重症护理幸存者的长期认知功能障碍:相关因素和生活质量 - - 一项多中心队列研究
Isabel Jesus Pereira1,2,3,4, Mariana Santos5,6, Daniel Sganzerla7
1Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal. misabeljp@gmail.com.
Annals of intensive care
|July 29, 2024
概括
近一半的重症监护室 (ICU) 幸存者在出院一年后经历认知功能障碍. 妄想是关键预测因素,而高等教育提供了保护,影响了长期的生活质量.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 认知功能障碍是重症监护室 (ICU) 幸存者的一个重要问题.
- 了解ICU后认知障碍的长期患病率和相关因素对于患者的治疗结果至关重要.
研究的目的:
- 为了确定患病率和识别与认知功能障碍相关的因素,在ICU退院一年后.
- 研究ICU幸存者的认知功能障碍与与健康有关的生活质量 (HRQoL) 之间的关系.
主要方法:
- 一项多中心前性队列研究与巴西452名成年ICU幸存者进行.
- 在出院12个月后,用蒙特利尔认知评估 (tMOCA) 的电话版本评估认知功能.
- 使用多变量模型分析了与认知功能障碍和HRQoL相关的因素.
主要成果:
- 几乎一半 (47.8%) 的ICU幸存者在退院12个月后表现出认知功能障碍.
- 高龄,缺乏高等教育,较高的并发症负担和妄想与认知功能障碍有显著的关联.
- 没有认知功能障碍的患者报告了明显更好的精神和身体HRQoL.
结论:
- 痴呆症成为ICU幸存者的长期认知功能障碍的主要可修改预测因素.
- 高等教育与长期认知功能障碍的可能性降低有关.
- 认知功能障碍显著影响患者的生活质量,突出了认知储备在ICU后恢复的重要性.
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