认知障碍在轻度至重度SARS-CoV-2感染2年后,在一项基于人群的研究中,与匹配对比组进行了对比
Natália Araújo1,2, Isa Silva3, Patrícia Campos3,4
1EPIUnit ITR, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal. natalia.araujo@ispup.up.pt.
Scientific reports
|July 7, 2025
概括
在SARS-CoV-2感染2年后的认知障碍在住院COVID-19幸存者和非住院感染者中比未感染群体更为普遍. 早期诊断和治疗对于COVID-19幸存者至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- COVID-19的长期认知后果是一个越来越令人担忧的问题.
- 有限的研究已经研究了感染后一年以上的认知功能.
- 了解持续性认知缺陷对于患者护理和公共卫生战略至关重要.
研究的目的:
- 为了确定SARS-CoV-2感染后两年认知障碍的患病率.
- 为了比较住院COVID-19幸存者的认知障碍与未感染的住院患者.
- 为了比较非住院COVID-19幸存者的认知障碍与非住院未感染者的认知障碍.
主要方法:
- 来自马托辛霍斯当地卫生部门的参与者回顾性选择 (2020年3月 - 2021年2月).
- 建立了四个组:住院COVID-19,住院未感染者,非住院COVID-19和非住院未感染者.
- 使用蒙特利尔认知评估 (MoCA) 和全面的神经心理评估来评估认知功能.
主要成果:
- 住院COVID-19幸存者 (19.1%) 的认知障碍明显高于未感染住院的患者 (6.8%).
- 非住院感染者 (10.7%) 的认知障碍高于非住院未感染者 (3.2%).
- 调整后的几率比率表明,在两个感染群体中,认知障碍的风险显著增加.
结论:
- 感染后两年,早期大流行时期的COVID-19幸存者表现出更高的认知障碍患病率.
- 对于COVID-19幸存者来说,需要及时诊断和治疗认知障碍的具体干预措施.
- 这些发现强调了SARS-CoV-2感染的长期神经影响.
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