Critical Illness Clinical Trial
Official title:
COGnitive Outcomes and WELLness in Survivors of Critical Illness
As survival rates from critical illness improve, strategies to return patients to their
baseline cognitive and functional status are important research priorities. Up to 100% of
ICU survivors will suffer some degree of cognitive impairment at hospital discharge and
approximately 50% will have decrements that persist for years. While the mechanisms for this
newly acquired brain injury are poorly understood, several risk factors have been
identified. Unfortunately, it is unclear how to accurately predict long-term cognitive
impairment.
Immediate opportunities to improve cognitive outcomes through risk reduction exist. The
investigators propose to comprehensively study the prevalence of sleep abnormalities and
their association with cognitive impairment, as it may yield potential targets for effective
therapy. Moreover, the investigators will examine for gene x environment associations [APOE
ε4] that may allow for genetic risk stratification of individuals at greatest risk of
cognitive impairment. The investigators hypothesize that EEG [a sensitive longitudinal
marker of brain dysfunction] is a novel and independent predictor of long-term cognitive
impairment, and possibly a candidate intermediate end point for future clinical trials.
This study has the potential to identify novel biomarkers and risk factors for post-critical
illness cognitive impairment, and may lay the foundation for rational interventions to
mitigate risk in high-risk individuals.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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