Evidence map›Paper›PMID 23328935›Full record

SynthesisIntensive care medicine2013

Cognitive impairment after intensive care unit admission: a systematic review.

Annemiek E Wolters, Arjen J C Slooter, Arendina W van der Kooi, Diederik van Dijk

3 registry-linked trialsAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03025373 completednot on this mapstarted 2017, after this paper: background citation

Virtual Reality Stimulation to Enhance Cognitive Function of Intensive Care Unit Patients

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2017 to 2019Enrolled67ConditionsCognitive Impairment, Mild, Quality of LifeArmsVisuo-acoustic stimulation
NCT04317144 nasuspendednot on this mapstarted 2019, after this paper: background citation

Web-based Follow-up to Former ICU Patients

TypeinterventionalSponsorUppsala UniversityRan2019 to 2027Enrolled330ConditionsPost Intensive Care Unit SyndromeArmsWeb-based follow-up programme., No follow-up
NCT04417556 nacompletednot on this mapstarted 2020, after this paper: background citation

Validation of Sleep Assessment Tools in the Surgical Intensive Care Unit: Comparison of Thai Version of Richards-Campbell Sleep Questionnaire, Actigraphy, and Polysomnography

TypeinterventionalSponsorMahidol UniversityRan2020 to 2021Enrolled55ConditionsSleep, Sleep Disturbance, Sleep Deprivation, PolysomnographyArmsSleep measurement
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 4 syntheses or guidelines pooled it, 193 citations in OpenAlex.

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  10. Long-term outcomes of out-of-hospital cardiac arrest survivors in New Zealand: A prospective, longitudinal cohort study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
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  16. Post-intubation sedation in the emergency department: A scoping review.The American journal of emergency medicine · 2026
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  20. Long-Term Quality of Life Among Intensive Care Units Survivors.Risk management and healthcare policy · 2025
    Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Annemiek E WoltersDepartment of Intensive Care Medicine, University Medical Center Utrecht, Mail Stop F.06.149, PO Box 85500, 3508 GA Utrecht, The Netherlands.
Arjen J C Slooter
Arendina W van der Kooi
Diederik van Dijk
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is increasing evidence that critical illness and treatment in an intensive care unit (ICU) may result in significant long-term morbidity. The purpose of this systematic review was to summarize the current literature on long-term cognitive impairment in ICU survivors.

methodsPubMed/MEDLINE, CINAHL, Cochrane Library, PsycINFO and Embase were searched from January 1980 until July 2012 for relevant articles evaluating cognitive functioning after ICU admission. Publications with an adult population and a follow-up duration of at least 2 months were eligible for inclusion in the review. Studies in cardiac surgery patients or subjects with brain injury or cardiac arrest prior to ICU admission were excluded. The main outcome measure was cognitive functioning.

resultsThe search strategy identified 1,128 unique studies, of which 19 met the selection criteria and were included. Only one article compared neuropsychological test performance before and after ICU admission. The 19 studies that were selected reported a wide range of cognitive impairment in 4-62 % of the patients after a follow-up of 2-156 months.

conclusionThe results of most studies of the studies reviewed suggest that critical illness and ICU treatment are associated with long-term cognitive impairment. Due to the complexity of defining cognitive impairment, it is difficult to standardize definitions and to reach consensus on how to categorize neurocognitive dysfunction. Therefore, the magnitude of the problem is uncertain.

Indexed as

Intensive Care UnitsCognition DisordersHumansPatient Admission

Identifiers

PMID23328935
OpenAlexW2044778880

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.