Evidence map›Paper›PMID 42215824›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Temporal patterns of neurological deterioration in COVID-19 survivors: a longitudinal cohort analysis of post-acute neurological sequelae.

Kang Wang, Yan Zhang, Hui Zhao, Tong Zhao

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 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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5 · Who and what money

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4 authors.

Kang WangDepartment of Neurology, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, 271000, China.
Yan ZhangDepartment of Neurology, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, 271000, China.
Hui ZhaoDepartment of Endocrinology, The First People's Hospital of Tai'an, Tai'an, Shandong, 271000, China.
Tong ZhaoDepartment of Neurology, The Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, 271000, China. aa729291@163.com.ORCID http://orcid.org/0009-0005-2013-2478

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6 · The paper itself

Abstract

backgroundPost-acute neurological sequelae of COVID-19 represent a significant clinical challenge. The temporal evolution and predictive factors remain incompletely characterized.

methodsWe conducted a retrospective longitudinal cohort study of 386 COVID-19 survivors with assessments at baseline and 3, 6, 12, and 24 months. Primary outcomes included cognitive function (Montreal Cognitive Assessment [MoCA]), peripheral nerve function (nerve conduction studies [NCS]), and autonomic function (Composite Autonomic Symptom Score-31 [COMPASS-31]).

resultsAmong 386 participants (mean age 51.92±14.86 years; 53.9% female), cognitive impairment prevalence decreased from 67.6% at baseline to 43.4% at 24 months (P<0.001). Mean MoCA scores improved from 24.61±2.12 to 25.84±2.31. Autonomic dysfunction demonstrated a biphasic pattern with worsening at 6 months (COMPASS-31: 38.49±22.13 vs. 32.81±19.11 at 3 months). Peripheral neuropathy remained stable (42.5% to 45.0%). Independent predictors of persistent cognitive impairment included ICU admission (adjusted odds ratio [aOR] 2.84; 95% CI 1.52-5.31), age ≥65 years (aOR 1.95; 95% CI 1.18-3.22), and depression history (aOR 1.92; 95% CI 1.08-3.41).

conclusionsNeurological sequelae following COVID-19 demonstrate domain-specific recovery trajectories. Cognitive function improves gradually, autonomic dysfunction exhibits a biphasic pattern, and peripheral neuropathy persists. These findings support targeted, domain-specific rehabilitation strategies.

Indexed as

Cognitive DysfunctionCOVID-19Nervous System DiseasesPeripheral Nervous System DiseasesAdultAgedAutonomic Nervous System DiseasesFemaleHumansLongitudinal StudiesMaleMiddle AgedNerve Conduction StudiesPost-Acute COVID-19 SyndromeRetrospective StudiesSurvivorsAutonomic dysfunctionCognitive impairmentCOVID-19Long COVIDPeripheral neuropathyPost-acute sequelae

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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.