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Neuropsychological functioning of pediatric patients with long COVID.
Luedke, Jessica C; Vargas, Gray; Jashar, Dasal Tenzin; Malone, Laura A; Morrow, Amanda; Ng, Rowena.
Afiliación
  • Luedke JC; University of South Carolina, Columbia, SC, USA.
  • Vargas G; Kennedy Krieger Institute, Baltimore, MD, USA.
  • Jashar DT; Kennedy Krieger Institute, Baltimore, MD, USA.
  • Malone LA; Kennedy Krieger Institute, Baltimore, MD, USA.
  • Morrow A; Kennedy Krieger Institute, Baltimore, MD, USA.
  • Ng R; Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Neuropsychol ; 38(8): 1855-1872, 2024 Nov.
Article en En | MEDLINE | ID: mdl-38664068
ABSTRACT

Objective:

To determine the neurocognitive profile for youth with long COVID presenting with cognitive concerns.

Method:

This study is a case series of 54 pediatric patients (65% female, Mage = 13.48, SDage = 3.10, 5-19) with long COVID who were referred for neuropsychological testing from a post-COVID-19 multidisciplinary clinic. The outcomes of interest were neuropsychological test scores and parent ratings of mood, attention, and executive functioning. The percentage of patients with neuropsychological test scores below the 9th percentile (below average range) and those with at-risk or clinically significant scores (T-scores > 59) on parent-informant inventories were computed.

Results:

A portion of children with long COVID showed weaknesses in sustained attention (29%) and divided attention (35%). This portion of patients did not significantly differ when comparing patients with and without pre-existing attention and mood concerns. A high percentage of parents reported at-risk to clinically significant concerns for cognitive regulation (53%), depression (95%), anxiety (85%), and inattention (66%) on standardized questionnaires.

Conclusions:

The present case series showed that approximately a third of children with long COVID demonstrate objective weaknesses on sustained and divided attention tasks but were largely intact in other domains of neuropsychological functioning. Importantly, children with long COVID had similar difficulties in attention, regardless of pre-existing attention or mood concerns. Parents reported high rates of mood, anxiety, and executive functioning difficulties which likely impact daily functioning. Attention and emotional regulation should be closely monitored and treated as necessary in pediatric patients with long COVID to aid functional recovery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ejecutiva / COVID-19 / Pruebas Neuropsicológicas Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Clin Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ejecutiva / COVID-19 / Pruebas Neuropsicológicas Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Clin Neuropsychol Asunto de la revista: NEUROLOGIA / PSICOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido