The effects of cognitive intervention on cognitive impairments after intensive care unit admission

Neuropsychol Rehabil. 2017 Apr;27(3):301-317. doi: 10.1080/09602011.2015.1078246. Epub 2015 Aug 27.

Abstract

Patients who survive critical illness commonly suffer cognitive impairments. We aimed to study the effects of cognitive intervention to treat the long-term impairments observed among different populations of intensive care unit (ICU) survivors. The results showed that the intervention significantly suppressed the deterioration of cognitive function in these patients. Medical and neurological ICU survivors were more susceptible than post-anaesthesia ICU patients to severe cognitive damage. In the former, the deterioration of impairments can be slowed by cognitive intervention. In comparison, intervention exerted significantly positive effects on the recovery of the cognitive functions of post-anaesthesia care unit patients. Furthermore, young populations were more likely than older populations to recover from acute cognitive impairments, and the impairment observed among the older population seemed to be multi-factorial and irreversible.

Keywords: Age; Cognitive functions; Cognitive intervention; ICU.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Attention
  • Cognitive Dysfunction / psychology
  • Cognitive Dysfunction / rehabilitation*
  • Critical Illness / psychology
  • Critical Illness / rehabilitation*
  • Executive Function
  • Female
  • Humans
  • Intensive Care Units
  • Language
  • Male
  • Memory
  • Middle Aged
  • Neuropsychological Tests
  • Recovery of Function*
  • Spatial Processing
  • Treatment Outcome
  • Young Adult