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Semin Respir Crit Care Med 2019; 40(05): 638-647
DOI: 10.1055/s-0039-1698379
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patient-Centered Outcomes in Critical Illness: Will My Patient Be Functionally and Cognitively Intact?

Jacqueline H. Geer
1   Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
,
Wei Qi
2   Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
,
Lauren E. Ferrante
1   Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
› Author Affiliations Funding Dr. Ferrante is supported by a Paul B. Beeson Emerging Leaders Career Development Award in Aging from the National Institute on Aging (K76 AG057023).
Further Information

Publication History

Publication Date:
11 December 2019 (online)

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Abstract

Survival in the intensive care unit (ICU) has steadily increased over the past several decades; millions of patients now survive a critical illness every year. ICU survivors are at a significantly increased risk of impairments in physical function, cognitive function, and mental health. These patient-centered outcomes are among the most meaningful to patients. Landmark studies concerning treatment preferences have demonstrated that patients value functional and cognitive outcomes over mortality. In this chapter, we discuss the determinants of functional and cognitive outcomes post critical illness to address the question, “Will my ICU patient be functionally and cognitively intact?”

Keywords

critical illness - cognitive impairment - long-term outcomes - ICU - neuromuscular weakness - critical illness myopathy - quality of life
 

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