Medical and Economic Implications of Cognitive and Psychiatric Disability of Survivorship

Ramona O. Hopkins; Timothy D. Girard

doi:10.1055/s-0032-1321984

Seminars in Respiratory and Critical Care Medicine, Table of Contents

Semin Respir Crit Care Med 2012; 33(04): 348-356
DOI: 10.1055/s-0032-1321984

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Medical and Economic Implications of Cognitive and Psychiatric Disability of Survivorship

Ramona O. Hopkins

¹Department of Medicine, Pulmonary and Critical Care Division, Intermountain Medical Center, Murray, Utah

²Psychology Department and Neuroscience Center, Brigham Young University, Provo, Utah

,

Timothy D. Girard

³Division of Allergy, Pulmonary, and Critical Care Medicine, Center for Health Services Research, and Center for Quality Aging in the Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee

⁴Geriatric Research, Education, and Clinical Center Service, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville, Tennessee

› Author Affiliations

Abstract

Current research indicates that the majority of survivors of critical illness develop post–intensive care syndrome (PICS), which includes new or worsening cognitive or psychiatric disorders that persist for months to years after critical illness. These cognitive impairments and psychiatric disorders are profound and long-lasting, adversely affecting survivors' daily functioning, ability to return to work, and quality of life, as well as altering the lives of their family members. The medical effects of cognitive and psychiatric disability after critical illness translate directly into a large economic burden. A large and growing body of intensive care unit (ICU) survivors with cognitive and psychiatric morbidities presents challenges for research and identification of best practices and interventions, both during and after the ICU, including rehabilitation to prevent or remediate long-term neurological outcomes.

Keywords

critical care - cognitive impairments - depression - anxiety - posttraumatic stress disorder - ICU

Full Text

References

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