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...

Descripción completa

Detalles Bibliográficos
Autores principales: Maldonado-Belmonte, M.J., Fernández-Jiménez, E., Román-Belmonte, J.M.
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