Frontiers in Aging Neuroscience,
Journal Year:
2022,
Volume and Issue:
14
Published: July 1, 2022
Background
Patients
with
post-infective
severe
acute
respiratory
syndrome
coronavirus
2
(SARS-CoV-2)
often
show
both
short-
and
long-term
cognitive
deficits
within
the
dysexecutive/inattentive
spectrum.
However,
little
is
known
about
which
alterations
are
commonly
found
in
patients
recovered
from
SARS-CoV-2,
psychometric
tools
clinicians
should
consider
when
assessing
cognition
this
population.
The
present
work
reviewed
published
studies
to
provide
a
critical
narrative
of
neuropsychological
(NPs)
observed
after
SARS-CoV-2
infection
tests
most
suited
for
detecting
such
sequelae
depending
on
illness
severity.
Methods
This
review
followed
Preferred
Reporting
Items
Systematic
reviews
Meta-Analyses
(PRISMA)
guidelines
was
pre-registered
Prospective
Register
Reviews
(PROSPERO)
(CRD42021253079).
Observational
quantitatively
were
considered.
From
711
retrieved
articles,
19
conducted
without
medical
comorbidities
included
stratified
by
disease
Results
majority
(
N
=
13)
adopted
first-level
tests.
frequently
administered
screeners
Montreal
Cognitive
Assessment
(MoCA)
Mini-Mental
State
Examination
(MMSE)—with
former
more
likely
detect
mild,
latter
moderate/severe
deficits.
Among
second-level
tests,
those
attention
executive
functions
(EFs)
highly
represented.
Remotely-delivered
yielded
lower
percentages
impairment.
Overall,
domains
be
impaired
EFs,
attention,
memory.
Conclusion
can
detected
NPs
testing.
Depending
test
features,
likelihood
observing
vary.
Further
larger
sample
sizes
needed
investigate
clinical
usefulness
tools.
primary
goal
preventative
health
services
early
detection
intervention
emerging
Alzheimer s & Dementia,
Journal Year:
2022,
Volume and Issue:
18(5), P. 1047 - 1066
Published: March 17, 2022
Abstract
Introduction
We
conducted
a
systematic
review
and
meta‐analysis
of
the
cognitive
effects
coronavirus
disease
2019
(COVID‐19)
in
adults
with
no
prior
history
impairment.
Methods
Searches
Medline/Web
Science/Embase
from
January
1,
2020,
to
December
13,
2021,
were
performed
following
Preferred
Reporting
Items
for
Systematic
Reviews
Meta‐Analyses
(PRISMA)
guidelines.
A
Montreal
Cognitive
Assessment
(MoCA)
total
score
comparing
recovered
COVID‐19
healthy
controls
was
performed.
Results
Oof
6202
articles,
27
studies
2049
individuals
included
(mean
age
=
56.05
years,
evaluation
time
ranged
acute
phase
7
months
post‐infection).
Impairment
executive
functions,
attention,
memory
found
post‐COVID‐19
patients.
The
subgroup
290
showed
difference
MoCA
between
patients
versus
−0.94,
95%
confidence
interval
[CI]
−1.59,
−0.29;
P
.0049).
Discussion
Patients
have
lower
general
cognition
compared
up
post‐infection.
BMJ,
Journal Year:
2022,
Volume and Issue:
unknown, P. e071050 - e071050
Published: Oct. 13, 2022
Abstract
Objectives
To
describe
symptoms
and
symptom
clusters
of
post-covid
syndrome
six
to
12
months
after
acute
infection,
risk
factors,
examine
the
association
with
general
health
working
capacity.
Design
Population
based,
cross
sectional
study
Setting
Adults
aged
18-65
years
confirmed
SARS-CoV-2
infection
between
October
2020
March
2021
notified
authorities
in
four
geographically
defined
regions
southern
Germany.
Participants
50
457
patients
were
invited
participate
study,
whom
053
(24%)
responded
11
710
(58.8%
(n=6881)
female;
mean
age
44.1
years;
3.6%
(412/11
602)
previously
admitted
covid-19;
follow-up
time
8.5
months)
could
be
included
analyses.
Main
outcome
measures
Symptom
frequencies
(six
versus
before
infection),
severity
clustering,
associations
recovery
Results
The
fatigue
(37.2%
(4213/11
312),
95%
confidence
interval
36.4%
38.1%)
neurocognitive
impairment
(31.3%
(3561/11
361),
30.5%
32.2%)
contributed
most
reduced
capacity,
but
chest
symptoms,
anxiety/depression,
headache/dizziness,
pain
syndromes
also
prevalent
relevant
for
some
differences
according
sex
age.
Considering
new
at
least
moderate
daily
life
≤80%
recovered
or
overall
estimate
was
28.5%
(3289/11
536,
27.7%
29.3%)
among
participants
6.5%
(3289/50
457)
infected
adult
population
(assuming
that
all
non-responders
had
completely
recovered).
true
value
is
likely
these
estimates.
Conclusions
Despite
limitation
a
low
response
rate
possible
selection
recall
biases,
this
suggests
considerable
burden
self-reported
post-acute
sequelae,
notably
impairment,
even
young
middle
adults
mild
substantial
impact
on
Trial
registration
German
registry
clinical
studies
DRKS
00027012.
Archives of Clinical Neuropsychology,
Journal Year:
2022,
Volume and Issue:
37(4), P. 729 - 737
Published: Jan. 10, 2022
A
subset
of
individuals
with
coronavirus
disease
2019
(COVID-19)
appears
to
develop
persisting
cognitive
and
medical
symptoms.
Research
in
the
acute
stages
illness,
generally
utilizing
screening
measures
or
case
reports,
suggests
presence
deficits
attention
executive
function.
This
observational
study
investigated
functioning
among
persistent
complaints
about
5.5
months
after
COVID-19
infection.
Scientific Reports,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: April 10, 2023
Cognitive
impairment
is
one
of
the
most
prevalent
symptoms
post
Severe
Acute
Respiratory
Syndrome
COronaVirus
2
(SARS-CoV-2)
state,
which
known
as
Long
COVID.
Advanced
neuroimaging
techniques
may
contribute
to
a
better
understanding
pathophysiological
brain
changes
and
underlying
mechanisms
in
post-COVID-19
subjects.
We
aimed
at
investigating
regional
cerebral
perfusion
alterations
subjects
who
reported
subjective
cognitive
after
mild
SARS-CoV-2
infection,
using
non-invasive
Arterial
Spin
Labeling
(ASL)
MRI
technique
analysis.
Using
MRI-ASL
image
processing,
we
investigated
24
patients
(53.0
±
14.5
years,
15F/9M)
with
persistent
complaints
COVID-19
period.
Voxelwise
region-of-interest
analyses
were
performed
identify
statistically
significant
differences
blood
flow
(CBF)
maps
between
patients,
age
sex
matched
healthy
controls
(54.8
9.1
13F/9M).
The
results
showed
hypoperfusion
widespread
network
group,
predominantly
affecting
frontal
cortex,
well
parietal
temporal
identified
by
non-parametric
permutation
testing
(p
<
0.05,
FWE-corrected
TFCE).
areas
right
hemisphere
regions
more
extensive.
These
findings
support
hypothesis
large
dysfunction
post-COVID
complaints.
nature
ASL-MRI
method
play
an
important
role
monitoring
prognosis
JACC Basic to Translational Science,
Journal Year:
2021,
Volume and Issue:
6(9-10), P. 796 - 811
Published: Sept. 1, 2021
The
vast
majority
of
patients
(>99%)
with
severe
acute
respiratory
syndrome
coronavirus
2
survive
immediate
infection
but
remain
at
risk
for
persistent
and/or
delayed
multisystem.
This
review
published
reports
through
May
31,
2021,
found
that
manifestations
postacute
sequelae
(PASC)
affect
between
33%
and
98%
disease
2019
survivors
comprise
a
wide
range
symptoms
complications
in
the
pulmonary,
cardiovascular,
neurologic,
psychiatric,
gastrointestinal,
renal,
endocrine,
musculoskeletal
systems
both
adult
pediatric
populations.
Additional
are
likely
to
emerge
be
identified
over
time.
Although
data
on
PASC
factors
vulnerable
populations
scarce,
evidence
points
disproportionate
impact
racial/ethnic
minorities,
older
patients,
preexisting
conditions,
rural
residents.
Concerted
efforts
by
researchers,
health
systems,
public
agencies,
payers,
governments
urgently
needed
better
understand
mitigate
long-term
effects
individual
population
health.