Evidence map›Paper›PMID 35907947›Full record

ArticleScientific reports2022

Global slowness and increased intra-individual variability are key features of attentional deficits and cognitive fluctuations in post COVID-19 patients.

Paola Ortelli, Francesco Benso, Davide Ferrazzoli, Ilaria Scarano, Leopold Saltuari, Luca Sebastianelli, Viviana Versace, Roberto Maestri

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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  14. Fatigue and Cognitive Dysfunction Are Associated with Occupational Status in Post-COVID Syndrome.International journal of environmental research and public health · 2022
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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

8 authors at 3 institutions in 1 country.

Paola Ortelli *Department of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA) - Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Margarethenstr. 24, 39049, Vipiteno-Sterzing, BZ, Italy. paola.ortelli@sabes.it.
Francesco Benso *Laboratory of Observational, Diagnosis and Education (ODFLab), Department of Psychology and Cognitive Science, University of Trento, 38068, Rovereto, Italy.
Davide FerrazzoliDepartment of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA) - Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Margarethenstr. 24, 39049, Vipiteno-Sterzing, BZ, Italy.
Ilaria ScaranoDepartment of Geriatrics, Memory Clinic, Hospital of Merano (SABES-ASDAA), BZ, Italy.
Leopold SaltuariDepartment of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA) - Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Margarethenstr. 24, 39049, Vipiteno-Sterzing, BZ, Italy.
Luca SebastianelliDepartment of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA) - Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Margarethenstr. 24, 39049, Vipiteno-Sterzing, BZ, Italy.
Viviana VersaceDepartment of Neurorehabilitation, Hospital of Vipiteno (SABES-ASDAA) - Lehrkrankenhaus der Paracelsus Medizinischen Privatuniversität, Margarethenstr. 24, 39049, Vipiteno-Sterzing, BZ, Italy.
Roberto MaestriIRCCS Istituti Clinici Scientifici Maugeri, Montescano, Pavia, Italy.
Istituti Clinici Scientifici Maugeri · ITKrankenhaus Meran · ITUniversity of Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatigue, attentional deficits and cognitive fluctuations are the most characterizing symptoms of neurological involvement in Post COVID-19 syndrome (PCS). As the intraindividual variability (IIV) in cognitive performances has been recognized as a hallmark of brain-related disorders associated with cognitive deficits, it could be an interesting measure to elucidate the mechanisms subtending both the attentive impairment and the cognitive fluctuations in these patients. By referring to IIV analysis of Reaction Times (RTs), the present study aims to define the attentive impairment and its relation to fluctuations and fatigue, in patients suffering from Post COVID-19 neurological symptoms. 74 patients were enrolled. They underwent an extensive clinical and neuropsychological assessments, as well as computerized Sustained Attention and Stroop tasks. For studying IIV, RTs distributions of performances in computerized tasks were fitted with ex-Gaussian distribution, for obtaining the τ values. Finally, the Resting Motor Threshold (RMT) was also collected to estimate cortical excitability. 29 healthy volunteers served as controls. Patients showed poorer scores in Montreal Cognitive Assessment and higher RMT, in comparison with controls. In Sustained Attention Task, Mean, µ, σ and τ values were significantly higher in PCS patients (p value =  < 0.0001; 0.001; 0.018 and < 0.0001, respectively). Repeated measures ANOVA comparing the RTs mean in Stroop task within-subject and between-subjects revealed significant condition and group effect (p < 0.0001 both) and significant interaction (p = 0.005), indicating worst performances in patients. The mean of the derived interference value was significantly higher in PCS patients than in controls (p = 0.036). Patients suffering from PCS show deficits in attention, both in the sustained and executive components. Both high RTs means and high IIV subtend these deficits and could explain the often-complained cognitive fluctuations in this population.

Indexed as

COVID-19CognitionFatigueHumansNeuropsychological TestsPost-Acute COVID-19 SyndromeReaction Time

Identifiers

PMID35907947
PMCPMC9338963
OpenAlexW4288758321

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.