Cognitive impairment in critically ill patients and former critically ill patients: A concept analysis

Anna Holm; Ann Louise Bødker Hafnia; Helle Svenningsen; Pia Dreyer

Cognitive impairment in critically ill patients and former critically ill patients: A concept analysis

Anna Holm
, Ann Louise Bødker Hafnia
, Helle Svenningsen
, Pia Dreyer

Aarhus Univeristy Hospital
Aarhus University

Research output: Contribution to conference without a publisher/journal › Paper › Research › peer-review

Abstract

BACKGROUND
• Intensive care unit (ICU) survivorship has increased, leading to greater focus on the
consequences of an ICU admission.
• Cognitive impairment is a frequent but highly under-recognised complication for critically ill
patients.
• It is crucial to clarify the meaning of cognitive impairment in critically ill patients throughout the
trajectory of their rehabilitation during and after and ICU admission.

METHODS
• A concept analysis based on Rodgers’ evolutionary
method.
• Systematic search: CINAHL, PubMed, and PsycINFO.
• Overall search terms: “patients with cognitive
impairments” AND “intensive care unit”.
• Inclusion: Literature published between 2008 and
2022; screened by title and abstract.
• Descriptive analysis; focused on surrogate
terms/related concepts, attributes, and context.

RESULTS
• 30 studies were included, representing variability in
study design and country of origin.
• The analysis uncovered descriptions of the general
terminology and the temporal trajectory of the
concept, spanning from the acute phase to a longterm perspective.
• Attributes of the concept were described as delirium
and domains of cognition.
• Antecedents were juxtaposed to risk factors, which
were multifactorial.
• Consequences of cognitive impairment related to
patients’ quality of life.

Original language	English
Publication date	2025
Publication status	Published - 2025
Event	10th EfCCNa Congress: Navigate the future – realise sustainability in ICU - Bologna, Italy Duration: 12 Mar 2025 → 15 Mar 2025 https://www.efccna.org/congress-in-2025

Conference

Conference	10th EfCCNa Congress
Country/Territory	Italy
City	Bologna
Period	12/03/25 → 15/03/25
Internet address	https://www.efccna.org/congress-in-2025

Keywords

disease, health science and nursing

Cite this

@conference{9cda33fba8a34996bddaf790cb90a092,

title = "Cognitive impairment in critically ill patients and former critically ill patients: A concept analysis",

abstract = "BACKGROUND • Intensive care unit (ICU) survivorship has increased, leading to greater focus on the consequences of an ICU admission. • Cognitive impairment is a frequent but highly under-recognised complication for critically ill patients. • It is crucial to clarify the meaning of cognitive impairment in critically ill patients throughout the trajectory of their rehabilitation during and after and ICU admission. METHODS • A concept analysis based on Rodgers{\textquoteright} evolutionary method. • Systematic search: CINAHL, PubMed, and PsycINFO. • Overall search terms: {\textquotedblleft}patients with cognitive impairments{\textquotedblright} AND {\textquotedblleft}intensive care unit{\textquotedblright}. • Inclusion: Literature published between 2008 and 2022; screened by title and abstract. • Descriptive analysis; focused on surrogate terms/related concepts, attributes, and context. RESULTS • 30 studies were included, representing variability in study design and country of origin. • The analysis uncovered descriptions of the general terminology and the temporal trajectory of the concept, spanning from the acute phase to a longterm perspective. • Attributes of the concept were described as delirium and domains of cognition. • Antecedents were juxtaposed to risk factors, which were multifactorial. • Consequences of cognitive impairment related to patients{\textquoteright} quality of life. ",

keywords = "disease, health science and nursing, begrebsanalyse, intensive patienter",

author = "Anna Holm and Hafnia, \{Ann Louise B{\o}dker\} and Helle Svenningsen and Pia Dreyer",

year = "2025",

language = "English",

note = "10th EfCCNa Congress : Navigate the future {\textendash} realise sustainability in ICU ; Conference date: 12-03-2025 Through 15-03-2025",

url = "https://www.efccna.org/congress-in-2025",

}

TY - CONF

T1 - Cognitive impairment in critically ill patients and former critically ill patients: A concept analysis

AU - Holm, Anna

AU - Hafnia, Ann Louise Bødker

AU - Svenningsen, Helle

AU - Dreyer, Pia

PY - 2025

Y1 - 2025

N2 - BACKGROUND • Intensive care unit (ICU) survivorship has increased, leading to greater focus on the consequences of an ICU admission. • Cognitive impairment is a frequent but highly under-recognised complication for critically ill patients. • It is crucial to clarify the meaning of cognitive impairment in critically ill patients throughout the trajectory of their rehabilitation during and after and ICU admission. METHODS • A concept analysis based on Rodgers’ evolutionary method. • Systematic search: CINAHL, PubMed, and PsycINFO. • Overall search terms: “patients with cognitive impairments” AND “intensive care unit”. • Inclusion: Literature published between 2008 and 2022; screened by title and abstract. • Descriptive analysis; focused on surrogate terms/related concepts, attributes, and context. RESULTS • 30 studies were included, representing variability in study design and country of origin. • The analysis uncovered descriptions of the general terminology and the temporal trajectory of the concept, spanning from the acute phase to a longterm perspective. • Attributes of the concept were described as delirium and domains of cognition. • Antecedents were juxtaposed to risk factors, which were multifactorial. • Consequences of cognitive impairment related to patients’ quality of life.

AB - BACKGROUND • Intensive care unit (ICU) survivorship has increased, leading to greater focus on the consequences of an ICU admission. • Cognitive impairment is a frequent but highly under-recognised complication for critically ill patients. • It is crucial to clarify the meaning of cognitive impairment in critically ill patients throughout the trajectory of their rehabilitation during and after and ICU admission. METHODS • A concept analysis based on Rodgers’ evolutionary method. • Systematic search: CINAHL, PubMed, and PsycINFO. • Overall search terms: “patients with cognitive impairments” AND “intensive care unit”. • Inclusion: Literature published between 2008 and 2022; screened by title and abstract. • Descriptive analysis; focused on surrogate terms/related concepts, attributes, and context. RESULTS • 30 studies were included, representing variability in study design and country of origin. • The analysis uncovered descriptions of the general terminology and the temporal trajectory of the concept, spanning from the acute phase to a longterm perspective. • Attributes of the concept were described as delirium and domains of cognition. • Antecedents were juxtaposed to risk factors, which were multifactorial. • Consequences of cognitive impairment related to patients’ quality of life.

KW - disease, health science and nursing

KW - begrebsanalyse

KW - intensive patienter

M3 - Paper

T2 - 10th EfCCNa Congress

Y2 - 12 March 2025 through 15 March 2025

ER -

Cognitive impairment in critically ill patients and former critically ill patients: A concept analysis

Abstract

Conference

Keywords

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Cite this