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@ARTICLE{Schild:912542,
author = {Schild, Ann-Katrin and Goereci, Yasemin and Scharfenberg,
Daniel and Klein, Kim and Lülling, Joachim and Meiberth,
Dix and Schweitzer, Finja and Stürmer, Sophie and Zeyen,
Philip and Sahin, Derya and Fink, Gereon R. and Jessen,
Frank and Franke, Christiana and Onur, Oezguer A. and
Kessler, Josef and Warnke, Clemens and Maier, Franziska},
title = {{M}ultidomain cognitive impairment in non-hospitalized
patients with the post-{COVID}-19 syndrome: results from a
prospective monocentric cohort},
journal = {Journal of neurology},
volume = {270},
issn = {0340-5354},
address = {Berlin},
publisher = {Springer},
reportid = {FZJ-2022-05715},
pages = {1215-1223},
year = {2023},
abstract = {BackgroundA fraction of patients with asymptomatic to
mild/moderate acute COVID-19 disease report cognitive
deficits as part of the post-COVID-19 syndrome. This study
aimed to assess the neuropsychological profile of these
patients.MethodsAssessment at baseline (three months or more
following acute COVID-19) of a monocentric prospective
cohort of patients with post-COVID-19 syndrome. Multidomain
neuropsychological tests were performed, and questionnaires
on depression, anxiety, fatigue, sleep, and general health
status were administered.ResultsOf the 58 patients screened,
six were excluded due to possible alternative causes of
cognitive impairment (major depression, neurodegenerative
disease). Of the remaining 52 individuals, only one had a
below-threshold screening result on Mini-Mental State
Examination, and 13 scored below the cut-off on Montreal
Cognitive Assessment. Extended neuropsychological testing
revealed a neurocognitive disorder (NCD) in 31 $(59.6\%)$
participants with minor NCD in the majority of cases
(n = 26). In patients with NCD, the cognitive domains
learning/memory and executive functions were impaired in
$60.7\%,$ complex attention in $51.6\%,$ language in
$35.5\%,$ and perceptual-motor function in $29.0\%.$
Cognitive profiles were associated with daytime sleepiness
but not with depression, anxiety, sleep quality, total
general health status, or fatigue.ConclusionNeurocognitive
impairment can be confirmed in around $60\%$ of individuals
with self-reported deficits as part of post-COVID-19
syndrome following a mild acute COVID-19 disease course.
Notably, screening tests cannot reliably detect this
dysfunction. Standard psychiatric assessments showed no
association with cognitive profiles. Longitudinal studies
are needed to further evaluate the course of neurocognitive
deficits and clarify pathophysiology.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5251 - Multilevel Brain Organization and Variability
(POF4-525)},
pid = {G:(DE-HGF)POF4-5251},
typ = {PUB:(DE-HGF)16},
pubmed = {36422669},
UT = {WOS:000887862600002},
doi = {10.1007/s00415-022-11444-w},
url = {https://juser.fz-juelich.de/record/912542},
}