Cognitive impairment predicts outcomes for ICU survivors

For those who survived the intensive care unit, misunderstanding at the time of discharge was associated with an increased risk of new physical disability at six months, according to a study published in the July issue. American Journal of Critical Care.

Gerardo Eman, MD, from the Albert Einstein School of Medicine in the Bronx, New York, and colleagues explored the relationship between misunderstandings in hospital discharge among survivors of the intensive care unit from a study of two groups and the results of six months. Leave the hospital. patients were reviewed using the Montreal Comprehensive Assessment (MoCA) – Blind; Significant status and disability were assessed within six months after discharge. A total of 320 of the 423 registered patients are alive in the hospital.

The researchers found that 66.6 percent of patients (213 patients) were able to complete MoCA near discharge, while 14.7 percent could not complete it because misunderstanding. The median score is 17 among MoCA graduates. The MoCA model has been seen in conjunction with older and extra blood during the hospital. According to the survey, 82.6 percent of the 213 patients are alive, 23.3 percent of them have new physical disabilities. No significant association was seen recognition MoCA results with a six-month mortality rate (average odds ratio, 1.03; 95 percent confidence interval, 0.93 to 1.14), but a significant association was seen with the risk of new severe disability within six months (normal ratio , 0.85; 95 percent confidence. Interval, 0.76 to 0.94).

“Future research could focus on developing ways to integrate cognitive values ​​in place discharge to hospital time as a rehabilitation strategy for rehabilitation projects designed to improve the outcome of disability after a serious illness, ”the authors wrote.

Misdiagnosis was reported after COVID-19 infection

Learn more:
Gerardo Eman et al. American Journal of Critical Care (2022). DOI: 10.4037 / ajcc2022447

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