Cognitive Dysfunction, Psychiatric Distress, and Functional Decline After COVID-19

Vannorsdall, Tracy D.; Brigham, Emily; Fawzy, Ashraf; Raju, Sarath; Gorgone, Alesandra; Pletnikova, Alexandra; Parker, Ann M.; Oh, Esther S.

doi:10.1016/j.jaclp.2021.10.006

Cited by 65 publications

(67 citation statements)

References 48 publications

(63 reference statements)

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“…The quality of case‐control and cohort studies was assessed judging three categories: the selection of the study groups, the comparability of the groups; and the ascertainment of either the exposure or outcome of interest for case‐control or cohort studies, respectively. In summary, when using the Agency for Health Research and Quality (AHRQ) threshold standards, 9 of the 20 studies were good, 15,23,25,27,29,32,33,36,31 1 was fair, 28 and 10 were poor 10–12,14,16,24,30,34,35,37 …”

Section: Resultsmentioning

confidence: 99%

“…Research and Quality (AHRQ) threshold standards, 9 of the 20 studies were good, 15,23,25,27,29,32,33,36,31 1 was fair, 28 and 10 were poor. [10][11][12]14,16,24,30,34,35,37 4 DISCUSSION…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

“…Conversely, a cohort study on moderate to severe hospitalized patients 10 to 35 days after hospital discharge found that patients who required oxygen had lower punctuations in verbal memory (P = .030), visual memory (P = .050), attention (P = .002), working memory (P = .036), complex working memory (P = .027), processing speed (P = .035), and the global cognitive index (P = .010), compared to ICU patients who only had worse executive functions (P = .037). 28 Accordingly, two studies 34,35 compared ICU versus non-ICU post-COVID patients and found significantly more severe and broad impairment in ICU patients.…”

Section: Effect Of Disease Severity and Symptomsmentioning

confidence: 99%

See 2 more Smart Citations

Changes in cognitive functioning after COVID‐19: A systematic review and meta‐analysis

Crivelli

Palmer

Calandri

et al. 2022

Alzheimer's & Dementia

193

128

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Introduction:We conducted a systematic review and meta-analysis of the cognitive effects of coronavirus disease 2019 (COVID-19) in adults with no prior history of cognitive impairment. Methods: Searches in Medline/Web of Science/Embase from January 1, 2020, to December 13, 2021, were performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A meta-analysis of the Montreal Cognitive Assessment (MoCA) total score comparing recovered COVID-19 and healthy controls was performed. Results: Oof 6202 articles, 27 studies with 2049 individuals were included (mean age = 56.05 years, evaluation time ranged from the acute phase to 7 months post-infection). Impairment in executive functions, attention, and memory were found in post-COVID-19 patients. The meta-analysis was performed with a subgroup of 290 individuals and showed a difference in MoCA score between post-COVID-19 patients versus controls

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Section: Resultsmentioning

confidence: 99%

“…Research and Quality (AHRQ) threshold standards, 9 of the 20 studies were good, 15,23,25,27,29,32,33,36,31 1 was fair, 28 and 10 were poor. [10][11][12]14,16,24,30,34,35,37 4 DISCUSSION…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Section: Effect Of Disease Severity and Symptomsmentioning

confidence: 99%

See 1 more Smart Citation

Changes in cognitive functioning after COVID‐19: A systematic review and meta‐analysis

Crivelli

Palmer

Calandri

et al. 2022

Alzheimer's & Dementia

193

128

View full text Add to dashboard Cite

show abstract

“…In the aftermath of the first wave of the COVID-19 pandemic, lingering physical and psychological health problems among survivors were widely reported on social media [ 34 ]. Meanwhile, various cognitive, emotional, and other neuropsychiatric persistent symptoms began to also be noted in COVID-19 survivors [ 35 ]. In this study we examined the information conveyed via YouTube videos in terms of who uploaded videos, how much the public reacted to them, and the breadth of coverage regarding long COVID.…”

Section: Discussionmentioning

confidence: 99%

Long Haul COVID-19 Videos on YouTube: Implications for Health Communication

et al. 2022

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The term COVID-19 “long haul” originated on social media and was later studied by the scientific community. This study describes content related to persistent COVID-19 symptoms on YouTube. The 100 most viewed English-language videos identified with the keywords “COVID-19 long haul” were assessed for video origin, engagement, and content related to COVID-19 long-haul. The findings indicate that the majority of videos were uploaded by television or internet news (56%), followed by consumers (members of the public, 32%), health professionals (only 9%), and lastly by entertainment TV (non-news programs, 3%). Videos originating from entertainment TV were significantly more likely to be “liked” than videos from other sources. The most commonly mentioned long-haul symptoms in the videos were physical (fatigue, 73%; difficulty breathing/shortness of breath, 56%; and joint or muscle pain, 49%) and cognitive (difficulty thinking or concentrating; 69%). The case of COVID-19 long haul demonstrates that social media are significant fora whereon the public identify health concerns. It is necessary for healthcare professionals to assume an active and responsible role in social media.

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“…ICU stay has not been associated with having a greater risk of a specific cognitive domain deficit as a result of infection, but has been associated specifically with a risk of poorer overall global cognitive ability and impairment in executive functioning and working memory, particularly in patients requiring at least 48 h of ICU care [ 30 ]. Cognitive deficits were widespread in those with and without ICU stays and occurred most commonly on measures of oral processing speed and verbal fluency as well as learning and memory [ 30 , 31 ]. Those who required hospitalization were also more likely to have objective cognitive deficits persisting after the acute phase [ 29 ].…”

Section: Neurocognitive and Functional Outcomementioning

confidence: 99%

Rehabilitation Strategies for Cognitive and Neuropsychiatric Manifestations of COVID-19

Rolin

Chakales

Verduzco‐Gutierrez

2022

Curr Phys Med Rehabil Rep

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Purpose of Review Extrapulmonary manifestations of COVID-19 are abundant, including after recovery of acute SARS-CoV-2 infection. This review seeks to explore the cognitive and neuropsychiatric manifestations of COVID-19 and post-acute sequelae of SARS-CoV-2 (PASC), including Long COVID syndromes. Furthermore, the review will discuss rehabilitation strategies for the emerging neurological consequences of COVID-19 to help those experiencing long-term effects of COVID-19. Recent Findings There is emerging evidence depicting the neural involvement of COVID-19. Health priorities have shifted from understanding pathogenesis and treatment of pulmonary symptoms to targeting the acute and chronic sequelae of COVID-19, including cognitive and neuropsychiatric symptoms. The sequelae of COVID-19 often co-occur with other medical problems and is best managed by assessment and care across multiple disciplines. Symptoms following infection are similar to those found by other syndromes and disorders that disrupt the central nervous system. Summary The acute and chronic sequelae of COVID-19 have become major targets of current health care providers given its significant public health impact, inclusive of cognitive and neuropsychiatric sequelae. Assessment and referral to rehabilitation based on each individual’s needs and symptoms can decrease morbidity and improve quality of life.

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Cognitive Dysfunction, Psychiatric Distress, and Functional Decline After COVID-19

Cited by 65 publications

References 48 publications

Changes in cognitive functioning after COVID‐19: A systematic review and meta‐analysis

Changes in cognitive functioning after COVID‐19: A systematic review and meta‐analysis

Long Haul COVID-19 Videos on YouTube: Implications for Health Communication

Rehabilitation Strategies for Cognitive and Neuropsychiatric Manifestations of COVID-19

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