Respiratory failure & ventilation

Prevalence and incidence of cognitive impairment following acute respiratory distress syndrome of any cause: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of observational studies

Authors' conclusion

This meta-analysis corroborates previous findings that cognitive impairment remains a persistent issue for ARDS survivors.

Study context

Population
Adult survivors of acute respiratory distress syndrome (ARDS) of any cause
Participants
1,451 survivors · 14 studies
Outcome
Prevalence of cognitive impairment following ARDS
Methodological detailsrandom effects model, subgroup analysis, meta-regression, GRADE
  • Random effects model
  • Subgroup analysis
  • Meta-regression
  • GRADE

Pooled result

As reported in the abstract

Pooled prevalence of cognitive impairment after ARDS

Pooled prevalence

36%

95% CI 26–46%

Further pooled results

Prevalence of cognitive impairment, C-ARDS (subgroup; 12 studies, 563 participants)

Prevalence
34% (95% CI 22-45%)
  • I2 = 92.7%, τ2 = 0.03

Meta-regression: older age

Older age predicted higher prevalence (p = 0.033)
b = 0.02
  • Reduced heterogeneity (I² = 60.04%, τ² = 0.01)

Meta-regression: ICU stay, sex, time from ICU discharge to cognitive assessment

No significant associations
P > 0.05

Original publication

Prevalence and incidence of cognitive impairment following acute respiratory distress syndrome of any cause: a systematic review and meta-analysis. Crit Care. Published 23 April 2025. doi:10.1186/s13054-025-05375-x

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