Neuropsychological Sequelae and Long COVID-19 Fatigue

NCT ID: NCT05323318

Last Updated: 2023-03-14

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

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-04-01

Study Completion Date

2023-04-30

Brief Summary

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An association of fatigue with post-viral neuropsychological disturbs has been reported. Among patients hospitalized with COVID-19 there is an increased incidence of anxiety and depression symptoms. In addition, a quarter of patients experience at least mild symptoms of acute post traumatic stress disorder. (Mazza, M. G. et al 2020). The prevalence of chronic fatigue syndrome had a correlation with post-traumatic stress disorder (PTSD) in a study conducted after the outbreak of the COVID-19 in Iran (Silmani et al, 2021), that showed 5.8% of subjects suffering from PTSD after 6 months of SARS-CoV-2 infection onset.

In this Study we propose to use a tool to quantify the degree of physical and psychological fatigue in post-COVID-19 patients, and assess the correlation of fatigue with the neuropsychiatric sequelae in hospitalized and non hospitalized patients.

Detailed Description

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This study will address the neuropsychiatric sequelae that remain for at least 6 months after SARS-CoV-2 acute infection, as depression, anxiety and/or post-traumatic stress disorder.

The patiensts will be assessed at the post-COVID-19 outpatient clinics of five Portuguese Hospitals. In the first visit (T1) will be collected the demographic characteristics; the medical history; and the screening of acute disease symptoms and severity. In the second visit (T2), the time frame will be at least 6 months after the positive test and no longer than 9 months, a set of structured questionnaires will be provided, including: the Chalder Fatigue Scale, Anxiety and Depression Hospital Scale (HADS), The Posttraumatic Stress Symptoms-14 (PTSS-14) adapted to COVID-19 and the EuroQol 5-Dimensions (EQ-5D).

Conditions

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Anxiety Depression Post Traumatic Stress Disorder Mental Fatigue COVID-19 Fatigue Syndrome, Chronic

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Neuropsychological Sequelae

Post-COVID-19 symptomatic patients with neuropsychological sequelae

Neuropsychological Sequelae

Intervention Type OTHER

Neuropsychological Sequelae after SARS-CoV-2 symtomatic infection

Without Neuropsychological Sequelae

Post-COVID-19 symptomatic patients Without neuropsychological sequelae

No interventions assigned to this group

Interventions

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Neuropsychological Sequelae

Neuropsychological Sequelae after SARS-CoV-2 symtomatic infection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ≥18 years;
* Previous COVID-19 at least six months after the diagnosis duly documented in the clinical record;
* Persistent symptoms after cure criteria defined by WHO Symptomatic patients that attend the post-COVID-19 follow-up consultation of the study centres.
* SARS-CoV-2 RNA confirmed by a positive real-time reverse-transcription polymerase chain reaction on a nasopharyngeal swab.
* SARS-CoV-2 antigen confirmed on a nasopharyngeal swab, by a healthcare professional.

Exclusion Criteria

* Patients with PTSD previous diagnosis
* Severe psychiatric disorders documented in the clinical record
* Patients not able to respond the questionnaire
* Patients who had a concomitant severe neurological disorder
* Clinical and radiological diagnosis of Stroke with sequelae
* Clinical diagnosis of Alzheimer's Disease
* Clinical diagnosis of Parkinson's disease
* Patients with persistent fatigue symptoms in the 6 months before SARS-CoV 2 infection
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade do Algarve

OTHER

Sponsor Role collaborator

Universidade do Porto

OTHER

Sponsor Role collaborator

Centro Hospitalar Universitario do Algarve

OTHER

Sponsor Role lead

Responsible Party

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Ligia Pires

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ligia Pires, MD

Role: STUDY_CHAIR

Centro Hospitalar Universitario do Algarve

Joana Berger, PHD

Role: STUDY_DIRECTOR

Universitat Bern

Ligia Pires, MD

Role: PRINCIPAL_INVESTIGATOR

Centro Hospitalar Universitario do Algarve

Marta Drummond, PHD

Role: PRINCIPAL_INVESTIGATOR

Universidade do Porto

Locations

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Hospital Particular de Alvor

Alvor, , Portugal

Site Status RECRUITING

Hospital Professor Doutor Fernando Fonseca (Hff)

Amadora, , Portugal

Site Status COMPLETED

Hospital de Faro (Chua)

Faro, , Portugal

Site Status COMPLETED

Hospital de Portimao

Portimão, , Portugal

Site Status RECRUITING

Hospital de Sao Sebastiao (Chedv)

Santa Maria da Feira, , Portugal

Site Status RECRUITING

Hospital de Vila Franca de Xira (Hvfx)

Vila Franca de Xira, , Portugal

Site Status SUSPENDED

Countries

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Portugal

Central Contacts

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Ligia Pires, MD

Role: CONTACT

+351282450300 ext. 43168

Inês Simões, MD

Role: CONTACT

+351282450300 ext. 43066

Facility Contacts

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ANA FONTES, PHD

Role: primary

282420400

Ligia Pires, MD

Role: backup

Ligia S Pires, MD

Role: primary

+351282450300 ext. 35115

Inês Simões, MD

Role: backup

+351282450300 ext. 43066

Ana Sofia Barroso, MD

Role: primary

+351 256 379 700

Jorge Ferreira, Prof

Role: backup

+351 256 379 700

References

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Ferreira LN, Ferreira PL, Pereira LN, Oppe M. The valuation of the EQ-5D in Portugal. Qual Life Res. 2014 Mar;23(2):413-23. doi: 10.1007/s11136-013-0448-z. Epub 2013 Jun 8.

Reference Type BACKGROUND
PMID: 23748906 (View on PubMed)

Jackson C. The Chalder Fatigue Scale (CFQ 11). Occup Med (Lond). 2015 Jan;65(1):86. doi: 10.1093/occmed/kqu168. No abstract available.

Reference Type BACKGROUND
PMID: 25559796 (View on PubMed)

Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP. Development of a fatigue scale. J Psychosom Res. 1993;37(2):147-53. doi: 10.1016/0022-3999(93)90081-p.

Reference Type BACKGROUND
PMID: 8463991 (View on PubMed)

Rasa S, Nora-Krukle Z, Henning N, Eliassen E, Shikova E, Harrer T, Scheibenbogen C, Murovska M, Prusty BK; European Network on ME/CFS (EUROMENE). Chronic viral infections in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). J Transl Med. 2018 Oct 1;16(1):268. doi: 10.1186/s12967-018-1644-y.

Reference Type BACKGROUND
PMID: 30285773 (View on PubMed)

Simani L, Ramezani M, Darazam IA, Sagharichi M, Aalipour MA, Ghorbani F, Pakdaman H. Prevalence and correlates of chronic fatigue syndrome and post-traumatic stress disorder after the outbreak of the COVID-19. J Neurovirol. 2021 Feb;27(1):154-159. doi: 10.1007/s13365-021-00949-1. Epub 2021 Feb 2.

Reference Type RESULT
PMID: 33528827 (View on PubMed)

Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, Melloni EMT, Furlan R, Ciceri F, Rovere-Querini P; COVID-19 BioB Outpatient Clinic Study group; Benedetti F. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020 Oct;89:594-600. doi: 10.1016/j.bbi.2020.07.037. Epub 2020 Jul 30.

Reference Type RESULT
PMID: 32738287 (View on PubMed)

Pires L, Reis C, Mesquita Facao AR, Moniri A, Marreiros A, Drummond M, Berger-Estilita J. Fatigue and Mental Illness Symptoms in Long COVID: Protocol for a Prospective Cohort Multicenter Observational Study. JMIR Res Protoc. 2024 Jan 19;13:e51820. doi: 10.2196/51820.

Reference Type DERIVED
PMID: 38241071 (View on PubMed)

Other Identifiers

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141/21

Identifier Type: -

Identifier Source: org_study_id

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