Evidence map›Paper›PMID 39446250›Full record

ArticleJournal of neurovirology2024

A systematic analysis of neurologic manifestations of Long COVID in Nigeria.

Iorhen Ephraim Akase, Osigwe Paul Agabi, Oluwadamilola Omolara Ojo, Roosevelt Amaobichukwu Anyanwu, Samuel Awodumila, Sodiq Ayilara, Obiamaka Jane Ede, Pheekanmilla Ghajiga, Olufunto Kalejaiye, Chibueze Nwanmah and 8 more

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Article in Journal of neurovirology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Iorhen Ephraim AkaseDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Osigwe Paul AgabiDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Oluwadamilola Omolara OjoDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Roosevelt Amaobichukwu AnyanwuCentral Research Laboratory, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Samuel AwodumilaDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Sodiq AyilaraDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Obiamaka Jane EdeDepartment of Medicine, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria.
Pheekanmilla GhajigaDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Olufunto KalejaiyeDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Chibueze NwanmahDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Francisca NwaokorieDepartment of Medical Laboratory Science, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Ann OgbennaDepartment of Hematology & Blood Transfusion, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Moyinoluwa OlajideDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.
Gina S Perez-GiraldoDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Zachary Steven OrbanDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Millenia JimenezDavee Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Igor Jerome KoralnikDivision of Neuro-Infectious Diseases and Global Neurology, Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. igor.koralnik@northwestern.edu.
Njideka Ulunma OkubadejoDepartment of Medicine, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Idi Araba, Lagos State, Nigeria.

Funding

Robert J. Havey Institute for Global Health, Northwestern University, Feinberg School of Medicine Catalyzer award # 1055
6 · The paper itself

Abstract

Long COVID, also called post-acute sequelae of SARS-CoV-2 infection (PASC) affects millions of people in the world. The neurologic manifestations of PASC (Neuro-PASC) are among the most debilitating but they are largely unreported in Africa. We sought to compare the demographics, symptoms and cognitive profile of post-hospitalization Neuro-PASC (PNP) and non-hospitalized Neuro-PASC (NNP) patients in Nigeria. In this cross-sectional study performed at the Lagos University Teaching Hospital, 106/2319 (4.6%) SARS-CoV-2 positive individuals contacted via telephone reported Neuro-PASC symptoms with a higher frequency in PNP than in NNP individuals ((23/200 (11.5%) vs. 83/2119 (3.9%), p = < 0.0001). The predominant neurologic symptoms at any time during the disease course were difficulty remembering / brain fog (63/106; 59.4%), fatigue (59/106; 55.7%), sleep problems (34/106; 32%), headache (33/106; 31%), paresthesia (12/106; 11.3%), and myalgia (10/106; 9.4%). Of 66 participants with Neuro-PASC who underwent in-person neurological evaluation and cognitive screening, all had normal scores on the Intervention for Dementia in Elderly Africans cognition screen, while 11/65 (16.9%) that completed the Montreal Cognitive Assessment had results consistent with mild cognitive impairment (3/16 PNP (18.8%) and 8/49 NNP (16.3%); p = 1.0). Finally, 47/66 (71.2%) had digit span test scores consistent with mild cognitive dysfunction (12/16 PNP (75%) and 35/50 (70%) NNP; p = 1.0). Our findings reveal the previously unrecognized occurrence of Neuro-PASC among COVID-19 survivors in Nigeria and highlight the need for improved screening and diagnosis of Neuro-PASC in our population. Development of cognitive support services for persons suffering from Neuro-PASC in Nigeria is warranted.

Indexed as

Cognitive DysfunctionCOVID-19AdultAgedCross-Sectional StudiesFatigueFemaleHeadacheHumansMaleMiddle AgedNigeriaParesthesiaPost-Acute COVID-19 SyndromeSARS-CoV-2Sleep Wake DisordersCOVID-19Long COVIDMild cognitive impairmentNeurologyNigeriaPost-acute sequelae of SARS-CoV-2 infection (PASC)SARS-CoV-2

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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.