Long-term cognitive impairments following ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Long-term cognitive impairments following COVID-19: a possible impact of hypoxia.
Author(s) :
Dondaine, Thibaut [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Ruthmann, Florine [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Vuotto, Fanny [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Carton, Louise [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Gelé, Patrick [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Faure, Karine [Auteur]
Centre d'Infection et d'Immunité de Lille (CIIL) - U1019 - UMR 9017
Deplanque, Dominique [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Bordet, Regis [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172

Lille Neurosciences & Cognition (LilNCog) - U 1172
Ruthmann, Florine [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Vuotto, Fanny [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Carton, Louise [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Gelé, Patrick [Auteur]
Lille Neurosciences & Cognition - U 1172 [LilNCog]
Faure, Karine [Auteur]

Centre d'Infection et d'Immunité de Lille (CIIL) - U1019 - UMR 9017
Deplanque, Dominique [Auteur]

Lille Neurosciences & Cognition (LilNCog) - U 1172
Bordet, Regis [Auteur]

Lille Neurosciences & Cognition (LilNCog) - U 1172
Journal title :
Journal of Neurology
Abbreviated title :
J Neurol
Volume number :
269
Pages :
3982–3989
Publication date :
2022-03-26
ISSN :
1432-1459
English keyword(s) :
Cognition
Hypoxia
COVID-19
SARS-CoV-2
Attention
Memory
Hypoxia
COVID-19
SARS-CoV-2
Attention
Memory
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background
Cognitive and emotional disorders frequently persist after recovery from the acute symptoms of COVID-19; possible explanations include pneumonia-induced hypoxia, infection of the central nervous system, and ...
Show more >Background Cognitive and emotional disorders frequently persist after recovery from the acute symptoms of COVID-19; possible explanations include pneumonia-induced hypoxia, infection of the central nervous system, and microstrokes. The objective of the present study was to characterize the impact of hypoxia on the cognitive and psychological profile following COVID-19. Methods Sixty-two patients with COVID-19 were enrolled in a cross-sectional study and divided into two groups based on disease severity: outpatients with no pulmonary complications vs. inpatients with hypoxemic pneumonia having received oxygen therapy. All the participants underwent a comprehensive neuropsychological evaluation that included depression, anxiety, fatigue, sleepiness, attentional, memory and executive processes, and social cognition. For the inpatients, we also collected laboratory data (blood gas, blood glucose, fibrin, fibrinogen, D-dimer, and C-reactive protein). Results Cognitive disorders was found in patients with COVID-19: at least 18% had an impairment of memory and 11% had attentional dysfunctions. A high level of fatigue (90% of the patients), anxiety (52%), and depression (50%) was also observed. The impairments in attentional (p < 0.001 for omission and commission in CPT 3) and memory (p < 0.003 for Index Cue Efficiency from free and cue selected reminding test) functions were greater in COVID-19 inpatients that in COVID-19 outpatients. In contrast, levels of fatigue, depression, and anxiety were similarly high in both groups. Conclusions These findings might help to improve the management of COVID-19 patients as a function of the disease severity in particular for patients with hypoxia.Show less >
Show more >Background Cognitive and emotional disorders frequently persist after recovery from the acute symptoms of COVID-19; possible explanations include pneumonia-induced hypoxia, infection of the central nervous system, and microstrokes. The objective of the present study was to characterize the impact of hypoxia on the cognitive and psychological profile following COVID-19. Methods Sixty-two patients with COVID-19 were enrolled in a cross-sectional study and divided into two groups based on disease severity: outpatients with no pulmonary complications vs. inpatients with hypoxemic pneumonia having received oxygen therapy. All the participants underwent a comprehensive neuropsychological evaluation that included depression, anxiety, fatigue, sleepiness, attentional, memory and executive processes, and social cognition. For the inpatients, we also collected laboratory data (blood gas, blood glucose, fibrin, fibrinogen, D-dimer, and C-reactive protein). Results Cognitive disorders was found in patients with COVID-19: at least 18% had an impairment of memory and 11% had attentional dysfunctions. A high level of fatigue (90% of the patients), anxiety (52%), and depression (50%) was also observed. The impairments in attentional (p < 0.001 for omission and commission in CPT 3) and memory (p < 0.003 for Index Cue Efficiency from free and cue selected reminding test) functions were greater in COVID-19 inpatients that in COVID-19 outpatients. In contrast, levels of fatigue, depression, and anxiety were similarly high in both groups. Conclusions These findings might help to improve the management of COVID-19 patients as a function of the disease severity in particular for patients with hypoxia.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
Inserm
CHU Lille
Inserm
CHU Lille
Collections :
Submission date :
2024-06-24T21:19:44Z
2024-07-05T11:55:31Z
2024-07-05T11:55:31Z