Observational studyScientific reports2026
Long-term cognitive outcomes after mild COVID-19, critical COVID-19, and non-COVID critical illness: a prospective cohort comparison.
Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long-term cognitive impairment is a recognized sequela of the post-COVID-19 condition (PCC). While it is unclear how acute COVID-19 severity contributes to these lasting deficits, some evidence suggests that critical illness may lead to cognitive deficits similar to post-intensive care syndrome. This study examined long-term cognitive, mental, and physical health in patients with varying acute COVID-19 severity (mild to critical), alongside patients critically ill from non-COVID-19 causes. We conducted a bicentric prospective observational study comparing patients with PCC after mild COVID-19 (n = 30), those requiring ICU care for acute COVID-19 (n = 14), and patients with prolonged non-COVID-19 ICU stays (n = 7), all assessed ≥ 12 weeks post-onset. Comprehensive neuropsychological assessments were conducted alongside evaluations of physical impairments, psychiatric symptoms, fatigue and health-related quality of life. Overall cognition was comparable between the mild COVID-19 and ICU groups. However, the mild COVID-19 group experienced higher cognitive fatigue and lower memory satisfaction than both ICU groups, along with higher rates of anxiety (59% vs. 15%) and depression (38% vs. 15%), and reduced mental health-related quality of life compared to COV-ICU patients. Long-term cognitive impairment occurred in PCC patients and ICU survivors, irrespective of acute disease severity. Patients with mild COVID-19 reported greater long-term psychological distress.Trial registration: This study was retrospectively registered at the German Clinical Trials Register, DRKS00025523 on 21 June 2021 ( https://drks.de/search/de/trial/DRKS00025523 ).
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