Daroische Rania, Hemminghyth Mathilde S, Eilertsen Thomas H, Breitve Monica H, Chwiszczuk Luiza J
Neuropsychological Unit, Helse-Fonna HF Haugesund Hospital, Haugesund, Norway.
Department of Research and Innovation, Helse-Fonna HF Haugesund Hospital, Haugesund, Norway.
Front Neurol. 2021 Jul 29;12:699582. doi: 10.3389/fneur.2021.699582. eCollection 2021.
The aim was to conduct a review on the literature on objective cognitive impairment in patients after COVID-19. We performed a literature review and searched Ovid Medline in February 2021 based on a PECO scheme. Twelve articles met all inclusion criteria. Total patient sample was <1,000. All studies on global cognitive function found impairment, ranging from 15 to 80% of the sampled patients. Seven studies on attention and executive functions reported impairment, with varying results depending on sub-domain and different tests. Three out of four studies reported memory difficulties, with two studies reporting short-term memory deficits. Although results indicate possible language impairment, only one study used domain-specific language tasks. Two out of four studies on visuospatial function did not report any impairment. Patients with recent SARS-CoV-2 infection appear to experience global cognitive impairment, impairment in memory, attention and executive function, and in particular verbal fluency. Based on the current results, we recommend clinicians to evaluate the need for cognitive assessment of patients with a recent COVID-19 infection, regardless of the severity of the disease, treatment methods and length of ICU stay. We need studies with larger sample and control group.
目的是对有关新冠病毒感染后患者客观认知障碍的文献进行综述。我们于2021年2月根据PECO方案进行了文献综述并检索了Ovid Medline。12篇文章符合所有纳入标准。患者总样本量小于1000。所有关于整体认知功能的研究均发现存在障碍,抽样患者中出现障碍的比例为15%至80%。7项关于注意力和执行功能的研究报告了障碍,结果因子领域和不同测试而异。4项研究中有3项报告了记忆困难,其中2项研究报告了短期记忆缺陷。尽管结果表明可能存在语言障碍,但只有1项研究使用了特定领域的语言任务。4项关于视觉空间功能的研究中有2项未报告任何障碍。近期感染新冠病毒的患者似乎存在整体认知障碍、记忆、注意力和执行功能障碍,尤其是语言流畅性障碍。基于目前的结果,我们建议临床医生评估近期感染新冠病毒的患者进行认知评估的必要性,无论疾病严重程度、治疗方法和在重症监护病房的住院时间长短。我们需要有更大样本量和对照组的研究。