Evidence map›Paper›PMID 35297561›Full record

SynthesisAlzheimer's & dementia : the journal of the Alzheimer's Association2022

Changes in cognitive functioning after COVID-19: A systematic review and meta-analysis.

Lucia Crivelli, Katie Palmer, Ismael Calandri, Alla Guekht, Ettore Beghi, William Carroll, Jennifer Frontera, David García-Azorín, Erica Westenberg, Andrea Sylvia Winkler and 3 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 201 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
201citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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

201 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Changes in cognitive functioning after COVID-19: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Pooled it
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Social connection and cognitive health: A review of concepts, measures, and research priorities.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  17. Cognitive impairment in long-COVID: frequency, trajectories and risk factors in a cohort study from Italy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  18. Observational
  19. Article
  20. Increased incidence of mild cognitive impairment in long COVID patients.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Observational

141 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Lucia CrivelliDepartment of Cognitive Neurology, Fleni, Buenos Aires, Argentina.ORCID 0000-0002-0083-9389
Katie PalmerDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Ismael CalandriDepartment of Cognitive Neurology, Fleni, Buenos Aires, Argentina.ORCID 0000-0002-6983-1430
Alla GuekhtMoscow Research and Clinical Center for Neuropsychiatry, Russia, and Pirogov Russian National Research University, Moscow, Russia.
Ettore BeghiDepartment of Neuroscience, Instituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
William CarrollDepartment of Neurology, Sir Charles Gairdner Hospital and Center for Neuromuscular and Neurological Disorders Perron Institute, Perth, Western Australia, Australia.
Jennifer FronteraDepartment of Neurology, NYU Grossman School of Medicine, New York, New York, USA.
David García-AzorínDepartment of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Erica WestenbergDepartment of Neurology, Center for Global Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Andrea Sylvia WinklerDepartment of Neurology, Center for Global Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany and Centre for Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.
Francesca MangialascheDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Ricardo F AllegriDepartment of Cognitive Neurology, Fleni, Buenos Aires, Argentina.
Miia KivipeltoDivision of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe conducted a systematic review and meta-analysis of the cognitive effects of coronavirus disease 2019 (COVID-19) in adults with no prior history of cognitive impairment.

methodsSearches in Medline/Web of Science/Embase from January 1, 2020, to December 13, 2021, were performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.  A meta-analysis of the Montreal Cognitive Assessment (MoCA) total score comparing recovered COVID-19 and healthy controls was performed.

resultsOof 6202 articles, 27 studies with 2049 individuals were included (mean age = 56.05 years, evaluation time ranged from the acute phase to 7 months post-infection). Impairment in executive functions, attention, and memory were found in post-COVID-19 patients.  The meta-analysis was performed with a subgroup of 290 individuals and showed a difference in MoCA score between post-COVID-19 patients versus controls (mean difference = -0.94, 95% confidence interval [CI] -1.59, -0.29; P = .0049). DISCUSSION: Patients recovered from COVID-19 have lower general cognition compared to healthy controls up to 7 months post-infection.

Indexed as

Cognitive DysfunctionCOVID-19AdultCognitionExecutive FunctionHumansInfantattentioncognitioncognitive dysfunctionCOVID-19executive functionsneuropsychological testSARS-CoV-2 coronavirus

Identifiers

PMID35297561
PMCPMC9073922

What OpenQuestion 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 OpenQuestion graph.