The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Intensive Care Unit Syndrome: A Dangerous Misnomer
Abstract
The terms intensive care unit (ICU) syndrome and ICU psychosis have been used interchangeably to describe a cluster of psychiatric symptoms that are unique to the ICU environment. It is often postulated that aspects of the ICU, such as sleep deprivation and sensory overload or monotony, are causes of the syndrome. This article reviews the empirical support for these propositions. We conclude that ICU syndrome does not differ from delirium and that ICU syndrome is caused exclusively by organic stressors on the central nervous system. We argue further that the term ICU syndrome is dangerous because it impedes standardized communication and research and may reduce the vigilance necessary to promptly investigate and reverse the medical cause of the delirium. Directions for future research are suggested.
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Citations
Cites
Effects of Sleep Deprivation on Performance: A Meta-Analysis
Pilcher, J. J., & Huffcutt, A. I. (1996) · Sleep · doi:10.1093/sleep/19.4.318 · Cited by 1,549
Cited by
Delirium as a Predictor of Mortality in Mechanically Ventilated Patients in the Intensive Care Unit
Ely, E. W. (2004) · JAMA · doi:10.1001/jama.291.14.1753 · Cited by 3,073
Psychobiology of Altered States of Consciousness.
Vaitl, D., Birbaumer, N., Gruzelier, J., Jamieson, G. A., Kotchoubey, B., Kübler, A., Lehmann, D., Miltner, W. H. R., Ott, U., Pütz, P., et al. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.1.98 · Cited by 448
Sleep disruption in the intensive care unit
Gabor, J. Y., Cooper, A. B., & Hanly, P. J. (2001) · Current Opinion in Critical Care · doi:10.1097/00075198-200102000-00004 · Cited by 130
Delirium: An emerging frontier in the management of critically ill children
Smith, H. A. B., Fuchs, D. C., Pandharipande, P. P., Barr, F. E., & Ely, E. W. (2009) · Critical Care Clinics · doi:10.1016/j.ccc.2009.05.002 · Cited by 87
Psychological implications of admission to critical care
Pattison, N. (2005) · British Journal of Nursing · doi:10.12968/bjon.2005.14.13.18452 · Cited by 70
Metadata
- Authors
- McGuire, B. E., Basten, C. J., Ryan, C. J., & Gallagher, J.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2000-04-10
- Volume
- 160
- Issue
- 7
- Pages
- 906
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2165594126
- Cited by
- 193
- References
- 1
- FWCI
- 5.52
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Intensive Care Unit Syndrome: A Dangerous Misnomer. https://app.cochat.ai/papers/10.1001/archinte.160.7.906
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- McGuire, B. E., Basten, C. J., Ryan, C. J., & Gallagher, J. (2000). Intensive Care Unit Syndrome: A Dangerous Misnomer. Archives of Internal Medicine. https://doi.org/10.1001/archinte.160.7.906
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
