Neuropsychiatric sequelae following extracorporeal membrane oxygenation in the intensive care unit
A recent study in health administrative databases [1] found that ECMO increased rates of new mental health diagnosis among critically ill patients in the ICU. Additionally, we evaluated the association between wakeful states of consciousness during ECMO support and neuropsychiatric symptoms.2 Method...
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Veröffentlicht in: | Journal of critical care 2024-02, Vol.79, p.154428-154428, Article 154428 |
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description | A recent study in health administrative databases [1] found that ECMO increased rates of new mental health diagnosis among critically ill patients in the ICU. Additionally, we evaluated the association between wakeful states of consciousness during ECMO support and neuropsychiatric symptoms.2 Methods 2.1 Population This prospective cohort study included consecutive ICU survivors aged 18–80 years who responded to a neuropsychiatric follow-up questionnaire (response fraction 65%) one year after ICU admission between 2013 and 2021. Despite the single-center experience, and missingness in reported outcomes, this study describes self-reported neuropsychiatric outcomes in the largest group of ECMO supported patients and ICU survivors eligible for ECMO support to date. The high incidences of neuropsychiatric symptoms underscore the need for future studies focusing on these outcomes.Authors' contributions OC, DD, CM, KL and LP contributed to the conceptualization of the study; LP contributed to the collection of patient data; KL contributed to the statistical analysis of the results; LP and KL did the main formal analysis; CM and LP contributed to the original draft writing; all authors contributed to the review and editing of the draft. |
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Additionally, we evaluated the association between wakeful states of consciousness during ECMO support and neuropsychiatric symptoms.2 Methods 2.1 Population This prospective cohort study included consecutive ICU survivors aged 18–80 years who responded to a neuropsychiatric follow-up questionnaire (response fraction 65%) one year after ICU admission between 2013 and 2021. Despite the single-center experience, and missingness in reported outcomes, this study describes self-reported neuropsychiatric outcomes in the largest group of ECMO supported patients and ICU survivors eligible for ECMO support to date. The high incidences of neuropsychiatric symptoms underscore the need for future studies focusing on these outcomes.Authors' contributions OC, DD, CM, KL and LP contributed to the conceptualization of the study; LP contributed to the collection of patient data; KL contributed to the statistical analysis of the results; LP and KL did the main formal analysis; CM and LP contributed to the original draft writing; all authors contributed to the review and editing of the draft.</description><identifier>ISSN: 0883-9441</identifier><identifier>EISSN: 1557-8615</identifier><identifier>DOI: 10.1016/j.jcrc.2023.154428</identifier><identifier>PMID: 37758553</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anxiety ; Awake ecmo ; Cognitive failure ; Consciousness ; Depression ; Extracorporeal life support ; Extracorporeal Membrane Oxygenation ; Humans ; Intensive care ; Intensive Care Units ; Long term outcomes ; Mental depression ; Mental health ; Patients ; Physiology ; Post traumatic stress disorder ; Questionnaires ; Retrospective Studies ; Self report ; Statistical analysis ; Stress Disorders, Post-Traumatic ; Transplants & implants ; Ventilators</subject><ispartof>Journal of critical care, 2024-02, Vol.79, p.154428-154428, Article 154428</ispartof><rights>2023 Elsevier Inc.</rights><rights>2023. 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Additionally, we evaluated the association between wakeful states of consciousness during ECMO support and neuropsychiatric symptoms.2 Methods 2.1 Population This prospective cohort study included consecutive ICU survivors aged 18–80 years who responded to a neuropsychiatric follow-up questionnaire (response fraction 65%) one year after ICU admission between 2013 and 2021. Despite the single-center experience, and missingness in reported outcomes, this study describes self-reported neuropsychiatric outcomes in the largest group of ECMO supported patients and ICU survivors eligible for ECMO support to date. 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Additionally, we evaluated the association between wakeful states of consciousness during ECMO support and neuropsychiatric symptoms.2 Methods 2.1 Population This prospective cohort study included consecutive ICU survivors aged 18–80 years who responded to a neuropsychiatric follow-up questionnaire (response fraction 65%) one year after ICU admission between 2013 and 2021. Despite the single-center experience, and missingness in reported outcomes, this study describes self-reported neuropsychiatric outcomes in the largest group of ECMO supported patients and ICU survivors eligible for ECMO support to date. 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subjects | Anxiety Awake ecmo Cognitive failure Consciousness Depression Extracorporeal life support Extracorporeal Membrane Oxygenation Humans Intensive care Intensive Care Units Long term outcomes Mental depression Mental health Patients Physiology Post traumatic stress disorder Questionnaires Retrospective Studies Self report Statistical analysis Stress Disorders, Post-Traumatic Transplants & implants Ventilators |
title | Neuropsychiatric sequelae following extracorporeal membrane oxygenation in the intensive care unit |
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