ICU sedation, delirium & recovery

Cognitive Rehabilitation Interventions in the Intensive Care Unit: A Systematic Integrative Review

Acta Anaesthesiol ScandPublished Systematic integrative review

Authors' conclusion

Multi-component cognitive rehabilitation appeared clinically applicable, but effects on patient-important outcomes were uncertain.

Study context

Population
Adult ICU patients receiving, or healthcare professionals delivering, early cognitive rehabilitation initiated in the ICU27 studies
Outcome
Cognitive rehabilitation interventions delivered during the ICU stay and the healthcare professionals providing them
Methodological detailsPRISMA, RoB2 and ROBINS-I risk of bias assessment
  • PRISMA
  • RoB2 and ROBINS-I risk of bias assessment

Main finding

As reported in the abstract

Interventions and providers
Four intervention categories: orientation and multisensory stimulation; Activities of daily living (ADL)-focused functional occupational therapy; early mobilization and physical rehabilitation; technology-based sensory and affective stimulation (music or virtual reality)
4

Further findings

Cognitive measures

Multi-component programs combining cognitive and physical elements indicated possible benefits for selected cognitive measures

Delirium and ADL

Effect estimates inconsistent; in several studies based on secondary or exploratory analyses

Ventilator-free days, health-related quality of life, survival

Inconsistent, with substantial heterogeneity in outcome definitions, measurement tools and assessment time points

Original publication

Cognitive Rehabilitation Interventions in the Intensive Care Unit: A Systematic Integrative Review. Acta Anaesthesiol Scand. Published 24 April 2026. doi:10.1111/aas.70240

Composed by AI from the published abstract and checked against it. How Briefs are made →

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