Evidence map›Paper›PMID 35907815›Full record

ArticleBMC neurology2022

Neurocognitive screening in patients following SARS-CoV-2 infection: tools for triage.

Karen Blackmon, Gregory S Day, Harry Ross Powers, Wendelyn Bosch, Divya Prabhakaran, Dixie Woolston, Otto Pedraza

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Long COVID Is Not a Functional Neurologic Disorder.Journal of personalized medicine · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Karen BlackmonDepartment of Psychiatry and Psychology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. blackmon.karen@mayo.edu.ORCID http://orcid.org/0000-0002-2665-7807
Gregory S DayDepartment of Neurology, Mayo Clinic, Jacksonville, FL, USA.
Harry Ross PowersDivision of Infectious Diseases, Mayo Clinic, Jacksonville, FL, USA.
Wendelyn BoschDivision of Infectious Diseases, Mayo Clinic, Jacksonville, FL, USA.
Divya PrabhakaranCenter for Individualized Medicine, Mayo Clinic, Jacksonville, FL, USA.
Dixie WoolstonDepartment of Psychiatry and Psychology, Mayo Clinic, Phoenix, AZ, USA.
Otto PedrazaDepartment of Psychiatry and Psychology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Mayo Clinic in Florida · USJacksonville College · USMayo Clinic · USMayo Clinic Hospital · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive complaints are common in patients recovering from Coronavirus Disease 2019 (COVID-19), yet their etiology is often unclear. We assess factors that contribute to cognitive impairment in ambulatory versus hospitalized patients during the sub-acute stage of recovery.

methodsIn this cross-sectional study, participants were prospectively recruited from a hospital-wide registry. All patients tested positive for SARS-CoV-2 infection using a real-time reverse transcriptase polymerase-chain-reaction assay. Patients ≤ 18 years-of-age and those with a pre-existing major neurocognitive disorder were excluded. Participants completed an extensive neuropsychological questionnaire and a computerized cognitive screen via remote telemedicine platform. Rates of subjective and objective neuropsychological impairment were compared between the ambulatory and hospitalized groups. Factors associated with impairment were explored separately within each group.

resultsA total of 102 patients (76 ambulatory, 26 hospitalized) completed the symptom inventory and neurocognitive tests 24 ± 22 days following laboratory confirmation of SARS-CoV-2 infection. Hospitalized and ambulatory patients self-reported high rates of cognitive impairment (27-40%), without differences between the groups. However, hospitalized patients showed higher rates of objective impairment in visual memory (30% vs. 4%; p = 0.001) and psychomotor speed (41% vs. 15%; p = 0.008). Objective cognitive test performance was associated with anxiety, depression, fatigue, and pain in the ambulatory but not the hospitalized group.

conclusionsFocal cognitive deficits are more common in hospitalized than ambulatory patients. Cognitive performance is associated with neuropsychiatric symptoms in ambulatory but not hospitalized patients. Objective neurocognitive measures can provide essential information to inform neurologic triage and should be included as endpoints in clinical trials.

Indexed as

COVID-19Cross-Sectional StudiesHospitalizationHumansSARS-CoV-2TriageCOVID-19Long COVIDMemoryMyalgic encephalomyelitisNeuroinfectious diseaseNeuropsychologyPost intensive care unit syndrome

Identifiers

PMID35907815
PMCPMC9338515
OpenAlexW4288748479

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.