CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2022; 13(02): 236-245
DOI: 10.1055/s-0042-1743445
Original Article

Cognitive Deficits in Patients with COVID-19 Infection during Their Hospital Stay: An Exploratory Study

1   Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Arzoo Suman
1   Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Aseem Mehra
1   Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Ritu Nehra
1   Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Ashish Bhalla
2   Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Goverdhan Dutt Puri
3   Department of Anaesthesia and Critical Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India
,
Sandeep Grover
1   Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India
› Author Affiliations
Funding None.

Abstract

Background The literature on presence of cognitive deficits in patients recovered from coronavirus disease 2019 (COVID-19) infection is emerging. However, the data on whether cognitive deficits have its onset during the acute phase of illness has not been evaluated extensively.

Aim This article estimates the level of cognitive functioning of patients with COVID-19 while they were admitted to COVID-designated wards. Secondary objectives were to assess the influence of medical comorbidities, severity of COVID-19 infection, and depressive and anxiety symptoms on cognitive functioning in patients with COVID-19 infection.

Methods Sixty-six clinically stable patients with COVID-19 infection were evaluated during their inpatient stay on Hindi Montreal Cognitive Assessment scale (H-MoCA), Hindi Mini-Mental State Examination (HMSE) scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder Questionnaire -7.

Results The mean age of the study participants was 39.85 (standard deviation [SD] 16.89) years and the participants were evaluated after 9.34 (SD 4.98; median 9.0) days of being diagnosed with COVID-19 infection. About one-fourth (28.8%; n = 19) of the participants had cognitive impairment on HMSE and about two-fifths (n = 26; 39.39%) had cognitive impairment as per the cutoff used for H-MoCA. A higher level of cognitive deficits were seen among participants who were older, diagnosed with diabetes mellitus, and those who required oxygen support during their hospital stay prior to assessment.

Conclusion Low cognitive score was found in one-fourth (28.8%) to two-fifths (39.9%) of the persons, depending on the assessment scale among those with acute COVID-19 infection. Low cognitive score was more prevalent among the elderly, those with diabetes mellitus, and those who required oxygen support prior to the assessment.



Publication History

Article published online:
09 March 2022

© 2022. Association for Helping Neurosurgical Sick People. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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