On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study

Introduction Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after dis...

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Main Authors: M.J. Maldonado-Belmonte, E. Fernández-Jiménez, J.M. Román-Belmonte
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382101765X/type/journal_article
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author M.J. Maldonado-Belmonte
E. Fernández-Jiménez
J.M. Román-Belmonte
author_facet M.J. Maldonado-Belmonte
E. Fernández-Jiménez
J.M. Román-Belmonte
author_sort M.J. Maldonado-Belmonte
collection DOAJ
description Introduction Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after discharge from ICU. Further studies are needed to explore global cognitive impairment among PICS patients after COVID-19 infection. Objectives To analyse the global cognitive functioning in patients with PICS after COVID-19 infection in a Functional Rehabilitation Unit in Madrid (Spain) using the Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S). Methods This study was conducted in the Hospital Central de la Cruz Roja, in Madrid (Spain). A sample of 17 PICS adult patients was included, with age ranging from 56 to 74 years old (mean = 68.35 years; 13 males). Patients were assessed around three weeks after referral from their reference hospital. The total score of the SCIP-S was used as outcome. Descriptive analyses were conducted (mean and standard deviation) on standardized scores (z) based on age-adjusted general population norms. Significant impairment was set at z < -1.5. Results Mean total z-score on SCIP-S was -1.08 (S.D. = .82) from the total sample, with 52.9% of cases with significant impairment (mean = -1.74; S.D. = .21). Conclusions These preliminary results show the probable presence of mild-moderate global cognitive impairment in a relevant proportion of patients after COVID-19 infection. Longitudinal studies, with larger samples, are needed where the premorbid cognitive level is considered. Disclosure No significant relationships.
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spelling doaj.art-52bc8ddce55a41acb776aa7ee56ed6bc2023-11-17T05:07:31ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S665S66510.1192/j.eurpsy.2021.1765On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot studyM.J. Maldonado-Belmonte0E. Fernández-Jiménez1J.M. Román-Belmonte2Clinical Psychology, Hospital Central de la Cruz Roja, Madrid, SpainIdipaz, Department Of Psychiatry, Clinical Psychology And Mental Health, La Paz University Hospital, Madrid, SpainRehabilitation, Hospital Central de la Cruz Roja, Madrid, Spain Introduction Post-Intensive Care Syndrome (PICS) is a physical, cognitive, emotional and functional condition resulting from prolonged stays in ICU (Intensive Care Unit). In pathologies with clinical characteristics similar to SARS-CoV-2 pneumonia, most patients showed cognitive deficits after discharge from ICU. Further studies are needed to explore global cognitive impairment among PICS patients after COVID-19 infection. Objectives To analyse the global cognitive functioning in patients with PICS after COVID-19 infection in a Functional Rehabilitation Unit in Madrid (Spain) using the Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S). Methods This study was conducted in the Hospital Central de la Cruz Roja, in Madrid (Spain). A sample of 17 PICS adult patients was included, with age ranging from 56 to 74 years old (mean = 68.35 years; 13 males). Patients were assessed around three weeks after referral from their reference hospital. The total score of the SCIP-S was used as outcome. Descriptive analyses were conducted (mean and standard deviation) on standardized scores (z) based on age-adjusted general population norms. Significant impairment was set at z < -1.5. Results Mean total z-score on SCIP-S was -1.08 (S.D. = .82) from the total sample, with 52.9% of cases with significant impairment (mean = -1.74; S.D. = .21). Conclusions These preliminary results show the probable presence of mild-moderate global cognitive impairment in a relevant proportion of patients after COVID-19 infection. Longitudinal studies, with larger samples, are needed where the premorbid cognitive level is considered. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382101765X/type/journal_articlePost-Intensive Care SyndromeClinical NeuropsychologyCOVID-19Global cognitive functioning
spellingShingle M.J. Maldonado-Belmonte
E. Fernández-Jiménez
J.M. Román-Belmonte
On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
European Psychiatry
Post-Intensive Care Syndrome
Clinical Neuropsychology
COVID-19
Global cognitive functioning
title On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
title_full On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
title_fullStr On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
title_full_unstemmed On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
title_short On general cognitive functioning. Descriptive study in post-intensive care syndrome patients after COVID-19 infection in a functional rehabilitation unit in Spain. A pilot study
title_sort on general cognitive functioning descriptive study in post intensive care syndrome patients after covid 19 infection in a functional rehabilitation unit in spain a pilot study
topic Post-Intensive Care Syndrome
Clinical Neuropsychology
COVID-19
Global cognitive functioning
url https://www.cambridge.org/core/product/identifier/S092493382101765X/type/journal_article
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