Healthy Aging Brain Care Monitor, Caregiver Version: Screening for Post-Intensive Care Syndrome.
Sophia Wang, Yameena Jawed, Anthony Perkins and 5 others
PMID 35229151WHAT IT FOUND
A caregiver questionnaire moved with ICU survivors' depression, PTSD, daily-function, and brief cognitive screen scores, but its cognitive subscale did not match detailed neuropsychological testing.
Use it to flag possible post-intensive care syndrome, not to diagnose cognitive impairment.
Key findings
01The caregiver psychological subscale moved with patient depression and PTSD questionnaire scores.
02The caregiver cognitive subscale moved with MMSE scores but not with RBANS domains.
03The caregiver functional subscale moved with basic and instrumental daily-activity ratings.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 116 of the 336 enrolled patients were analysed, and 177 were excluded because no caregiver completed the HABC-M CG. The study was single-site, so it does not show how the tool performs elsewhere. The cognitive subscale did not correlate with detailed neuropsychological domains, so it may not detect the full range of post-ICU cognitive problems. The tool was originally validated in older adults and may be less sensitive for younger ICU survivors. Many scores showed floor effects, meaning they clustered at the low end. After adjustment for age, gender, and education, some associations were no longer significant. Caregiver demographics were not adequately captured, so caregiver stress cannot be fully interpreted.
Declared interests
The supplied metadata lists NIH extramural research support. The supplied text does not include author conflict-of-interest disclosures.
The easy way to misread this
Do not treat a high caregiver score as a diagnosis of PICS or cognitive impairment. The cognitive subscale did not correlate with detailed neuropsychological domains, so an abnormal result should lead to referral for neuropsychological assessment, not a conclusion that the patient has dementia.