Approach to a methodology for the detection and characterization of cognitive deficit in neurocognitive disorders of possible post-COVID-19 etiology

Authors

  • Dania Barzaga Saborit Hospital General Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, Cuba
  • Dayana Giraudy Barzaga Hospital General Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, Cuba

Keywords:

cognitive deficit; neurocognitive disorder; post COVID-19

Abstract

The psychiatric and neurocognitive symptoms caused by COVID-19 can also appear late and persist after infection and therefore be part of the Post-COVID-19 Syndrome. Difficulties in the ability to concentrate or pay attention, memory, emotional lability, language alterations, euphoria, irritability and fatigue are symptoms that may be related to post-traumatic stress experienced by these patients. However, cognitive deterioration is evident when a decrease in performance in the domains of executive function, memory and attention is identified. These neurocognitive sequelae are one of the most reported and in turn, they are identified as those with the greatest impact and influence on the quality of life of post-COVID-19 patients. Materials and methods: To obtain the primary data, it will be extracted directly from the patient through an in-depth interview and physical examination that will be carried out on them, corroborating with family members, depending on the case, the validity of the information related to the clinical manifestations of symptoms of neurocognitive deficit and the time of their appearance, as well as the application of neuropsychological and neurophysiological techniques that will allow a more in-depth evaluation of the cognitive domains. Results: Particularly the neurophysiological studies that will be recorded in the study, constitute non-invasive and completely harmless diagnostic procedures, incorporation into the study will be carried out through the principle of voluntariness and the patient may withdraw from the study at any time. The presentation of the results will not include in any case the identity of the subjects or patients studied. Discussion: Particularly the neurophysiological studies that will be recorded in the study, constitute non-invasive and completely harmless diagnostic procedures, incorporation into the study will be carried out through the principle of voluntariness and the patient may withdraw from the study at any time. The presentation of the results will not include in any case the identity of the subjects or patients studied. Conclusions: It is important to note that Neuropsychological Tests are very useful for neuropsychological evaluation within clinical practice. However, since Post-COVID-19 Syndrome is a new entity in the field of research, we cannot consider its results conclusive. Therefore, there is a need to combine support tools that can objectively indicate the diagnosis of neurocognitive disorder, as well as the degree of severity and whether or not the deterioration is reversible. In addition, to evaluate its evolution and the result of neurocognitive intervention strategies.

References

Acosta, R. et al. (2020). Rehabilitación post COVID-19: un desafío vigente. Revista Médica de Chile, 148, 1518-1534.

Alamakanti,S., Raman, K.V. y Priya, J. (2021) Cognitive assessment in asymptomatic COVID-19 subjects. Virusdisease, 15, 1-4. http://doi.org/10.1007/s13337-021-00663-w

Beaud, V. et al. (2021). Pattern of cognitive deficits in severe COVID-19. Neurol Neurosurg Psychiatry, 92, 567-568.http:// dx. doi.org/10.1136/jnnp-2020-325173

Caicedo, K. D., et al. (2022). Impacto en las funciones de atención y memoria en pacientes recuperados de COVID-19 pertenecientes a Yopal, Casanare. http://hdl.handle.net/20.500.12749/18561

Carod-Artal, F. J. (2020). Complicaciones neurológicas por coronavirus y COVID-19. Revista de Neurología, 70(09), 311322. https://doi.org/10.33588/rn.7009.2020179

Carrara, C. (2020). Persistencia de síntomas en pacientes con COVID-19. Evid. Actualización en la práctica ambulatoria, 23(3).

COVID-19 rapid guideline: Managing the long-term effects of COVID-19. National Institute for Health and Care Excellence (NICE). 18 Dic 2020 [consultado 18 de junio de 2021]. www.nice.org.uk/guidance/ng188.

Chiappelli, F. (2020). Towards Neuro-COVID-19. Bioinformation, 16(4), 288-292. https://doi.org/10.6026/97320630016288

Dickerson B. C., Sperling R. A., Hyman B. T., Albert M. S., Blacker D. (2007). Clinical prediction of Alzheimer disease dementia across the spectrum of mild cognitive impairment. Arch. Gen. Psychiatry, 64, 1443–145010.1001/archpsyc.64.12.1443

Dirnberger G., Lang W., Lindinger G. “Differential effects of age and executive functions on the resolution of the contingent negative variation: a reexamination of the frontal aging theory”. Psychopharmacology (Berl). 2011 ec; 218(3): 533–542. doi: 10.1007/s00213-011-2345-x.

Falcon, M. (2020). Percepción de calidad de vida después del alta en pacientes COVID-19. Revista Ciencia y Arte de Enfermería, 5(2), 11-18.

Figueroa, C. (2020). Programa de Neurorehabilitación para el tratamiento de las secuelas post COVID-19. Sobre ruedas, 103, 19-24.

Fotuhi, M., Mian, A., Meysami, S., y Raji, C. A. (2020). Neurobiology of COVID-19.Journal of Alzheimer's disease, 76(1), 3-19.

Fotuhi, M., Mian, A., Meysami, S., y Raji, C. A. (2020). Neurobiology of COVID-19.Journal of Alzheimer's disease, 76(1), 3-19.

Guo, P. et al. (2022). COVCOG 1: factores predictores de síntomas físicos, neurológicos y cognitivos en COVID-19 prolongado en una muestra comunitaria. una primera publicación del estudio COVID-19y cognición. Frente. EnvejecimientoNeurosci. 14:804922 doi: 10.3389/FNAGI.2022.804922

Guo, P. et al. (2022). COVCOG 1: factores predictores de síntomas físicos, neurológicos y cognitivos en COVID-19 prolongado en una muestra comunitaria. una primera publicación del estudio COVID-19 y cognición. Frente. EnvejecimientoNeurosci. 14:804922.doi: 10.3389/FNAGI.2022.804922

Hellmuth, J. et al. (2021) Persistent COVID-19 associated neurocognitive symptoms in non hospitalized patients. Journal of NeuroVirology, 27, 191-195. https://doi.org/10.1007/s13365-021-00954-4

Inciardi, R. M. et al. (2020). Cardiac Involvement in a Patient With Coronavirus Disease 2019 (COVID-19). http://www/jamacardio.2020.1096

Jaywant, A. et al. (2021). Frequency and profile of objective cognitive deficits in hospitalized patients recovering from COVID-19. Neuropsychopharmacology, 1–6. https://doi.org/10.1038/s41386-021-00978-8

Manriquez, L. et al. (2021). Afectaciones cognitivo-lingüísticas en personas con COVID-19: una revisión sistemática de la literatura empírica. Cuadernos de Neuropsicología/Panamerican Journal of Neuropsychology, 15(3). doi: 10.7714/CNPS/15.3.203

Mattioli, F., Stampatori, C., Righetti, F., Sala, E., Tomasi, C., & De Palma, G. (2021). Neurological and cognitive sequelae of COVID-19: a four month follow-up. Journal of Neurology. https://doi.org/10.1007/s00415-021-10579-6

Nasserie T., Hittle, M. y Goodman, SN. (2021). Assessment of the Frequency and Variety of Persistent Symptoms Among Patients With COVID-19: A Systematic Review. JAMA Netw Open, 4(5), e2111417.

Negrini, F., Ferrario, I., Mazziotti, D., Berchicci, M., Bonazzi, M., de Sire, A., Negrini, S., &Zapparoli, L. (2021).Neuropsychological Features of Severe Hospitalized Coronavirus Disease 2019 Patients at Clinical Stability and Clues for Postacute Rehabilitation. Archives of Physical Medicine and Rehabilitation, 102(1), 155–158. https://doi.org/10.1016/j.apmr.2020.09.376

Pan, Y. et al. (2021). Alteration of Autonomic Nervous System Is Associated With Severity and Outcomes in Patients With COVID-19. Front Physiol [Internet]. 2021 May 19 [cited 2022 Apr 23];12:630038. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170133/

Rogers, JP. et al. (2020). Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta-analy- sis with comparison to the COVID-19 pandemic. LancetPsychiatry, 7(7), 611-27. DOI: 10.1016/s2215-0366(20)30203-0

Simpson R. y Robinson, L. (2020). Rehabilitation After Critical Illness in People With COVID-19 Infection. Am J Phys Med Rehabil, 99, 470–4. https://doi.org/10.1097/PHM.0000000000001443.

Taquet M. et al. (2021). Incidence, co-occurrence, and evolution of long-COVID-features: A 6month retrospective cohort study of 273,618 survivors of COVID-19. PLOS Med., 18(9), e1003773.

Taquet, M., Luciano, S., Geddes, JR. y Harrison, PJ. (2021). Bidirectional associa- tions between COVID-19 and psychiatric disorder: retrospective co-hort studies of 62 354 COVID-19 cases in the USA. Lancet Psychia-try. 2021;8(2):130-40. DOI: 10.1016/s2215-0366(20)30462-4

Torales, J., O’Higgins, M., Castaldelli-Maia, JM. y Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health.Int J SocPsychiatry. 2020:20764020915212. https:// doi.org/10.1177/002076402091521

Vindegaard, N. y Benros, ME. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. BrainBehavImmun, 89, 531-42. https://doi.org/10.1016/j. bbi.2020.05.048

Wohleb, E., Franklin, T., Iwata, M. y Duman, RS. (2016). Integrating neuroimmune systems in the neurobiology of depression.NatRevNeurosci. 2016;17(8):497-511. DOI: https://doi.org/10.1038/nrn.2016.69

Yung-Fang, T. et al. (2020). A review of SARS-CoV-2 and the ongoing clinical trials. Int J Mol Sci 21: E2657.

Zhou, H., Lu, S., Chen, J., Wei, N., Wang, D., Lyu, H., Shi, C., & Hu, S. (2020). The landscape of cognitive function in recovered COVID-19 patients.Journal of Psychiatric Research, 129, 98–102. https://doi.org/10.1016/j.jpsychires.2020.06.022

Published

2024-05-31

How to Cite

Barzaga Saborit , D., & Giraudy Barzaga , D. (2024). Approach to a methodology for the detection and characterization of cognitive deficit in neurocognitive disorders of possible post-COVID-19 etiology. Maestro Y Sociedad, 21(2), 887–898. Retrieved from https://maestroysociedad.uo.edu.cu/index.php/MyS/article/view/6454

Issue

Section

Artículos