Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO
BACKGROUND AND OBJECTIVES: Despite the common occurrence of neurologic complications during extracorporeal membrane oxygenation (ECMO) support, data on long-term neuropsychiatric, neurocognitive, and functional outcomes are sparse. We aimed to determine the prevalence of long-term neuropsychiatric s...
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2024
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| author | Andrew Kalra Jin Kook Kang Shivalika Khanduja Arjun K. Menta Syed A. Ahmad Olivia Liu Emily Rodriguez Marcus Spann Adrían V. Hernández Daniel Brodie Glenn Whitman Sung‐Min Cho |
| author_browse | Adrían V. Hernández Andrew Kalra Arjun K. Menta Daniel Brodie Emily Rodriguez Glenn Whitman Jin Kook Kang Marcus Spann Olivia Liu Shivalika Khanduja Sung‐Min Cho Syed A. Ahmad |
| author_facet | Andrew Kalra Jin Kook Kang Shivalika Khanduja Arjun K. Menta Syed A. Ahmad Olivia Liu Emily Rodriguez Marcus Spann Adrían V. Hernández Daniel Brodie Glenn Whitman Sung‐Min Cho |
| author_sort | Andrew Kalra |
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| description | BACKGROUND AND OBJECTIVES: Despite the common occurrence of neurologic complications during extracorporeal membrane oxygenation (ECMO) support, data on long-term neuropsychiatric, neurocognitive, and functional outcomes are sparse. We aimed to determine the prevalence of long-term neuropsychiatric symptoms, neurocognitive and functional impairment, and favorable neurologic outcomes in adult patients who receive ECMO. METHODS: PubMed, Embase, Cochrane, Web of Science, and Scopus were searched for text related to ECMO and neuropsychiatric, neurocognitive, and functional outcomes from inception to May 3, 2023. Our primary outcome was the prevalence of neuropsychiatric symptoms (pain/discomfort, anxiety, depression, posttraumatic stress disorder [PTSD], and sleep disturbance) at long-term (≥6 months) follow-up. Our secondary outcomes were the prevalence of neurocognitive impairment (memory, attention, and reasoning), functional impairment (daily activities, physical activity/mobility, and personal/self-care), and favorable neurologic outcomes (Cerebral Performance Category ≤2, modified Rankin scale ≤3, or Glasgow Outcome Scale ≥4). This study was registered in PROSPERO (CRD42023420565). RESULTS: = 0.68). DISCUSSION: A substantial proportion of ECMO patients seemed to experience neuropsychiatric symptoms and neurocognitive and functional impairments at long-term follow-up. Considerable heterogeneity in methodology for gauging these outcomes exists, warranting the need for standardization. Multicenter prospective observational studies are indicated to further investigate risk factors for these outcomes in ECMO-supported patients. |
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| id | oai:cris.upeu.edu.pe:20.500.15037/761 |
| institution | UPeU |
| language | English |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/7612026-10-30T16:14:50ZLong-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMOAndrew KalraJin Kook KangShivalika KhandujaArjun K. MentaSyed A. AhmadOlivia LiuEmily RodriguezMarcus SpannAdrían V. HernándezDaniel BrodieGlenn WhitmanSung‐Min ChoNeurocognitiveMedicineAnxietyDepression (economics)CohortHospital Anxiety and Depression ScaleNeuropsychiatryPsychiatryPhysical therapyPediatricsInternal medicineCognitionEconomicsMacroeconomicsNeurocognitiveMedicineAnxietyDepression (economics)CohortHospital Anxiety and Depression ScaleNeuropsychiatryPsychiatryPhysical therapyPediatricsInternal medicineCognitionAdultAdultAdultAdultAdultAdultAdultAdultAdultAdultAdultAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxietyAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersAnxiety DisordersFemaleFemaleFemaleFemaleFemaleFemaleFemaleFemaleFemaleFemaleFemaleHumansHumansHumansHumansHumansHumansHumansHumansHumansHumansHumansMaleMaleMaleMaleMaleMaleMaleMaleMaleMaleMaleMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedMiddle AgedPainPainPainPainPainPainPainPainPainPainPainSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersSleep Wake DisordersExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsExtracorporeal Membrane Oxygenation adverse effectsPhysical Sciences Engineering Biomedical Engineering Mechanical Circulatory Support DevicesHealth Sciences Medicine Critical Care and Intensive Care Medicine Intensive Care Unit Cognitive DisordersHealth Sciences Medicine Pharmacology Antibiotics Pharmacokinetics and EfficacyBACKGROUND AND OBJECTIVES: Despite the common occurrence of neurologic complications during extracorporeal membrane oxygenation (ECMO) support, data on long-term neuropsychiatric, neurocognitive, and functional outcomes are sparse. We aimed to determine the prevalence of long-term neuropsychiatric symptoms, neurocognitive and functional impairment, and favorable neurologic outcomes in adult patients who receive ECMO. METHODS: PubMed, Embase, Cochrane, Web of Science, and Scopus were searched for text related to ECMO and neuropsychiatric, neurocognitive, and functional outcomes from inception to May 3, 2023. Our primary outcome was the prevalence of neuropsychiatric symptoms (pain/discomfort, anxiety, depression, posttraumatic stress disorder [PTSD], and sleep disturbance) at long-term (≥6 months) follow-up. Our secondary outcomes were the prevalence of neurocognitive impairment (memory, attention, and reasoning), functional impairment (daily activities, physical activity/mobility, and personal/self-care), and favorable neurologic outcomes (Cerebral Performance Category ≤2, modified Rankin scale ≤3, or Glasgow Outcome Scale ≥4). This study was registered in PROSPERO (CRD42023420565). RESULTS: = 0.68). DISCUSSION: A substantial proportion of ECMO patients seemed to experience neuropsychiatric symptoms and neurocognitive and functional impairments at long-term follow-up. Considerable heterogeneity in methodology for gauging these outcomes exists, warranting the need for standardization. Multicenter prospective observational studies are indicated to further investigate risk factors for these outcomes in ECMO-supported patients.Otherhttps://pubmed.ncbi.nlm.nih.gov/38181313https://pmc.ncbi.nlm.nih.gov/articles/PMC11023037/pdf/WNL-2023-005154.pdfhttps://www.ncbi.nlm.nih.gov/pmc/articles/1102303710.1212/wnl.0000000000208081https://hdl.handle.net/20.500.15037/761W4390629358enNeurology0028-38781526-632X2024-01-052026-06-13T09:34:23Z2026-06-13T09:34:23Z |
| spellingShingle | Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Economics Macroeconomics Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Female Female Female Female Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Male Male Male Male Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Physical Sciences Engineering Biomedical Engineering Mechanical Circulatory Support Devices Health Sciences Medicine Critical Care and Intensive Care Medicine Intensive Care Unit Cognitive Disorders Health Sciences Medicine Pharmacology Antibiotics Pharmacokinetics and Efficacy Andrew Kalra Jin Kook Kang Shivalika Khanduja Arjun K. Menta Syed A. Ahmad Olivia Liu Emily Rodriguez Marcus Spann Adrían V. Hernández Daniel Brodie Glenn Whitman Sung‐Min Cho Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title | Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title_full | Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title_fullStr | Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title_full_unstemmed | Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title_short | Long-Term Neuropsychiatric, Neurocognitive, and Functional Outcomes of Patients Receiving ECMO |
| title_sort | long term neuropsychiatric neurocognitive and functional outcomes of patients receiving ecmo |
| topic | Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Economics Macroeconomics Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Female Female Female Female Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Male Male Male Male Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Physical Sciences Engineering Biomedical Engineering Mechanical Circulatory Support Devices Health Sciences Medicine Critical Care and Intensive Care Medicine Intensive Care Unit Cognitive Disorders Health Sciences Medicine Pharmacology Antibiotics Pharmacokinetics and Efficacy |
| topic_facet | Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Economics Macroeconomics Neurocognitive Medicine Anxiety Depression (economics) Cohort Hospital Anxiety and Depression Scale Neuropsychiatry Psychiatry Physical therapy Pediatrics Internal medicine Cognition Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Adult Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Anxiety Disorders Female Female Female Female Female Female Female Female Female Female Female Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Humans Male Male Male Male Male Male Male Male Male Male Male Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Middle Aged Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Pain Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Sleep Wake Disorders Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Extracorporeal Membrane Oxygenation adverse effects Physical Sciences Engineering Biomedical Engineering Mechanical Circulatory Support Devices Health Sciences Medicine Critical Care and Intensive Care Medicine Intensive Care Unit Cognitive Disorders Health Sciences Medicine Pharmacology Antibiotics Pharmacokinetics and Efficacy |
| url | https://pubmed.ncbi.nlm.nih.gov/38181313 https://pmc.ncbi.nlm.nih.gov/articles/PMC11023037/pdf/WNL-2023-005154.pdf https://www.ncbi.nlm.nih.gov/pmc/articles/11023037 https://hdl.handle.net/20.500.15037/761 |
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