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在最初受严重 COVID-19 影响的患者中,神经认知功能障碍的证据有限。

Limited evidence for neuropsychological dysfunction in patients initially affected by severe COVID-19.

机构信息

Department of General Psychology, University of Padua, Via Venezia 8, Padua, Italy.

Human Inspired Technology Center, University of Padua, Padua, Italy.

出版信息

Neurol Sci. 2022 Dec;43(12):6661-6663. doi: 10.1007/s10072-022-06373-5. Epub 2022 Sep 2.

Abstract

BACKGROUND

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), resulting in coronavirus disease 2019 (COVID-19), has caused a pandemic. There is now considerable evidence that neuropsychological functions could be affected. We further tested this hypothesis on a sample of post COVID-19 patients, who, initially, had been severely affected.

METHODS

We tested 22 post COVID-19 patients who, after the intensive care unit (all but one), were admitted to our rehabilitation unit to be treated for severe post COVID-19 sequelae. All patients were administered a comprehensive neuropsychological battery including measures assessing perceptual, attentive, mnestic, linguistic, and executive functions, and overall cognitive status. The patients were also administered rehabilitation measures including scales for investigating aerobic capacity/endurance deficits, dyspnea, and fatigue.

RESULTS

Our findings revealed that evidence of neuropsychological disorders in post COVID-19 patients was very limited. Furthermore, COVID-19 severity and other relevant variables were not correlated with patients' scores on the neuropsychological tests.

CONCLUSIONS

We suggest that the relation between COVID-19 and neuropsychological disorders is unclear. New studies and metanalyses are highly required to shed light on this highly complex issue.

摘要

背景

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)导致了 2019 年冠状病毒病(COVID-19),造成了大流行。现在有相当多的证据表明神经心理学功能可能受到影响。我们在一组 COVID-19 后患者的样本中进一步检验了这一假设,这些患者最初病情严重。

方法

我们测试了 22 名 COVID-19 后患者,他们在重症监护病房(除一人外)后被转入我们的康复病房,以治疗严重的 COVID-19 后遗症。所有患者均接受了全面的神经心理学测试,包括评估感知、注意力、记忆、语言和执行功能以及整体认知状态的测试。患者还接受了康复措施,包括评估有氧能力/耐力缺陷、呼吸困难和疲劳的量表。

结果

我们的发现表明,COVID-19 后患者的神经心理障碍证据非常有限。此外,COVID-19 的严重程度和其他相关变量与患者在神经心理学测试中的得分无关。

结论

我们认为 COVID-19 与神经心理障碍之间的关系尚不清楚。需要新的研究和荟萃分析来阐明这一非常复杂的问题。

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