Feasibility of Cognitive Training in Critically Ill Patients: A Pilot Study

Wassenaar, Annelies; Rood, Paul; Boelen, Daniëlle H. E.; Schoonhoven, Lisette; Pickkers, Peter; Boogaard, Mark van den

doi:10.4037/ajcc2018467

Cited by 12 publications

(22 citation statements)

References 38 publications

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“…Cognitive training is commonly applied as a method of providing stimulation to different areas of the brain, and it is regarded as a promising, nonpharmacological preventative intervention in several different populations [29, 30]. This type of training for PLWD usually involves the guided practice of a set of standardized tasks to exercise the brain across various cognitive domains including processing speed, attention, and memory [31].…”

Section: Resultsmentioning

confidence: 99%

A Mini-Review of Virtual Reality-Based Interventions to Promote Well-Being for People Living with Dementia and Mild Cognitive Impairment

D’Cunha

Nguyen

Naumovski³

et al. 2019

Gerontology

152

122

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Assistive technology including virtual reality and augmented reality has gained interest as a novel intervention in a range of clinical settings. This technology has the potential to provide mental stimulation, a connection to autobiographical memory through reminiscence, and enhanced quality of life (QoL) to people living with dementia (PLWD) and mild cognitive impairment (MCI). In this mini-review, we examine the available evidence from studies reporting on the potential benefits of virtual and augmented reality to provide enjoyable, leisurely activities that may promote QoL and psychological well-being and facilitate social interaction. In total, 10 studies of varying study designs and durations (5 min to 6 months) using virtual (n = 9) and augmented reality (n = 1) were examined in PLWD (n = 6) and MCI (n= 3), in addition to 1 study that included participants with both conditions. Overall, the virtual experiences were enjoyed by the participants, improved their mood and apathy, and were preferred when compared with nonvirtual experiences. However, small sample sizes and variations in study design limit the generalizability of the results. Nevertheless, the use of virtual and augmented reality technology for PLWD and MCI is a novel and emerging method which may provide cognitive stimulation and improve well-being. Future research should explore the potential application of this technology to promote social interaction in both the community and aged care settings. We suggest future studies in PLWD and MCI assess the effects of more sustained use of virtual and augmented reality technology on psychological outcomes including QoL, apathy, and depressive symptoms, with the incorporation of physiological biomarker outcomes.

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Section: Resultsmentioning

confidence: 99%

A Mini-Review of Virtual Reality-Based Interventions to Promote Well-Being for People Living with Dementia and Mild Cognitive Impairment

D’Cunha

Nguyen

Naumovski³

et al. 2019

Gerontology

152

122

View full text Add to dashboard Cite

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“…Recommended sources for evaluation in the ICU and acute care settings include objective mental status screens, such as the Montreal Cognitive Assessment, or measures more specific to delirium in critical illness and could be administered, for example, the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU; Ely et al, 2001). Assessment of alertness and agitation may also be warranted, such as the Richmond Agitation and Sedation Scale (RASS) scores (Wassenaar, Rood, et al, 2018). A subjective measure to indicate the different aspects of cognitive function on subjective relative to objective assessments in delirium that has been used in the ICU is the Cognitive Failures Questionnaire (Broadbent et al, 1982;Brück et al, 2019;Wassenaar, de Reus, et al, 2018).…”

Section: Prehabilitation Phasementioning

confidence: 99%

Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists

Ramage

2020

Am J Speech Lang Pathol

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Purpose Severe acute respiratory syndrome coronavirus 2 is the virus resulting in COVID-19 infections in nearly 4.3 million Americans with COVID-19 in the United States as of July 29, 2020, with nearly 150,000 deaths and hundreds of thousands of survivors ( https://www.coronavirus.jhu.edu/map.html ). This tutorial reviews (a) what has been reported about neurological insults in cases of COVID-19 infection, (b) what is known from similar conditions in other disorders, and (c) how that combined information can inform clinical decision making. Method PubMed and the Cochrane Central Register of Controlled Trials were searched for COVID-19 or other coronavirus infections, cognitive impairment observed following critical care, and disorders for which intermittent or chronic hypoxia is characteristic. These were combined with searches relating to cognition, brain, and communication. All searches were conducted between April 8 and May 23, 2020. Meta-analyses and randomized clinical trials addressing other critical illnesses were also included to extend findings to potential cognitive communication outcomes following COVID-19. Results COVID-19 infection results in a combination of (a) respiratory infection with mechanical ventilation secondary to inadequate oxygenation, (b) inflammatory system reactivity, and (c) increased blood clotting factors. These affect central nervous system function incurring long-term cognitive communication impairment in a proportion of survivors. Diagnostic and intervention approaches for such impairments are discussed. Conclusions The existing literature on cognitive sequela of COVID-19 infection is small to date, but much can be learned from similar viral infections and disorders. Although COVID-19 is novel, the speech-language pathology approaches to evaluation and intervention of other populations of critical care patients are applicable. However, speech-language pathologists have not routinely been involved in these patients' acute care. As such, this is a call to action to speech-language pathologists to address the unprecedented numbers of patients who will need their services early in the disease process and throughout recovery.

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“…Junto a las manifestaciones del síndrome post-COVID revisadas, con diferencia las más frecuentes, se ha descrito la afectación focal de algunos órganos semanas o meses después de la recuperación de la fase aguda de la COVID-19. Entre es-síndrome de estrés postraumático) al alta de UCI, que persisten a largo plazo e impactan de forma negativa en la calidad de vida de los pacientes y sus familias [67,[81][82][83][84].…”

Section: ¿Qué Otras Manifestaciones Clínicas Se Han Descrito Que Podrían Incluirse En El Síndrome Post-covid?unclassified

“…El delirium constituye un factor de riesgo independiente para su desarrollo. Las alteraciones psiquiátricas se han descrito con frecuencia en los supervivientes de la enfermedad critica tales como la ansiedad (34%), la depresión (29%) y el síndrome de estrés postraumático (22%) persistiendo durante tiempo [67,83,84]. La rehabilitación cognitiva de los enfermos constituye un elemento relevante para evitar secuelas a largo plazo [85] y la movilización precoz es una recomendación establecida por las guías de práctica clínica para mejorar los resultados y evitar las secuelas de los enfermos que sobreviven al alta de UCI [82,86].…”

Section: ¿Qué Otras Manifestaciones Clínicas Se Han Descrito Que Podrían Incluirse En El Síndrome Post-covid?unclassified

Post-COVID syndrome: A reflection and opinion paper

Bouza

Moreno²,

Ramos³

et al. 2021

Rev Esp Quimioter

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A high proportion of people who have suffered from COVID-19 report, after recovery from the acute phase of the disease, clinical manifestations, both subjective and objective, that continue beyond 3 weeks or even 3 months after the original clinical disease. There is still no agreed nomenclature to refer to this condition, but perhaps the most commonly used is post-COVID syndrome. The Scientific Committee on COVID of the Madrid College of Physicians (ICOMEM) has discussed this problem with a multidisciplinary approach in which internists, infectious disease specialists, psychiatrists, pneumologists, surgeons, geriatricians, pediatricians, microbiologists, family physicians and other specialists have participated, trying to gather the existing information and discussing it in the group. The clinical manifestations are very variable and range from simple fatigue to persistent fibrosing lung lesions with objective alterations of pulmonary function. Post-COVID syndrome seems to be particularly frequent and severe in adults who have required admission to Intensive Care Units and has a peculiar behavior in a very small group of children. The post-COVID syndrome, which undoubtedly exists, is at first sight not clearly distinguishable from clinical manifestations that which occur after other acute viral diseases and after prolonged stays in ICUs due to other diseases. Therefore, it offers excellent research opportunities to clarify its pathogenesis and possibly that of other related entities. It is possible that progressively there will be an increased demand for care among the millions of people who have suffered and overcome acute COVID for which the health authorities should design mechanisms for the agile management of care that will possibly require well-coordinated multidisciplinary groups. This paper, structured in questions on different aspects of the post-COVID syndrome, attempts to stage the current state of this problem

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Feasibility of Cognitive Training in Critically Ill Patients: A Pilot Study

Abstract: Cognitive training exercises used in this study were feasible for intensive care unit patients (including cooperative patients with delirium) and their nurses. More research is needed to determine the clinical effect of the exercises on delirium outcome.

Cited by 12 publications

References 38 publications

A Mini-Review of Virtual Reality-Based Interventions to Promote Well-Being for People Living with Dementia and Mild Cognitive Impairment

A Mini-Review of Virtual Reality-Based Interventions to Promote Well-Being for People Living with Dementia and Mild Cognitive Impairment

Potential for Cognitive Communication Impairment in COVID-19 Survivors: A Call to Action for Speech-Language Pathologists

Post-COVID syndrome: A reflection and opinion paper

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