重症监护病房幸存者认知障碍的临床识别：给重症监护医生的启示
Clinical identification of cognitive impairment in ICU survivors: insights for intensivists.
作者信息
Gordon Sharon M, Jackson James C, Ely E Wesley, Burger Candace, Hopkins Ramona O
机构信息
Center for Health Services Research, Vanderbilt University, 6100 Medical Center East, Nashville, TN 37232, USA.
出版信息
Intensive Care Med. 2004 Nov;30(11):1997-2008. doi: 10.1007/s00134-004-2418-y. Epub 2004 Oct 2.
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).
背景
越来越多的研究表明，大量重症监护病房（ICU）幸存者存在持续性认知障碍。
目的
本综述为执业重症医学专家以及在患者ICU住院后对其进行随访的人员提供了一个实用框架，用于识别ICU幸存者的认知障碍。
结论
危重病患者认知障碍的早期检测是一个重要且可实现的目标，但在大多数情况下，明显的认知障碍仍未被识别。然而，它可以通过客观证据（测试分数）或主观证据（临床判断、患者观察、家属互动）来识别。
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