JC: Short- and long-term cognitive outcomes in intensive care unit survivors. Clin Chest Med 2009, 30: 143-153. 10.1016/j.ccm.2008.11.001CrossRefPubMed
9.
go back to reference Kho ME, Damluji AA, Zanni JM, Needham DM: Feasibility and observed safety of interactive video games for physical rehabilitation in intensive care unit: a case series. J Crit Care 2012, 27: 219.e1-e6. 10.1016/j.jcrc.2011.08.017CrossRef Kho ME, Damluji AA, Zanni JM, Needham DM: Feasibility and observed safety of interactive video games for physical rehabilitation in intensive care unit: a case series. J Crit Care 2012, 27: 219.e1-e6. 10.1016/j.jcrc.2011.08.017CrossRef
10.
go back to reference Shors TJ, Anderson ML, Curlik DM Jr, Nokia MS: Use it or lose it: how neurogenesis keeps the brain fit for learning. Behav Brain Res 2012, 227: 450-458. 10.1016/j.bbr.2011.04.023PubMedCentralCrossRefPubMed Shors TJ, Anderson ML, Curlik DM Jr, Nokia MS: Use it or lose it: how neurogenesis keeps the brain fit for learning. Behav Brain Res 2012, 227: 450-458. 10.1016/j.bbr.2011.04.023PubMedCentralCrossRefPubMed
Metadata
Title
Cognitive stimulation in ICU patients: should we pay more attention?
Authors
Marc Turon
Sol Fernandez-Gonzalo
Victor Gomez-Simon
Lluís Blanch
Mercè Jodar
Publication date
01-06-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 3/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc12719

Other articles of this Issue 3/2013

Critical Care 3/2013 Go to the issue