Table 2.
Authors | Study Type | Number, Gender and Age of Patients (%) |
Patients with or without Neuropsychiatric History (n, %) |
Symptoms at Admission/during Hospitalization (n, %) |
Cognitive Impairment |
---|---|---|---|---|---|
Flores-Silva et al., 2021 [99] | Prospective, cross-sectional, observational | 375 F (35%), 697 M (65%), 53.2 ± 13 years |
71 (6.6%) | Delirium (n = 140, 13.1%) | N/A |
Parker et al., 2021 [95] | Longitudinal case report | M, 57 years | None | Acute psychotic symptoms | yes |
Zhou et al., 2021 [94] | Observational cohort | 509 F (46.6%), 582 M (53.35), 57.17 ± 9.23 years |
34 Dementia (3.1%) 20 Alzheimer’s disease (1.8%) |
The overall category of delirium, dementia, amnestic and other cognitive disorders * | yes |
Wittock and Van Den Bossche, 2020 [96] | Case report | F, 88 years | None | Delirium with delusional disorder | Premorbid mild cognitive impairment |
Beach et al., 2020 [102] | Case series | Total patients: 4 —M, 76 years —M, 70 years —M, 68 years —F, 87 years |
—Major neurocognitive disorder with episodic agitation and psychotic features —Dementia with Levy bodies —Schizophrenia —Major depressive disorder with psychotic features |
—Respiratory symptoms followed by delirium —Only fever, followed by alterations of speech, spontaneous bilateral myoclonus, catatonic behavior —Inability to follow commands and incomprehensible speech, disorientation and impulsiveness for several days —Initial anxiety and dysphoria, then agitation, disorientation, concern about physical symptoms, mumbling, slurred speech |
All with premorbid cognitive decline |
Gillett and Jordan, 2020 [100] | Case report | M, 37 years | No personal psychiatric history, positive family psychiatric history |
Confusion, bizarre behavior, visual and auditory hallucinations, self-harm behavior (suicide attempt). | Mild, after recovery |
Abenza-Abildúa et al., 2020 [97] | Case report | F, 56 years | None | Delirium after respiratory symptoms, resolved within 72 h |
N/A |
Palomar-Ciria et al., 2020 [101] | Case report | M, 65 years | Stable schizophrenia (>20 years) | Agitated delirium | Mild, during confusional state |
Anmella et al., 2020 [103] | Case series | Total patients: 4 —M 68 years —M 53 years —M 61 years —F 68 years |
—Previous depressive episode —Unspecified psychosis —Delusional disorder —Depressive and generalized anxiety disorder |
—Confusion, agitated behavior —Behavioral disturbances —COVID pneumonia —Insomnia, worsening of anxiety and mood liability |
—N/A —Moderate intellectual disability —N/A —N/A |
Hosseini et al., 2020 [98] | Letter to the Editor | Total patients: 2 —M 46 years —F 79 years |
—None —None |
—Ankle clonus followed by status epilepticus after 2 days —Confusion and verbal communication difficulties followed by impaired orientation, attention and memory. |
—After a week, mild impairments (verbal fluency, linguistic abstraction, phrase repetition, and delayed recall memory); —After recovery, persisted impaired verbal fluency, repetition, abstraction, and delayed recall memory |
* All predictors for the development of new neuropsychiatric events during hospitalization when present at admission. N/A = Not applicable.