Neurocognitive and Neuropsychiatric Sequelae in Long COVID-19 Infection
Almeria, Marta (Hospital Universitari MútuaTerrassa (Terrassa, Catalunya))
Cejudo, Juan Carlos (Hospital Sagrat Cor (Martorell))
Deus Yela, Juan (Hospital del Mar (Barcelona, Catalunya))
Krupinski, Jerzy (Hospital Universitari MútuaTerrassa (Terrassa, Catalunya))
Universitat Autònoma de Barcelona

Date:	2024
Abstract:	To characterize the cognitive profile of long COVID-19 subjects and its possible association with clinical symptoms, emotional disturbance, biomarkers, and disease severity. We performed a single-center cross-sectional cohort study. Subjects between 20 and 60 years old with confirmed COVID-19 infection were included. The assessment was performed 6 months following hospital or ambulatory discharge. Excluded were those with prior neurocognitive impairment and severe neurological/neuropsychiatric disorders. Demographic and laboratory data were extracted from medical records. Altogether, 108 participants were included, 64 were male (59. 25%), and the mean age was 49. 10 years. The patients were classified into four groups: non-hospitalized (NH, n = 10), hospitalized without Intensive Care Unit (ICU) or oxygen therapy (HOSPI, n = 21), hospitalized without ICU but with oxygen therapy (OXY, n = 56), and ICU (ICU, n = 21) patients. In total, 38 (35. 18%) reported Subjective Cognitive Complaints (SCC). No differences were found considering illness severity between groups. Females had more persistent clinical symptoms and SCC than males. Persistent dyspnea and headache were associated with higher scores in anxiety and depression. Persistent fatigue, anxiety, and depression were associated with worse overall cognition. No cognitive impairment was found regarding the severity of post-COVID-19 infection. SCC was not associated with a worse cognitive performance, but with higher anxiety and depression. Persistent clinical symptoms were frequent independent of illness severity. Fatigue, anxiety, and depression were linked to poorer cognitive function. Tests for attention, processing speed, and executive function were the most sensitive in detecting cognitive changes in these patients.
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Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Long COVID-19 ; Neurocognitive sequelae ; Persistent symptoms
Published in:	Brain sciences, Vol. 14 (june 2024) , ISSN 2076-3425

DOI: 10.3390/brainsci14060604
PMID: 38928604

20 p, 476.0 KB

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