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长新冠综合征相关的脑雾。

Long COVID syndrome-associated brain fog.

机构信息

Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Neurology, Jefferson Comprehensive Epilepsy Center, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

出版信息

J Med Virol. 2022 Mar;94(3):979-984. doi: 10.1002/jmv.27404. Epub 2021 Oct 24.


DOI:10.1002/jmv.27404
PMID:34672377
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8662118/
Abstract

We investigated the frequency of brain fog in a large cohort of patients with documented coronavirus disease-2019 (COVID-19) who have survived the illness. We also scrutinized the potential risk factors associated with the development of brain fog. Adult patients (18-55 years of age), who were referred to the healthcare facilities anywhere in Fars province from February 19, 2020 to November 20, 2020 were included. All patients had a confirmed COVID-19 diagnosis. In a phone call, at least 3 months after their discharge from the hospital, we obtained their current information. A questionnaire was specifically designed for data collection. In total, 2696 patients had the inclusion criteria; 1680 (62.3%) people reported long COVID syndrome (LCS). LCS-associated brain fog was reported by 194 (7.2%) patients. Female sex (odds ratio [OR]: 1.4), respiratory problems at the onset (OR: 1.9), and intensive care unit (ICU) admission (OR: 1.7) were significantly associated with reporting chronic post-COVID "brain fog" by the patients. In this large population-based study, we report that chronic post-COVID "brain fog" has significant associations with sex (female), respiratory symptoms at the onset, and the severity of the illness (ICU admission).

摘要

我们调查了在大量有记录的新冠肺炎(COVID-19)幸存患者中,脑雾的发生频率。我们还仔细研究了与脑雾发展相关的潜在危险因素。

本研究纳入了 2020 年 2 月 19 日至 2020 年 11 月 20 日期间来自法尔斯省各地医疗机构的 18-55 岁成年患者。所有患者均确诊为 COVID-19。在患者出院至少 3 个月后,我们通过电话获得了他们的现状信息。专门设计了一份问卷进行数据收集。

共有 2696 例患者符合纳入标准,其中 1680 例(62.3%)患者报告了长新冠综合征(LCS)。194 例(7.2%)患者报告了 LCS 相关的脑雾。女性(比值比 [OR]:1.4)、发病时存在呼吸道问题(OR:1.9)和入住重症监护病房(ICU)(OR:1.7)与患者报告慢性新冠后“脑雾”显著相关。

在这项基于人群的大型研究中,我们报告慢性新冠后“脑雾”与性别(女性)、发病时的呼吸道症状和疾病严重程度(入住 ICU)显著相关。

相似文献

[1]
Long COVID syndrome-associated brain fog.

J Med Virol. 2022-3

[2]
Long COVID brain fog and muscle pain are associated with longer time to clearance of SARS-CoV-2 RNA from the upper respiratory tract during acute infection.

Front Immunol. 2023

[3]
Long-Lasting COVID-Associated Brain Fog: A Follow-Up Study.

Eur Neurol. 2023

[4]
Risk Factors Associated with Long COVID Syndrome: A Retrospective Study.

Iran J Med Sci. 2021-11

[5]
Association between brain fog, cardiac injury, and quality of life at work after hospitalization due to COVID-19.

Med Pr. 2024-3-22

[6]
Long COVID in children and adolescents.

World J Pediatr. 2021-10

[7]
Long-COVID Clinical Features and Risk Factors: A Retrospective Analysis of Patients from the STOP-COVID Registry of the PoLoCOV Study.

Viruses. 2022-8-11

[8]
A likely association between low mannan-binding lectin level and brain fog onset in long COVID patients.

Front Immunol. 2023

[9]
Sex-related patient-reported brain fog symptoms in non-hospitalised COVID-19 patients.

Neurol Neurochir Pol. 2023

[10]
Case-Control Study of Long COVID, Sapporo, Japan.

Emerg Infect Dis. 2023-5

引用本文的文献

[1]
Brain and muscle chemistry in myalgic encephalitis/chronic fatigue syndrome (ME/CFS) and long COVID: a 7T magnetic resonance spectroscopy study.

Mol Psychiatry. 2025-7-12

[2]
Relationships between fatigue severity scale (FSS)/ scale for mood assessment (EVEA) and clinical manifestations in spanish long-COVID patients.

PLoS One. 2025-7-7

[3]
Long-term neurological and cognitive impact of COVID-19: a systematic review and meta-analysis in over 4 million patients.

BMC Neurol. 2025-6-14

[4]
The age-dependent neuroglial interaction with peripheral immune cells in coronavirus-induced neuroinflammation with a special emphasis on COVID-19.

Biogerontology. 2025-5-17

[5]
Persistent cognitive symptoms in mild COVID-19 infection: a retrospective cohort study.

BMC Infect Dis. 2025-4-18

[6]
Follow-up of long COVID based on the definition of WHO: a multi-centre cross-sectional questionnaire-based study.

BMC Public Health. 2025-4-15

[7]
Sex-related differences in the association between migraine, COVID-19, and long COVID: a population-based cohort.

Front Neurol. 2025-3-21

[8]
Cutting through the fog: recognising brain fog as a significant public health concern.

BMC Public Health. 2025-4-1

[9]
Neurological long COVID in the outpatient clinic: Is it so long?

Eur J Neurol. 2025-3

[10]
Brain Fog and Cognitive Dysfunction in Posttraumatic Stress Disorder: An Evidence-Based Review.

Psychol Res Behav Manag. 2025-3-12

本文引用的文献

[1]
Long COVID: cognitive complaints (brain fog) and dysfunction of the cingulate cortex.

J Neurol. 2022-1

[2]
Post-COVID-19 symptoms 6 months after acute infection among hospitalized and non-hospitalized patients.

Clin Microbiol Infect. 2021-10

[3]
Be aware of SARS-CoV-2 spike protein: There is more than meets the eye.

J Biol Regul Homeost Agents. 2021

[4]
Long-COVID Syndrome? A Study on the Persistence of Neurological, Psychological and Physiological Symptoms.

Healthcare (Basel). 2021-5-13

[5]
A prospective study of long-term outcomes among hospitalized COVID-19 patients with and without neurological complications.

J Neurol Sci. 2021-7-15

[6]
Long-COVID syndrome-associated brain fog and chemofog: Luteolin to the rescue.

Biofactors. 2021-3

[7]
Cognitive impairments four months after COVID-19 hospital discharge: Pattern, severity and association with illness variables.

Eur Neuropsychopharmacol. 2021-5

[8]
Four-Month Clinical Status of a Cohort of Patients After Hospitalization for COVID-19.

JAMA. 2021-4-20

[9]
Metabolic dysfunction and immunometabolism in COVID-19 pathophysiology and therapeutics.

Int J Obes (Lond). 2021-6

[10]
Attributes and predictors of long COVID.

Nat Med. 2021-4

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