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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Critical Illness Brain Injury.

Timothy D Girard1,2,3, Robert S Dittus2,4,3, E Wesley Ely1,2,3

  • 1Division of Allergy, Pulmonary, and Critical Care Medicine.

Annual Review of Medicine
|January 16, 2016
PubMed
Summary

Survivors of critical illness frequently experience long-term cognitive impairment, termed critical illness brain injury. This review details its epidemiology, characteristics, risk factors, and management strategies for this common condition.

Keywords:
cognitive impairmentdeliriumdementiaintensive caremechanical ventilation

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Area of Science:

  • Neuroscience
  • Critical Care Medicine
  • Public Health

Background:

  • Cognitive impairment is a common, persistent problem for survivors of critical illness.
  • This impairment, termed critical illness brain injury, has been increasingly recognized in recent literature.
  • Understanding its scope and impact is crucial for patient recovery.

Purpose of the Study:

  • To describe the epidemiology of critical illness brain injury.
  • To review the history and investigation of this cognitive impairment.
  • To examine characteristics, risk factors, and suggest management approaches.

Main Methods:

  • Literature review on critical illness brain injury.
  • Epidemiological data synthesis.
  • Analysis of patient management strategies based on risk factors.

Main Results:

  • Critical illness brain injury affects survivors long-term, persisting months to years post-discharge.
  • The severity and cognitive domains affected by critical illness brain injury can vary.
  • Known risk factors have been identified, informing potential management.

Conclusions:

  • Critical illness brain injury is a significant and common consequence of critical illness.
  • Further research and clinical attention are needed to address this issue.
  • Management strategies should focus on identified risk factors to mitigate cognitive deficits.