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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

Published online by Cambridge University Press:  13 August 2021

M.J. Maldonado-Belmonte ,
E. Fernández-Jiménez  and
J.M. Román-Belmonte
M.J. Maldonado-Belmonte*
Affiliation:
Clinical Psychology, Hospital Central de la Cruz Roja, Madrid, Spain
E. Fernández-Jiménez
Affiliation:
Idipaz, Department Of Psychiatry, Clinical Psychology And Mental Health, La Paz University Hospital, Madrid, Spain
J.M. Román-Belmonte
Affiliation:
Rehabilitation, Hospital Central de la Cruz Roja, Madrid, Spain
*
*Corresponding author.

Abstract

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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.

Keywords

Post-Intensive Care SyndromeClinical NeuropsychologyCOVID-19Global cognitive functioning
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S665
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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