Evidence map›Paper›PMID 36473347›Full record

ArticleJournal of the neurological sciences2023

Monitoring cognitive and psychological alterations in COVID-19 patients: A longitudinal neuropsychological study.

Lorenzo Diana, Rossana Regazzoni, Matteo Sozzi, Stefania Piconi, Luca Borghesi, Elisa Lazzaroni, Paola Basilico, Angelo Aliprandi, Nadia Bolognini, Daniela R Bonardi and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the neurological sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

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  3. Digital mental health: innovations in assessment and intervention.Journal of Zhejiang University. Science. B · 2026
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  17. Cognitive and mental health trajectories of COVID-19: Role of hospitalisation and long-COVID symptoms.European psychiatry : the journal of the Association of European Psychiatrists · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Lorenzo DianaNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy; Neuropsychology Laboratory, IRCCS Istituto Auxologico Italiano, Milan, Italy.
Rossana RegazzoniNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy.
Matteo SozziNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy.
Stefania PiconiInfectious Diseases Unit, Ospedale "A. Manzoni", Lecco, Italy.
Luca BorghesiInfectious Diseases Unit, Ospedale "A. Manzoni", Lecco, Italy.
Elisa LazzaroniDepartment of Mental Health, Ospedale "A. Manzoni", Lecco, Italy.
Paola BasilicoNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy.
Angelo AliprandiNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy.
Nadia BologniniNeuropsychology Laboratory, IRCCS Istituto Auxologico Italiano, Milan, Italy; Department of Psychology and NeuroMI, University of Milano-Bicocca, Milan, Italy.
Daniela R BonardiRespiratory Unit, IRCCS INRCA (Italian National Research Centre On Aging), Casatenovo, Italy.
Daniele ColomboRespiratory Unit, IRCCS INRCA (Italian National Research Centre On Aging), Casatenovo, Italy.
Andrea SalmaggiNeurology Unit, Ospedale "A. Manzoni", Lecco, Italy. Electronic address: a.salmaggi@asst-lecco.it.
Alessandro Manzoni Hospital · ITIRCCS Istituto Auxologico Italiano · ITIstituto Nazionale di Riposo e Cura per Anziani · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSARS-COV-2 infection has been associated to long-lasting neuropsychiatric sequelae, including cognitive deficits, that persist after one year. However, longitudinal monitoring has been scarcely performed. Here, in a sample of COVID-19 patients, we monitor cognitive, psychological and quality of life-related profiles up to 22 months from resolution of respiratory disease.

methodsOut of 657 COVID-19 patients screened at Manzoni Hospital (Lecco, Italy), 22 underwent neuropsychological testing because of subjective cognitive disturbances at 6 months, 16 months, and 22 months. Tests of memory, attention, and executive functions were administered, along with questionnaires for depressive and Post-traumatic stress disorder (PTSD) symptoms, psychological well-being and quality of life. Cross-sectional descriptives, correlational, as well as longitudinal analyses considering COVID19-severity were carried out. A preliminary comparison with a sample of obstructive sleep apneas patients was also performed.

resultsAround 50% of COVID-19 patients presented with cognitive deficits at t0. The most affected domain was verbal memory. Pathological scores diminished over time, but a high rate of borderline scores was still observable. Longitudinal analyses highlighted improvements in verbal and non-verbal long term memory, as well as attention, and executive functioning. Depression and PTSD-related symptoms were present in 30% of patients. The latter decreased over time and were associated to attentional-executive performance.

conclusionsCognitive dysfunctions in COVID-19 patients may extend over 1 year, yet showing a significant recovery in several cases. Cognitive alterations are accompanied by a significant psychological distress. Many patients displaying borderline scores, especially those at higher risk of dementia, deserve clinical monitoring.

Indexed as

Cognitive DysfunctionCOVID-19CognitionCross-Sectional StudiesHumansNeuropsychological TestsQuality of LifeSARS-CoV-2Cognitive functionsCOVID-19Long-COVIDLongitudinal assessmentNeuropsychology

Identifiers

PMID36473347
PMCPMC9707027
OpenAlexW4310291149

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.