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Sci Rep . Cognitive impairment 2 years after mild to severe SARS-CoV-2 infection in a population-based study with matched-comparison groups

tetano

Editor, Senior Moderator
Sci Rep


. 2025 Jul 8;15(1):24335.
doi: 10.1038/s41598-025-96608-0. Cognitive impairment 2 years after mild to severe SARS-CoV-2 infection in a population-based study with matched-comparison groups

Natália Araújo[SUP] 1 2 [/SUP], Isa Silva[SUP] 3 [/SUP], Patrícia Campos[SUP] 3 4 [/SUP], Adriana Costa[SUP] 3 5 [/SUP], Catarina Lopes[SUP] 3 5 [/SUP], Mariana Seco[SUP] 6 [/SUP], Ana Rute Costa[SUP] 3 5 [/SUP], Maria Margarida Calejo[SUP] 6 [/SUP], Maria Joana Pais[SUP] 3 [/SUP], Susana Pereira[SUP] 3 7 [/SUP], Samantha Morais[SUP] 3 [/SUP], João Firmino Machado[SUP] 3 8 [/SUP], Luís Ruano[SUP] 3 9 [/SUP], Nuno Lunet[SUP] 3 5 [/SUP], Vítor Tedim Cruz[SUP] 3 6 [/SUP]



Affiliations
Abstract

COVID-19 may have long lasting cognitive consequences. Studies with a follow-up longer than 1 year after infection are lacking. This study presents the prevalence of cognitive impairment 2 years after SARS-CoV-2 infection in survivors of the first year of the pandemic and comparison groups matched 1:1 for sex, age, and level of care. Users of the Local Health Unit of Matosinhos (comprising almost all citizens of the municipality) were retrospectively selected according to hospitalization and SARS-CoV-2 infection between March 2020 and February 2021: group #1, hospitalized for COVID-19 (n = 101); group #2, hospitalized, uninfected (n = 87); group #3, non-hospitalized, infected (n = 252); group #4, non-hospitalized, uninfected (n = 258). Between July 2022 and October 2023, all participants completed the Montreal Cognitive Assessment. Those with a score below 1.5 SD of age- and education-specific norms (n = 279) were invited for a comprehensive neuropsychological assessment to identify cognitive impairment. The prevalence of cognitive impairment was higher in group #1 than #2 (19.1% vs. 6.8%; adjusted OR 5.41, 95% CI 1.54, 19.03) and in group #3 than #4 (10.7% vs. 3.2%; adjusted OR 3.27, 95% CI 1.23, 8.67). These results suggest that specific care to timely diagnose and treat cognitive impairment is needed for COVID-19 survivors of the first year of the pandemic.

Keywords: COVID-19; Cognitive impairment; Neuropsychological assessment; SARS-CoV-2 infection.

 
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