RT Journal Article
T1 Brain connectivity and cognitive functioning in individuals six months after multiorgan failure
A1 Jimenez-Marin, Antonio
A1 Rivera, Diego
A1 Boado, Victoria
A1 Diez, Ibai
A1 Labayen, Fermin
A1 Garrido, Irati
A1 Ramos-Usuga, Daniela
A1 Benito-Sánchez, Itziar
A1 Rasero, Javier
A1 Cabrera-Zubizarreta, Alberto
A1 Gabilondo, Iñigo
A1 Stramaglia, Sebastiano
A1 Arango-Lasprilla, Juan Carlos
A1 Cortes, Jesus M.
AB Multiorgan failure (MOF) is a life-threating condition that affects two or more systems of organs not involved in the disorder that motivates admission to an Intensive Care Unit (ICU). Patients who survive MOF frequently present long-term functional, neurological, cognitive, and psychiatric sequelae. However, the changes to the brain that explain such symptoms remain unclear. Objective: To determine brain connectivity and cognitive functioning differences between a group of MOF patients six months after ICU discharge and healthy controls (HC). Methods: 22 MOF patients and 22 HC matched by age, sex, and years of education were recruited. Both groups were administered a 3T magnetic resonance imaging (MRI), including structural T1 and functional BOLD, as well as a comprehensive neuropsychological evaluation that included tests of learning and memory, speed of information processing and attention, executive function, visual constructional abilities, and language. Voxel-based morphometry was used to analyses T1 images. For the functional data at rest, functional connectivity (FC) analyses were performed. Results: There were no significant differences in structural imaging and neuropsychological performance between groups, even though patients with MOF performed worse in all the cognitive tests. Functional neuroimaging in the default mode network (DMN) showed hyper-connectivity towards sensory-motor, cerebellum, and visual networks. DMN connectivity had a significant association with the severity of MOF during ICU stay and with the neuropsychological scores in tests of attention and visual constructional abilities. Conclusions: In MOF patients without structural brain injury, DMN connectivity six months after ICU discharge is associated with MOF severity and neuropsychological impairment, which supports the use of resting-state functional MRI as a potential tool to predict the onset of long-term cognitive deficits in these patients. Similar to what occurs at the onset of other pathologies, the observed hyper-connectivity might suggest network re-adaptation following MOF.
PB Elsevier Inc.
SN 2213-1582
YR 2020
FD 2020
LK http://hdl.handle.net/11556/863
UL http://hdl.handle.net/11556/863
LA eng
NO Jimenez-Marin, Antonio, Diego Rivera, Victoria Boado, Ibai Diez, Fermin Labayen, Irati Garrido, Daniela Ramos-Usuga, et al. “Brain Connectivity and Cognitive Functioning in Individuals Six Months after Multiorgan Failure.” NeuroImage: Clinical 25 (2020): 102137. doi:10.1016/j.nicl.2019.102137.
NO This research was founded by Ministerio Economia, Industria y Competitividad, Spain and FEDER (grant no. DPI2016-79874-R) to JC and JCAL. ID's time was founded by the Department of Education of the Basque Country, postdoctoral program. JR's time was founded by the Ministry of Education, Language Policy and Culture (Basque Government). JMC's time was founded by Ikerbasque and the Department of Economic Development and Infrastructure of the Basque Country, Elkartek Program (grant no. KK-2018/00032). JCAL's time was founded by Ikerbasque and Fundacion Mutua Madrileña (grant no. AP169812018). IG's time was founded by the Instituto de Salud Carlos III for a Juan Rodes (grant no. JR15/00008 ) co-funded by the European Regional Development Fund/European Social Fund ‘Investing in Your Future’. AJM's time was partly founded by Euskampus Fundazioa.
DS TECNALIA Publications
RD 4 jul 2024