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Cognitive Assessmentin SARS-CoV-2Patients: ASystematic Review Bruno BiagiantiAsia Di LibertoEdoardo Nicolò Aiello2022 год

Cognitive Assessment in SARS-CoV-2 Patients: A Systematic Review
review

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Аннотация: 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 cognitive alterations are commonly found in patients recovered from SARS-CoV-2, and which psychometric tools clinicians should consider when assessing cognition in this population. The present work reviewed published studies to provide a critical narrative of neuropsychological (NPs) deficits commonly observed after SARS-CoV-2 infection and the tests most suited for detecting such cognitive sequelae depending on illness severity. Methods This review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and was pre-registered on Prospective Register of Systematic Reviews (PROSPERO) (CRD42021253079). Observational studies quantitatively assessing cognition in patients with post-infective SARS-CoV-2 were considered. From 711 retrieved articles, 19 studies conducted on patients with SARS-CoV-2 without medical comorbidities were included and stratified by disease severity. Results The majority of studies ( N = 13) adopted first-level tests. The most frequently administered screeners were the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE)—with the former more likely to detect mild, and the latter moderate/severe deficits. Among second-level tests, those assessing attention and executive functions (EFs) were highly represented. Remotely-delivered tests yielded lower percentages of cognitive impairment. Overall, cognitive domains often found to be impaired were EFs, attention, and memory. Conclusion Cognitive sequelae in patients with post-infective SARS-CoV-2 can be detected with NPs testing. Depending on the psychometric test features, the likelihood of observing cognitive deficits can vary. Further studies on larger sample sizes are needed to investigate the clinical usefulness of second-level tools. The primary goal of preventative health services should be the early detection and intervention of emerging cognitive deficits.
Год издания: 2022
Авторы: Bruno Biagianti, Asia Di Liberto, Edoardo Nicolò Aiello, Ilaria Lisi, Letizia Nobilia, Giulia Delor de Ferrabonc, Elisa R. Zanier, Nino Stocchetti, Paolo Brambilla
Издательство: Frontiers Media
Источник: Frontiers in Aging Neuroscience
Ключевые слова: Long-Term Effects of COVID-19, Intensive Care Unit Cognitive Disorders, COVID-19 and Mental Health
Другие ссылки: Frontiers in Aging Neuroscience (PDF)
Frontiers in Aging Neuroscience (HTML)
DOAJ (DOAJ: Directory of Open Access Journals) (HTML)
Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (PDF)
Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (HTML)
PubMed Central (HTML)
PubMed (HTML)