Volume 30, Number 11, 1997-2008, DOI: 10.1007/s00134-004-2418-y

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Clinical identification of cognitive impairment in ICU survivors: insights for intensivists

Sharon M. Gordon, James C. Jackson, E. Wesley Ely, Candace Burger and Ramona O. Hopkins

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Abstract

Background  

A growing body of research has demonstrated the presence of ongoing cognitive impairment in large numbers of ICU survivors.

Objective  

This review offers a practical framework for practicing intensivists and those following patients after their ICU stay for the identification of cognitive impairment in ICU survivors.

Conclusions  

Early detection of cognitive impairment in critically ill patients is an important and achievable goal, but overt cognitive impairment remains unrecognized in most cases. However, it can be identified by objective (test scores) or subjective evidence (clinical judgment, patient observation, family interaction).

Keywords  Cognitive impairment - Neuropsychological assessment - Encephalopathy - Geriatrics - Critical illness - Intensive care unit

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