Когнитивные нарушения у пациентов, перенесших COVID-19

Abstract

The purpose — to assess the severity of cognitive deficit in patients with previous COVID-19. Material and methods. We examined 20 patients after COVID-19 hospitalized in the Pulmonology Department of Republic Clinical Hospital of the Republic of Tatarstan. All patients underwent general clinical and laboratory examination, computed tomography of the lungs, and tests with a 6-minute walk. To assess the severity of dyspnea, we used the MMRS questionnaire and the Borg scale. We used the Montreal Cognitive Assessment Scale (MoCA), the Mini-Cog test, and the MMSE to identify cognitive functions. Results. After analyzing the data of patients with mild severity (CT 1), we found that cognitive functions and the volume of lung lesions did not have a significant relationship. In patients with large lung lesions (CT 2–4), there was a correlation between the detection rate and the percentage of frosted glass detection on the one hand and the results of the MiniCog test, on the other (r = -0,69 and r = -0,93). Also, in this group of patients, we found a strong positive correlation (r = -0,8) between the frosted glass ratio and the Borg score at rest. It shows that patients with smaller changes in the lungs assess the dyspnea severity more correctly. Conclusion. Patients after COVID-19 have cognitive impairments of varying severity. In the group of patients with more severe lung damage (CT 2–4), there are changes in cognitive functions that correlate with the functional status of the patient.