Cognitive and Psychological Disorders After Severe COVID-19 Infection

NCT ID: NCT04937582

Last Updated: 2024-02-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-23

Study Completion Date

2023-09-27

Brief Summary

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As COVID-19 pandemic is still ongoing, patients follow-up begins to reveal cognitive and psychological disorders. There are not yet well described, neither their physiopathology. This study will consist in the detection and characterization of cognitive and psychological impairments in young patients under 65 years of age who have been hospitalized more than 72 hours for a severe COVID-19 infection.

Detailed Description

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Initial consecutive screening of patients (\<65 years) hospitalized between the 01/10/2020 and the 01/07/2021 for more than 72 hours for COVID-19 infection in 6 hospitals of the East of France. If detection of cognitive complaints (QPC scale : Questionnaire of cognitive complaints), continuation of the study.

Evaluation with cognitive assessments, morphological and functional imaging and EEG will be done at 9 ± 3 months and 2 years after initial hospitalisation. Data will be collected concerning social and professional outcome.

An ancillary study will be conducted at the Nancy University Hospital. This ancillary study is entitled "TRAUMA-COV: Screening and therapeutic proposal of post-traumatic sequelae in the aftermath of a severe Covid-19 in young subjects". The main objective of this study is to evaluate the incidence of post-Covid-19 post-traumatic disorders (post-traumatic stress disorder, psychogenic and somatoform dissociative tendency, neurological dissociative disorder) in a longitudinal way. This optional study will be offered to all patients from the main study who meet the selection criteria.

Conditions

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COVID 19

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Confirmed cognitive disorder

Patients with abnormal QPC score at screening visit and confirmed cognitive disorder on the neuropsychological assessment during Visit V1.

Intervention Completed by MRI (magnetic resonance imaging), EEG (Electroencephalogram) and possible psychiatric evaluation at Visit 1B.

Follow-up 2 years after initial hospitalisation (Visit 2 : neuropsychological assessment ; if needed MRI, EEG, lumbar puncture)

Group Type EXPERIMENTAL

Cognitive assessment

Intervention Type DIAGNOSTIC_TEST

Complete cognitive and psychological assessment

Imaging

Intervention Type DIAGNOSTIC_TEST

Brain MRI

Optional: Brain FDG PET (Brain positron emission tomography with F-18 fluorodeoxyglucose)

Routine care

Intervention Type DIAGNOSTIC_TEST

Electroencephalogram (EEG)

Optional: polysomnography, lumbar puncture

Psychiatric evaluation

Intervention Type OTHER

Psychiatric consultation if necessary

Absence of cognitive disorder

Patients with abnormal QPC score at screening and absence of cognitive disorder on the neuropsychological assessment during Visit V1.

Group Type EXPERIMENTAL

Cognitive assessment

Intervention Type DIAGNOSTIC_TEST

Complete cognitive and psychological assessment

Psychiatric evaluation

Intervention Type OTHER

Psychiatric consultation if necessary (before the end of their participation in the study)

Interventions

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Cognitive assessment

Complete cognitive and psychological assessment

Intervention Type DIAGNOSTIC_TEST

Imaging

Brain MRI

Optional: Brain FDG PET (Brain positron emission tomography with F-18 fluorodeoxyglucose)

Intervention Type DIAGNOSTIC_TEST

Routine care

Electroencephalogram (EEG)

Optional: polysomnography, lumbar puncture

Intervention Type DIAGNOSTIC_TEST

Psychiatric evaluation

Psychiatric consultation if necessary

Intervention Type OTHER

Psychiatric evaluation

Psychiatric consultation if necessary (before the end of their participation in the study)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients between 18 and 65 years of age (at discharge of hospitalization),
* Patient hospitalized for more than 72 hours (in intensive care or conventional sector) for a COVID-19 infection defined by a positive PCR (Polymerase Chain Reaction) test and/or typical aspect on thoracic scanner,
* Patient discharged from hospital between 01/10/2020 and 01/04/2021,
* Patient with suspected cognitive impairment (obtaining a pathologic QPC score) during the phone screening,
* Patient having received complete information on the organization of the research and having given written informed consent (or a third person, independent of the investigator and the sponsor, in case of inability to read or write),
* Patient affiliated with a social security plan or beneficiary of such a plan,
* Patient with a sufficient level of written French comprehension to complete the cognitive assessment.

Exclusion Criteria

* Inability to travel to perform the BNP or additional tests,
* Contraindication to perform brain MRI (pacemaker, etc.),
* Presence of chronic neurological diseases (multiple sclerosis, neurodegenerative disease, epilepsy) and/or major cognitive disorders (stroke, head trauma) pre-COVID-19,
* Presence of psychiatric disorder historys (bipolar or psychotic illness) pre-COVID-19,
* Patients with very extensive post-COVID-19 brain damage leading to impossibility to realise cognitive assessment,
* Addictive history or comorbidities (alcoholism, drug use) with sequelae of cognitive impairment,
* Persons covered by articles L. 1121-5, L. 1121-7 and L1121-8 of the Public Health Code.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Besancon

OTHER

Sponsor Role collaborator

University Hospital, Strasbourg, France

OTHER

Sponsor Role collaborator

Centre Hospitalier Régional Metz-Thionville

OTHER

Sponsor Role collaborator

Centre hospitalier Epinal

UNKNOWN

Sponsor Role collaborator

Hopitaux Civils de Colmar

OTHER

Sponsor Role collaborator

Central Hospital, Nancy, France

OTHER

Sponsor Role lead

Responsible Party

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Lucie HOPES

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Nancy University Hospital, Department of Neurology

Nancy, , France

Site Status

Countries

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France

Other Identifiers

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2021-A00447-34

Identifier Type: -

Identifier Source: org_study_id

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