Sepsis A41.9 F06.7
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Survivors of severe sepsis or septic shock 2. Impaired cognitive functions exist up to two years post Sepsis, which make an intervention reasonable (at least one test of the neuropsychological test battery has a percentile less than 16). 3. signed informed consent
Exclusion criteria
Exclusion criteria: 1. Patients after an acute event which effects the central nervous system (i.e. stroke, meningitis, intracranial bleeding) 2. Patients with preexisting disease or brain injury affecting cognitive (like Parkinson-dementia complex, HIV-encephalopathy, multiple sclerosis stroke or traumatic brain injury, psychiatric disorder) 3. Patients with severe paresis as a consequence of critical illness polyneuropathy and/or myopathy who can´t handle the computer at time point of randomization 4. Patients with a serious cognitive impairment at time point of randomization (Mini Mental State Exam score </= 20 points) 5. Patients who answer no to question about computer affinity 6. Patients who are included in an other clinical trial 7. Psychotropic co-medication at time point of randomization (like Neuroleptica and Benzodiacepine) which can reduce cognitive function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cognitive function at 3 and 9 months after randomization (neurophysiological tests with a test battery corresponding to individual impairment specific deficites) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Executive cognitive function at 3 and 9 months after randomization, measured by Tower test (Delis et. al. 2004) 2) Functional disability at 3 and 9 months after randomization, evaluated by ADL and IADL according to Iwashyna et. al. 2010 3) impact on cognitive function and functional disability of age, length from beginning of sepsis until study recruitment (in days) | — |
Countries
Germany
Contacts
Moritz-Klinik Bad Klosterlausnitz