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Critical illness and changes in sensory perception.

Susan S Schiffman1

  • 1Department of Psychiatry, 54212 Woodhall Building, Duke University Medical Center, Durham, NC 27710-3259, USA. sss@duke.edu

The Proceedings of the Nutrition Society
|July 20, 2007
PubMed
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Critical illness, including surgery, can worsen sensory impairments in older adults. These sensory losses affect daily life, recovery, and overall health, impacting vision, hearing, taste, smell, and touch.

Area of Science:

  • Critical care medicine
  • Gerontology
  • Sensory neuroscience

Background:

  • Sensory perception impairments in critical care patients significantly impact health, daily activities, and recovery.
  • These sensory losses may be independent of the primary medical condition.
  • Factors contributing to sensory loss include medications, medical conditions, treatments, and aging.

Purpose of the Study:

  • To provide an overview of sensory losses across all five senses in critically-ill patients.
  • To identify factors contributing to sensory impairments in this population.
  • To review a study comparing sensory performance in elderly patients post-cardiac surgery, with cardiovascular conditions, and healthy controls.

Main Methods:

  • Literature review of sensory perception impairments in critical care.

Related Experiment Videos

  • Overview of contributing factors: medications, medical conditions, treatments, aging.
  • Analysis of a comparative study on sensory performance in three elderly groups.
  • Main Results:

    • Critical illness and treatments (e.g., chemotherapy, radiotherapy) can cause sensory deficits.
    • Cancer and stroke are associated with profound sensory decrements.
    • Elderly patients post-coronary artery bypass surgery exhibited worse sensory performance, particularly in taste and smell, compared to controls.

    Conclusions:

    • Critical illness, such as coronary artery bypass surgery, can exacerbate pre-existing sensory losses in the elderly.
    • Sensory impairments are a significant concern for critically-ill patients, affecting multiple aspects of their well-being.
    • Understanding the causes and impacts of sensory loss is crucial for improving patient outcomes in critical care settings.