Monocytosis in the acute phase of SARS-CoV-2 infection predicts the presence of anosognosia for cognitive deficits in the chronic phase.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_F66434088899
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Monocytosis in the acute phase of SARS-CoV-2 infection predicts the presence of anosognosia for cognitive deficits in the chronic phase.
Journal
Brain, behavior, & immunity - health
Author(s)
Nuber-Champier A., Voruz P., Jacot de Alcântara I., Breville G., Allali G., Lalive P.H., Assal F., Péron J.A.
ISSN
2666-3546 (Electronic)
ISSN-L
2666-3546
Publication state
Published
Issued date
12/2022
Peer-reviewed
Oui
Volume
26
Pages
100511
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Reduced awareness of neuropsychological disorders (i.e., anosognosia) is a striking symptom of post-COVID-19 condition. Some leukocyte markers in the acute phase may predict the presence of anosognosia in the chronic phase, but they have not yet been identified. This study aimed to determine whether patients with anosognosia for their memory deficits in the chronic phase presented specific leukocyte distribution in the acute phase, and if so, whether these leukocyte levels might be predictive of anosognosia. First, we compared the acute immunological data (i.e., white blood cell differentiation count) of 20 patients who displayed anosognosia 6-9 months after being infected with SARS-CoV-2 (230.25 ± 46.65 days) versus 41 patients infected with SARS-Cov-2 who did not develop anosognosia. Second, we performed an ROC analysis to evaluate the predictive value of the leukocyte markers that emerged from this comparison. Blood circulating monocytes (%) in the acute phase of SARS-CoV-2 infection were associated with long-term post-COVID-19 anosognosia. A monocyte percentage of 7.35% of the total number of leukocytes at admission seemed to predict the presence of chronic anosognosia 6-9 months after infection.
Keywords
(AUC), Area under the curve, (CRP), C-reactive protein, (FDR), false discovery rate, (HCoV), human coronavirus, (HIV), human immunodeficiency virus, (HUG), Geneva University Hospitals, (ICU), intensive care unit, (ROC), receiver operating characteristic, (RT-PCR), reverse transcription polymerase chain reaction, (SAE), sepsis-associated encephalopathy, Anosognosia, Cognition, Immunology, Monocytes, Neuropsychology, Post-COVID-19 condition, SARS-CoV-2
Pubmed
Open Access
Yes
Funding(s)
Swiss National Science Foundation / Programmes / 407840_198438
Create date
27/09/2022 8:15
Last modification date
03/10/2023 6:17
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