Kognitive Akut- und Langzeitfolgen intensivmedizinischer Behandlung

Abstract

Both POD and particularly POCD can lead to a deterioration of cognition following ICU treatment. As efficient treatment still has to be developed preventive methods, such as preoperative screening for risk factors, thorough planning of operative and anesthetic techniques and compensation of risk factors as well as providing assistance to patients, e. g. by a trained nurse should be implemented in the clinical routine more often than is presently the case.

Preoperative Screening Required

“…POCD can last up to two years postoperatively. POD is an important risk factor for POCD, as are the presence of somatic diseases and subclinical delirious symptoms preoperatively (4).…”

In Reply

“…To date, appropriately structured concepts have only rarely been used in Germany. To prevent delirium and postoperative cognitive dysfunction (POCD), the multicenter study PAWEL was launched in 2017, funded by the Innovation Fund of the Federal Joint Committee (G-BA, Gemeinsamer Bundesaus schuss) (3,4). For this, more than 1200 patients from seven hospitals were recruited, screened pre-admission and post-discharge, and randomly assigned to a daily multimodal intervention.…”

“…POCD can last up to two years postoperatively. POD is an important risk factor for POCD, as are the presence of somatic diseases and subclinical delirious symptoms preoperatively (4).…”

Disregard for Competence

“…To date, appropriately structured concepts have only rarely been used in Germany. To prevent delirium and postoperative cognitive dysfunction (POCD), the multicenter study PAWEL was launched in 2017, funded by the Innovation Fund of the Federal Joint Committee (G-BA, Gemeinsamer Bundesaus schuss) (3,4). For this, more than 1200 patients from seven hospitals were recruited, screened pre-admission and post-discharge, and randomly assigned to a daily multimodal intervention.…”