The research program explores how delirium influenced brain function in patients surviving delirium and septic encephalopathy from a non neurological specialized ICU cohort from 2013 to 2015 in Rigshospitalet (Glostrup).
The overall aim is to understand the pathophysiological mechanism in delirium and septic encephalopathy and its consequences. For this purpose we will: 1. Provide extensive cognitive testing. These results provide the basis for categorization of patients surviving septic encephalopathy and delirious patients. 2. First, the investigators will examine if the differences in cognitive function is reflected in the ability of the brain to generate high-frequency electrical oscillations that accompany and underlie perception, attention, cognition, memory formation and retrieval. It will be performed by carrying out continuous EEG (cEEG) and by examination of steady-state evoked cognitive EEG responses. 3. Second, the investigations will examine MRI, structural and diffusion tensor imaging sequences. Hippocampal, thalamic, amygdala, lentiform nucleus and cingulate cortex volumes will be determined bilaterally and will be compared between individuals with healthy brain aging and patients that survived delirium. 4. Third, the investigators will assess plasma markers of free radical production.
Study Type
OBSERVATIONAL
Enrollment
42
Delirium or septic encephalopathy survivors will be analized in the same way: Cognitive tests, EEG and MRI.
Rigshospitalet
Glostrup Municipality, Capital Region, Denmark
EEG frequencies
Automatically measurments of frequencies band
Time frame: Through study completion, an average of 1 year
MRI
Structural and diffusion tensor imaging sequences
Time frame: Through study completion, an average of 1 year
Cognitive test: Verbal-Paired Associates
Assessing explicit episodic memory performance
Time frame: Through study completion, an average of 1 year
Cognitive test: Mini-Mental State Examination (MMSE)
neurocognitive function
Time frame: Through study completion, an average of 1 year
Cognitive test: Trail-Making Test and the Symbol-Digit Modalities Test (SDMT),
Speed of processing and executive functioning
Time frame: Through study completion, an average of 1 year
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