COVID感染后1年的认知功能。

IF 3.8 4区 医学 Q2 IMMUNOLOGY
Open Forum Infectious Diseases Pub Date : 2025-09-19 eCollection Date: 2025-10-01 DOI:10.1093/ofid/ofaf583
Joviane Daher, Ziad Koberssy, Jared C Durieux, Ornina Atieh, Jhony Baissary, Marc Abboud, Grace A McComsey
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引用次数: 0

摘要

背景:虽然新出现的证据表明COVID-19与认知障碍之间存在潜在联系,但缺乏客观评估SARS-CoV-2感染后认知结果的前瞻性纵向研究。本研究旨在评估一组具有基线感染前认知评估的个体在COVID-19后认知功能的变化。方法:在这项队列研究中,使用计算机化的Cognivue Clarity®设备客观地测量认知功能。所有接受Cognivue®测试的参与者在1年后进行第二次Cognivue®评估。根据参与者在此期间是否感染COVID-19,根据COVID状态将参与者分为两组。结果:我们招募了110名参与者,中位年龄为45岁,女性占35%,白人占46%;55名(50%)参与者在随访期间经历了记录在案的COVID-19感染(COVID +组),其余参与者没有COVID感染(COVID-组)。在人口统计学和随访时间方面平衡了COVID组和COVID +组。在COVID +组中,随访期间只有记忆评分发生变化(+3.9;P = .03)。COVID- 19组在Cognivue®总体评分(+2,P = 0.03)、视觉空间评分(+1.9,P = 0.04)、执行功能评分(+2.2,P = 0.02)和命名语言评分(+2.2,P = 0.01)方面均有改善。两组患者的总体认知评分及其子域评分差异无统计学意义。结论:在45岁的平均人群中,COVID-19感染1年后未观察到认知功能下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive Function 1 Year After COVID Infection.

Background: While emerging evidence suggests a potential link between COVID-19 and cognitive impairment, there is a lack of prospective longitudinal research that objectively assesses cognitive outcomes after SARS-CoV-2 infection. This study aims to evaluate changes in cognitive function following COVID-19 in a group of individuals with baseline pre-infectious cognitive assessments.

Methods: In this cohort study, cognitive function was objectively measured using the computerized Cognivue Clarity® device. All participants who had available Cognivue® testing were followed with a second Cognivue® assessment ∼1 year later. Based on whether they contracted COVID-19 during this period, participants were categorized into 2 groups according to COVID status.

Results: We enrolled 110 participants with a median age of 45 years, 35% females and 46% white; 55 (50%) participants experienced a documented COVID-19 infection during the follow-up period (COVID + group), and the rest remained free of COVID infection (COVID- group). COVID- and COVID + groups were balanced for demographics and duration of follow-up. In the COVID + group, only memory scores changed during follow-up (+3.9; P = .03). The COVID- group showed improvements in the overall Cognivue® score (+2; P = .03), as well as in visuospatial (+1.9; P = .04), executive function (+2.2; P = .02), and naming language (+2.2; P = .01) scores. No statistically significant differences were observed in the overall cognitive score or its subdomains between the 2 groups.

Conclusions: In a 45-year-old average population, no decrease in cognitive function was observed 1 year after COVID-19 infection.

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来源期刊
Open Forum Infectious Diseases
Open Forum Infectious Diseases Medicine-Neurology (clinical)
CiteScore
6.70
自引率
4.80%
发文量
630
审稿时长
9 weeks
期刊介绍: Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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