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Assessment of neurocognitive function after cardiac arrest

Blennow Nordström, Erik LU orcid and Lilja, Gisela LU (2019) In Current Opinion in Critical Care 25(3). p.234-239
Abstract

PURPOSE OF REVIEW: Impaired neurocognitive function is common in cardiac arrest survivors and the use of specific neurocognitive assessments are recommended in both clinical trials and daily practice. This review examines the most recent evidence to guide in the selection of neurocognitive outcome assessment tools after cardiac arrest. RECENT FINDINGS: Neurocognitive impairment after cardiac arrest was recently reported as one of the major predictors for societal participation, highlighting the need for neurocognitive assessments. A subjective report is a simple method to screen for cognitive problems, but divergent findings were reported when comparing with objective measures. A standardized observer report may be useful for cognitive... (More)

PURPOSE OF REVIEW: Impaired neurocognitive function is common in cardiac arrest survivors and the use of specific neurocognitive assessments are recommended in both clinical trials and daily practice. This review examines the most recent evidence to guide in the selection of neurocognitive outcome assessment tools after cardiac arrest. RECENT FINDINGS: Neurocognitive impairment after cardiac arrest was recently reported as one of the major predictors for societal participation, highlighting the need for neurocognitive assessments. A subjective report is a simple method to screen for cognitive problems, but divergent findings were reported when comparing with objective measures. A standardized observer report may be useful for cognitive screening postcardiac arrest. The Montreal Cognitive Assessment (MoCA) was recommended for cognitive screening after cardiac arrest. Detailed neurocognitive assessments were reported as valuable for in-depth evaluation of patients in interventional studies. The best time-point for neurocognitive assessments remains unknown. Recent findings report that most neurocognitive recovery is seen within the first months after cardiac arrest, with some improvement also noted between 3 and 12 months postcardiac arrest. SUMMARY: Neurocognitive assessments after cardiac arrest are important and the approach should differ depending on the clinical situation. Large, prospective, well designed studies, to guide the selection of neurocognitive assessments after cardiac arrest, are urgently needed.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Current Opinion in Critical Care
volume
25
issue
3
pages
6 pages
publisher
Wolters Kluwer
external identifiers
  • scopus:85065328181
  • pmid:31022085
ISSN
1531-7072
DOI
10.1097/MCC.0000000000000607
language
English
LU publication?
yes
id
7bdec573-12b6-44d3-84e2-98df57ee23b0
date added to LUP
2019-05-20 12:36:30
date last changed
2024-04-16 06:29:39
@article{7bdec573-12b6-44d3-84e2-98df57ee23b0,
  abstract     = {{<p>PURPOSE OF REVIEW: Impaired neurocognitive function is common in cardiac arrest survivors and the use of specific neurocognitive assessments are recommended in both clinical trials and daily practice. This review examines the most recent evidence to guide in the selection of neurocognitive outcome assessment tools after cardiac arrest. RECENT FINDINGS: Neurocognitive impairment after cardiac arrest was recently reported as one of the major predictors for societal participation, highlighting the need for neurocognitive assessments. A subjective report is a simple method to screen for cognitive problems, but divergent findings were reported when comparing with objective measures. A standardized observer report may be useful for cognitive screening postcardiac arrest. The Montreal Cognitive Assessment (MoCA) was recommended for cognitive screening after cardiac arrest. Detailed neurocognitive assessments were reported as valuable for in-depth evaluation of patients in interventional studies. The best time-point for neurocognitive assessments remains unknown. Recent findings report that most neurocognitive recovery is seen within the first months after cardiac arrest, with some improvement also noted between 3 and 12 months postcardiac arrest. SUMMARY: Neurocognitive assessments after cardiac arrest are important and the approach should differ depending on the clinical situation. Large, prospective, well designed studies, to guide the selection of neurocognitive assessments after cardiac arrest, are urgently needed.</p>}},
  author       = {{Blennow Nordström, Erik and Lilja, Gisela}},
  issn         = {{1531-7072}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{234--239}},
  publisher    = {{Wolters Kluwer}},
  series       = {{Current Opinion in Critical Care}},
  title        = {{Assessment of neurocognitive function after cardiac arrest}},
  url          = {{http://dx.doi.org/10.1097/MCC.0000000000000607}},
  doi          = {{10.1097/MCC.0000000000000607}},
  volume       = {{25}},
  year         = {{2019}},
}