Cargando…
On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
INTRODUCTION: Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after disc...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470446/ http://dx.doi.org/10.1192/j.eurpsy.2021.1765 |
_version_ | 1784788846068629504 |
---|---|
author | Maldonado-Belmonte, M.J. Fernández-Jiménez, E. Román-Belmonte, J.M. |
author_facet | Maldonado-Belmonte, M.J. Fernández-Jiménez, E. Román-Belmonte, J.M. |
author_sort | Maldonado-Belmonte, M.J. |
collection | PubMed |
description | INTRODUCTION: Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after discharge from ICU. Further studies are needed to explore global cognitive impairment among PICS patients after COVID-19 infection. OBJECTIVES: To analyse the global cognitive functioning in patients with PICS after COVID-19 infection in a Functional Rehabilitation Unit in Madrid (Spain) using the Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S). METHODS: This study was conducted in the Hospital Central de la Cruz Roja, in Madrid (Spain). A sample of 17 PICS adult patients was included, with age ranging from 56 to 74 years old (mean = 68.35 years; 13 males). Patients were assessed around three weeks after referral from their reference hospital. The total score of the SCIP-S was used as outcome. Descriptive analyses were conducted (mean and standard deviation) on standardized scores (z) based on age-adjusted general population norms. Significant impairment was set at z < -1.5. RESULTS: Mean total z-score on SCIP-S was -1.08 (S.D. = .82) from the total sample, with 52.9% of cases with significant impairment (mean = -1.74; S.D. = .21). CONCLUSIONS: These preliminary results show the probable presence of mild-moderate global cognitive impairment in a relevant proportion of patients after COVID-19 infection. Longitudinal studies, with larger samples, are needed where the premorbid cognitive level is considered. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9470446 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-94704462022-09-29 On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study Maldonado-Belmonte, M.J. Fernández-Jiménez, E. Román-Belmonte, J.M. Eur Psychiatry Abstract INTRODUCTION: Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after discharge from ICU. Further studies are needed to explore global cognitive impairment among PICS patients after COVID-19 infection. OBJECTIVES: To analyse the global cognitive functioning in patients with PICS after COVID-19 infection in a Functional Rehabilitation Unit in Madrid (Spain) using the Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S). METHODS: This study was conducted in the Hospital Central de la Cruz Roja, in Madrid (Spain). A sample of 17 PICS adult patients was included, with age ranging from 56 to 74 years old (mean = 68.35 years; 13 males). Patients were assessed around three weeks after referral from their reference hospital. The total score of the SCIP-S was used as outcome. Descriptive analyses were conducted (mean and standard deviation) on standardized scores (z) based on age-adjusted general population norms. Significant impairment was set at z < -1.5. RESULTS: Mean total z-score on SCIP-S was -1.08 (S.D. = .82) from the total sample, with 52.9% of cases with significant impairment (mean = -1.74; S.D. = .21). CONCLUSIONS: These preliminary results show the probable presence of mild-moderate global cognitive impairment in a relevant proportion of patients after COVID-19 infection. Longitudinal studies, with larger samples, are needed where the premorbid cognitive level is considered. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9470446/ http://dx.doi.org/10.1192/j.eurpsy.2021.1765 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Maldonado-Belmonte, M.J. Fernández-Jiménez, E. Román-Belmonte, J.M. On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title | On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title_full | On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title_fullStr | On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title_full_unstemmed | On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title_short | On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study |
title_sort | on general cognitive functioning. descriptive study in post-intensive care syndrome patients after covid-19 infection in a functional rehabilitation unit in spain. a pilot study |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470446/ http://dx.doi.org/10.1192/j.eurpsy.2021.1765 |
work_keys_str_mv | AT maldonadobelmontemj ongeneralcognitivefunctioningdescriptivestudyinpostintensivecaresyndromepatientsaftercovid19infectioninafunctionalrehabilitationunitinspainapilotstudy AT fernandezjimeneze ongeneralcognitivefunctioningdescriptivestudyinpostintensivecaresyndromepatientsaftercovid19infectioninafunctionalrehabilitationunitinspainapilotstudy AT romanbelmontejm ongeneralcognitivefunctioningdescriptivestudyinpostintensivecaresyndromepatientsaftercovid19infectioninafunctionalrehabilitationunitinspainapilotstudy |