Published in:
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
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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]. …