Improving Neuropsychological Rehabilitation for COVID-19 Patients

Zeitschrift für Neuropsychologie, Journal Year: 2023, Volume and Issue: 34(2), P. 57 - 70

Published: May 24, 2023

Abstract: Cognitive sequelae after recovery from an initial COVID-19 disease are present in a subset of affected individuals, coalescing around several important issues such as effects age, severity, comorbidities, and other factors. Some neuropsychological symptoms appear more common among certain patient populations. Comorbidities may complicate assessment well. Hence, we need guideline-based evaluation to guide rehabilitation. Drawing the recent revision German National Guideline for Long- Post-COVID Syndrome current advances international guidance on assessment, this article provides practical scientifically informed recommendations individuals recovering coronavirus-related diseases.

Language: Английский

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Nationwide population-based infection- and vaccine-induced SARS-CoV-2 antibody seroprevalence in Germany in autumn/winter 2021/2022

Eurosurveillance, Journal Year: 2025, Volume and Issue: 30(1)

Published: Jan. 9, 2025

Background The first Corona Monitoring Nationwide (RKI-SOEP) study (October 2020−February 2021) found a low pre-vaccine SARS-CoV-2 antibody seroprevalence (2.1%) in the German adult population (≥ 18 years). Aim objective of this second RKI-SOEP (RKI-SOEP-2) November 2021−March 2022 was to estimate prevalence SARS-CoV-2-specific anti-spike and/or anti-nucleocapsid (anti-N) IgG antibodies (combined seroprevalence), past infection based on infection-induced (anti-N), and basic immunisation (at least two antigen contacts through vaccination or infection) individuals aged ≥ 14 years. We also aimed under-reporting infections. Methods Dried blood-spot specimens from population-based sample embedded dynamic cohort, Socio-Economic Panel (SOEP), were serologically analysed. Resulting serological data self-reports via questionnaire same used prevalences. Results Combined 90.7% (95% CI: 89.7%–91.6%) without correction 94.6% 93.6%–95.7%) with for sensitivity/specificity waning. While one nine had been infected (11.3%; 95% 9.1%–13.5%), 10 (90%; 88.9–90.9%), primarily due vaccination. Population-weighted estimates differed by age, region, socioeconomic deprivation. factor estimated as 1.55 1.3–1.8). Conclusions When SARS-CoV-2-Omicron wave beginning, most people vaccinated, infected, both. Large-scale vaccination, but not high rate, able fill immunity gap, especially 65 year-olds who are known be at higher risk severe COVID-19. Our point towards need targeted socioeconomically, demographically regionally stratified mitigation strategies, including measures enhance vaccine uptake.

Language: Английский

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Geographic inequalities and factors associated with unfavorable outcomes in diabetes-tuberculosis and diabetes-covid comorbidities in Brazil

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: March 11, 2025

The rapid spread of COVID-19 have overwhelmed health systems, especially in the care chronic disease such as tuberculosis and diabetes. objective study was to analyze magnitude relevance tuberculosis-diabetes diabetes-COVID-19 comorbidities spatial risk areas their factors associated with unfavorable outcomes Brazilian population between 2020 2022. An ecological carried out municipalities. composed by cases comorbidities, registered Influenza Epidemiological Surveillance Information System (SIVEP-GRIPE) DATASUS from Scan Statistics technique used identify clusters. Binary logistic regression then employed understand relationship considering clinical sociodemographic variables. A total 24,750 comorbidity were identified, which consisted an incidence 3.2 per 100,000 inhabitants. Risk clusters identified Central-West North regions. 303,210 diabetes- resulting 0.4 São Paulo-SP, Rio de Janeiro-RJ Belo Horizonte-MG municipalities highest illness. analysis revealed distinct patterns geographic distribution comorbidities. Based on findings, it is concluded that diabetes, well represent significant challenges for public Brazil, deserving attention authorities scientific community.

Language: Английский

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Short-term acute outcomes by clinical and socioeconomic characteristics in adults with SARS-CoV-2: a population-based cohort study focused on the first two years of the COVID-19 pandemic

Archives of Public Health, Journal Year: 2025, Volume and Issue: 83(1)

Published: March 24, 2025

Abstract Background The COVID-19 pandemic disproportionately affected vulnerable populations in terms of comorbidity and socioeconomic disadvantage, both between within countries. This retrospective population-based cohort study is part the Horizon 2020 ORCHESTRA project, was conducted Emilia-Romagna (E-R) Region, aimed to investigate risk hospitalization, disease severity all-cause mortality during 30 days following SARS-CoV-2 infection. Methods All adult positive cases notified E-R from 2022 were included. Poisson regression with robust standard error used estimate ratios for three outcomes, stratified by sex, period adjusted age, citizenship, deprivation index, hospitalization death score (RHDS), vaccination status. Data sources regional healthcare databases. Supplementary analyses considered citizenship relation duration residency or aggregated areas origin. Results During first two years 859,653 residents tested (47.8% males); 9.6% them citizens high migratory pressure countries (HMPCs). severe outcomes increased steeply especially males. RHDS predicted worse sexes while showed a strong protective effect against all acute infection (i.e., recent 85% more in-hospital sexes). Immigrants HPMCs, females, higher disease, particular those who arrived 5 ago (RR = 1.92, 95%CI 1.76-2.00 males, RR 2.40, 2.23–2.59 females), whereas lower compared low (LMPCs) that females 0.73 (95%CI 0.59–0.90). Conclusions results provided an overall view course allowed associated clinical, demographic, social characteristics be measured. findings suggest that, although national public health policies have helped mitigate impact general population, inequalities among persons comorbidities disadvantages remain. Improvements appropriateness, effectiveness equity strategies are needed.

Language: Английский

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Dynamic effects of psychiatric vulnerability, loneliness and isolation on distress during the first year of the COVID-19 pandemic

Nature Mental Health, Journal Year: 2025, Volume and Issue: 3(2), P. 199 - 211

Published: Jan. 9, 2025

Language: Английский

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A wave of COVID-19 related PTSD? Disentangling the impact of exposure to COVID-19 related events on probable posttraumatic stress disorder in the general Dutch population

Journal of Psychiatric Research, Journal Year: 2025, Volume and Issue: 184, P. 39 - 47

Published: Feb. 22, 2025

Language: Английский

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Berufsbedingte Unterschiede bei COVID-19-Morbidität und -Mortalität in Deutschland. Eine Analyse von Krankenkassendaten von 3,17 Mio. Versicherten

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz, Journal Year: 2023, Volume and Issue: 66(8), P. 857 - 868

Published: July 19, 2023

During the COVID-19 pandemic, occupation was assumed to play a central role in occurrence of infection and disease. For Germany, however, there are only few studies that analyse occupational differences risk COVID-19, COVID-19-associated hospitalisation, mortality.

Language: Английский

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Social Inequalities in Long-Term Health Effects After COVID-19—A Scoping Review

International Journal of Public Health, Journal Year: 2024, Volume and Issue: 69

Published: Feb. 7, 2024

Objectives: We aimed to map and synthesize evidence about social inequalities in long-term health effects after COVID-19 (LTHE), often referred as “long COVID” or “post-COVID-19 conditions.” Methods: conducted a scoping review of peer-reviewed articles by searching the databases Embase Scopus. According predefined inclusion criteria, titles/abstracts full texts were screened for eligibility. Additionally, reference lists all included studies hand-searched eligible studies. This study followed PRISMA guidelines reviews. Results: Nineteen included. LTHE analysed according ethnicity, education, income, employment deprivation indices. The varied significantly their definitions LTHE. Eighty-two analyses showed no statistically significant associations. At least 12 had high risk type II errors. Only associating indices long COVID tended show higher prevalence deprived areas. Conclusion: Although some indicated LTHE, was generally weak inconclusive. Further with larger sample sizes specifically designed detect regarding are needed inform future healthcare planning public policies.

Language: Английский

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Education and pandemic SARS-CoV-2 infections in the German working population – the mediating role of working from home

Scandinavian Journal of Work Environment & Health, Journal Year: 2024, Volume and Issue: 50(3), P. 168 - 177

Published: Feb. 12, 2024

SARS-CoV-2 infections were unequally distributed during the pandemic, with those in disadvantaged socioeconomic positions being at higher risk. Little is known about underlying mechanism of this association. This study assessed to what extent educational differences mediated by working from home.

Language: Английский

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Socioeconomic Differences in SARS-CoV-2 Infection and Vaccination in Germany: A Seroepidemiological Study After One Year of COVID-19 Vaccination Campaign

International Journal of Public Health, Journal Year: 2023, Volume and Issue: 68

Published: Sept. 14, 2023

Objective: To evaluate the socioeconomic patterns of SARS-CoV-2 antigen contacts through infection, vaccination or both ("hybrid immunity") after 1 year campaign. Methods: Data were derived from German seroepidemiological Corona Monitoring Nationwide study (RKI-SOEP-2; n = 10,448; November 2021-February 2022). Combining serological and self-report data, we estimated adjusted prevalence ratios (PR) COVID-19 vaccination, basic immunization (at least two and/or infection), three by education income. Results: Low-education groups had 1.35-times (95% CI 1.01-1.82) risk infection compared to high-education groups. one dose) decreased with lower low-income less likely have at (PR low vs. high education: 0.74, 95% 0.65-0.84; PR income: 0.66, 0.57-0.77). Conclusion: The results suggest a level protection against severe for individuals medium Pandemic response campaigns should address specific needs barriers these

Language: Английский

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