ICU sedation, delirium & recovery

Selective impairment of auditory discrimination in critically ill patients with delirium: a prospective electroencephalographic observational study

BJA OpenPublished Prospective observational study

Authors' conclusion

In critically ill patients with COVID-19, delirium was associated with preserved automatic auditory detection but impaired higher-order auditory discrimination.

Study context

Population
Critically ill COVID-19 patients, Critical Care Unit of Purpan University Hospital, Toulouse, France, March–October 2021
Participants
18 vs 20
Exposure
Critically ill COVID-19 patients with vs without delirium
  • Deliriumn = 18
  • No deliriumn = 20reference
Outcome
Presence of P3 subcomponents (P3a detection, P3b discrimination) across auditory paradigms
Methodological detailssingle-centre, electroencephalographic, event-related potential
  • Single-centre
  • Electroencephalographic
  • Event-related potential

Main finding

As reported in the abstract

Presence of P3 subcomponents
Delirium: P3a to non-verbal auditory stimuli preserved but P3b absent, indicating impaired auditory discrimination
cluster-level P≤0.05

Observational data: associations, not effects.

Further findings

Source modelling

Reduced activation of frontal cortical generators in Delirium vs No delirium

Original publication

Selective impairment of auditory discrimination in critically ill patients with delirium: a prospective electroencephalographic observational study. BJA Open. Published 19 February 2026. doi:10.1016/j.bjao.2025.100517

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

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