Evidence map›Paper›PMID 28979415›Full record

ArticleJournal of the Intensive Care Society2015

The psychological and neurocognitive consequences of critical illness. A pragmatic review of current evidence.

Olivia Clancy, Trudi Edginton, Annalisa Casarin, Marcela P Vizcaychipi

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Intensive Care Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
  5. Review
  6. Article
  7. Review
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  9. Review
  10. Cognitive Deficits Following Intensive Care.Deutsches Arzteblatt international · 2019
    Review
  11. Review
  12. Article
  13. Cost of Futile ICU Care in One Ontario Hospital.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Olivia ClancyDepartment of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
Trudi EdgintonDepartment of Psychology, The University of Westminster, London, UK.
Annalisa CasarinDepartment of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
Marcela P VizcaychipiDepartment of Anaesthesia, Chelsea and Westminster Hospital, London, UK.
Chelsea and Westminster Hospital · GBImperial College London · GBUniversity of Westminster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mortality rates alone are no longer a sufficient guide to quality of care. Due to medical advances, patients are surviving for longer following critical illness and major surgery; therefore, functional outcomes and long-term quality of life are of increasing consequence. Post-operative cognitive dysfunction has been acknowledged as a complication following anaesthesia for many years, and interest in persistent cognitive dysfunction following a critical illness is growing. Psychological and neurocognitive sequelae following discharge from intensive care are acknowledged to occur with sufficient significance to have recently coined the term 'the post-intensive care syndrome'. Rehabilitation following critical illness has been highlighted as an important goal in recently published national UK guidelines, including the need to focus on both physical and non-physical recovery. Neuropsychological and cognitive consequences following anaesthesia and critical illness are significant. The exact pathophysiological mechanisms linking delirium, cognitive dysfunction and neuropsychological symptoms following critical illness are not fully elucidated but have been studied elsewhere and are outside the scope of this article. There is limited evidence as yet for specific peri-operative preventative strategies, but early management and rehabilitation strategies following intensive care discharge are now emerging. This article aims to summarise the issues and appraise current options for management, including both neuroprotective and neurorehabilitative strategies in intensive care.

Indexed as

cognitive dysfunctioncritical illnessdeliriumIntensive carepost-traumatic stress disorderrehabilitation

Identifiers

PMID28979415
PMCPMC5606436
OpenAlexW2109340119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.