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Original article
Post-COVID-19 memory complaints: Prevalence and associated factors
Quejas de memoria post-COVID-19: prevalencia y factores asociados
M. Ahmeda,b,, S. Roya,b, M.A. Iktidara,b,,
Corresponding author
sazmain@gmail.com

Corresponding author.
, S. Chowdhurya,b, S. Aktera,b, A.M.K. Islama,b, M.D.H. Hawladera
a Department of Public Health, North South University, Dhaka 1229, Bangladesh
b Public Health Professional Development Society (PPDS), Dhaka 1215, Bangladesh
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Following these infections&#44; long-term neuro-metabolic and neuropsychiatric effects have been observed&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Recent researches have demonstrated that COVID-19 can involve the nervous system&#46;<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">3&#8211;5</span></a> Lu et al&#46; &#40;2020&#41; discovered that severe COVID-19 patients might lose grey matter volume in the brain&#39;s frontal lobe&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">6</span></a> Grey matter reduction following COVID-19 is also reported by Douaud et al&#46; &#40;2021&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">7</span></a> As grey matter aids in processing information in the brain&#44; allowing people to manage their movements&#44; memories&#44; and emotions&#44; grey matter deficiency can result in significant brain problems and difficulties&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">8</span></a> SARS-CoV-2 has been reported to invade peripheral olfactory neurons<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">9</span></a> which allows for trans-synaptic viral spread to cortical regions&#44; including the hippocampus&#46;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">10</span></a> Since the hippocampus in humans plays a pivotal role in episodic memory and spatial memory&#44;<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">11&#44;12</span></a> hippocampal damage may lead to memory impairment&#46; This direct impact on the hippocampus can be amplified by COVID-19 associated immune response that compromises the blood-brain barrier<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">13</span></a> and disseminated intravascular coagulation &#40;DIC&#41; related vascular dysfunction&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">14</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Brain in humans represents only 2&#37; of total body weight&#59; however&#44; at rest&#44; it consumes 20&#37; of the body&#39;s total basal oxygen&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">15</span></a> This high oxygen demand makes the brain&#44; especially the hippocampus&#44; very vulnerable to hypoxia&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">16</span></a> It is well documented that COVID-19 causes hypoxia via multiple pathophysiologic processes&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">17</span></a> Moreover&#44; critical care and medical oxygen crises worldwide&#44; especially in low- and middle-income countries &#40;LMICs&#41; during this pandemic&#44; have led to preventable anoxic and hypoxic brain injuries&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">18</span></a> Furthermore&#44; statewide lockdown in many countries has often hindered and delayed people&#39;s access to health care&#44; contributing to irreversible anoxic and hypoxic damage to the brain&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">19</span></a> A small study conducted on 32 COVID-19 patients found 23 of them having memory complaints&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">20</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Elevated glucocorticoid concentrations have been seen to be correlated with decreased hippocampal volume&#46;<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">21</span></a> As the hippocampus is one of the essential neuroanatomic substrates for memory&#44; glucocorticoid-induced changes in hippocampal structure and function may disrupt memory processes that rely on it&#46;<a class="elsevierStyleCrossRef" href="#bib0310"><span class="elsevierStyleSup">22</span></a> Since steroid use in treating COVID-19 is prevalent because it can reduce mortality and morbidity&#44;<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">23&#44;24</span></a> it can also cause memory complaints&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Arentz et al&#46; &#40;2020&#41; found&#44; more than two-thirds of COVID-19 patients admitted to intensive care units required mechanical ventilation&#44; and all of them developed acute respiratory distress syndrome &#40;ARDS&#41; within three days&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">25</span></a> In addition&#44; several studies observing the long-term outcome of patients who have suffered from ARDS have found loss in memory function&#44;<a class="elsevierStyleCrossRefs" href="#bib0330"><span class="elsevierStyleSup">26&#44;27</span></a> even lasting up to five years&#46;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">28</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">As of October 2021&#44; over 234 million people have recovered from COVID-19<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">29</span></a>&#59; however&#44; various symptoms have been observed to persist even after recovery from this disease&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">30</span></a> A recent study on non-hospitalized COVID-19 patients observed that 11&#37; reported memory problems eight months after recovery&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">31</span></a> Apart from these&#44; post-COVID-19 memory complaints is still an unexplored area of research&#46; Therefore&#44; it is crucial to estimate the prevalence of memory complaints following COVID-19 recovery and investigate its associated factors&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Study design &#38; duration</span><p id="par0035" class="elsevierStylePara elsevierViewall">This cross-sectional study was conducted from August to October 2021&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Study site &#38; participants</span><p id="par0040" class="elsevierStylePara elsevierViewall">A total of 850 individuals were selected by systematic sampling from the patient records of four randomly selected COVID testing sites located across Bangladesh&#46; Telephone numbers of all these individuals were collected from the records and they were contacted via telephone to enter the study&#59; among which 306 individuals did not receive the phone call&#44; 32 individuals had already died&#44; 68 individuals did not meet the inclusion criteria&#44; 39 individuals refused to participate and 4 individuals incompletely filled up the questionnaire&#46; Therefore&#44; the research included a sample of 401 post-COVID-19 patients &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The inclusion criteria were&#58; &#40;1&#41; lack of pre-existing neurological or mental disorders &#40;i&#46;e&#46;&#44; dementia&#44; history of stroke&#44; Alzheimer&#39;s&#44; etc&#46;&#41;&#44; &#40;2&#41; the absence of depression&#44; &#40;3&#41; the absence of use of benzodiazepines&#44; antidepressants&#44; or neuroleptics&#44; &#40;4&#41; individuals who suffered from COVID-19 between 3 and 12 months before&#44; and &#40;5&#41; providing informed consent&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Data collection tools</span><p id="par0045" class="elsevierStylePara elsevierViewall">Before data collection&#44; a semi-structured questionnaire was developed&#46; This questionnaire has two parts&#46; &#40;1&#41; Demographics and COVID-19 related history and &#40;2&#41; Memory Complaint Questionnaire &#40;MAC-Q&#41;&#46; In the first part&#44; demographic characteristics &#40;Age&#44; Sex&#44; and Living region&#41; and COVID-19 related clinical history &#40;COVID-19 severity&#44; oxygen requirement&#44; hospitalization&#44; treatments taken&#44; co-morbidities&#44; and duration since recovery&#41; were collected&#46; COVID-19 severity was assessed using a recently developed scoring system&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">32</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">The second part consists of the MAC-Q&#44;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">33</span></a> a systematically widely validated self-report memory questionnaire&#46; This questionnaire was developed to evaluate memory loss associated with aging&#46; It consists of six questions on memory functioning in daily circumstances &#40;e&#46;g&#46;&#44; remembering a phone number they use at least once a week&#41;&#46; The subject is asked to compare and evaluate their current performance to that of their younger self&#46; The MAC-Q total score ranges from 7 to 35&#44; with higher values indicating subjective memory loss&#46; Scores higher than or equal to 25 are indicative of memory decline&#46; As a result&#44; the participants in this research were split into two groups&#58; those without significant memory complaints &#40;MAC-Q scores of &#60;25&#41; and those with significant memory complaints &#40;MAC-Q scores of &#8805;25&#41; as suggested by Crook et al&#46; &#40;1992&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">33</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">The entire questionnaire was then inputted into Google Forms without any randomization of items for online distribution and tested for usability and technical functionality&#46; The form had fifteen questions distributed over two pages&#46; Mandatory items were highlighted with a red asterisk and relevant non-response option was present&#46; Respondents were able to review their answers through the back button and change their response if they deemed necessary&#46; The survey never displayed a second time once the user had filled it in to prevent duplicate entries&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Data collection</span><p id="par0060" class="elsevierStylePara elsevierViewall">Individuals who suffered from COVID-19 between 3 and 12 months before participants were contacted by trained volunteers via telephone and described the research in detail&#46; Once the individuals were ascertained of meeting the inclusion criteria and consented to voluntary participation in the study&#44; link to a web-based survey created by Google Forms was sent via SMS making it a closed survey&#46; The survey was not announced or advertised anywhere else&#46; Of the 405 eligible participants who agreed to participate 401 participants completed the entire questionnaire &#40;completion rate&#58; 99&#46;01&#37;&#41;&#44; incomplete questionnaires were excluded from analysis&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Ethics</span><p id="par0065" class="elsevierStylePara elsevierViewall">The Institutional Review Board of North South University approved the research &#40;Approval no&#46; 2021&#47;OR-NSU&#47;IRB&#47;0402&#41;&#44; and all participants provided informed consent&#46; Wherever feasible&#44; the 1964 Declaration of Helsinki and later modifications and comparable ethical standards were followed&#46; Data collection was voluntary and no incentives was offered to participants&#46; Data were only accessible to the authors and was not disclosed anywhere&#46; All the reporting was done according to the Checklist for Reporting Results of Internet E-Surveys &#40;CHERRIES&#41; guidelines&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">34</span></a></p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Statistical analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">The data has been processed and analyzed using the Stata version 16&#46;0&#46; Categorical data were summarized using frequency and relative frequency&#46; For MAC-Q score&#44; total score was collapsed into a binary variable of 0 &#40;MAC-Q scores of &#60;25&#41; and 1 &#40;MAC-Q scores of &#8805;25&#41; and then a binary logistic regression model was fit to investigate the factors associated with memory complaints&#46; A <span class="elsevierStyleItalic">p</span>-value of &#60;0&#46;05 was considered statistically significant&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Result</span><p id="par0075" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> depicts the baseline characteristics of the study participants&#46; Among the 401 participants&#44; the majority were between 30 and 52 years of age &#40;51&#46;87&#37;&#41;&#44; male &#40;64&#46;84&#37;&#41;&#44; and from urban areas &#40;89&#46;03&#37;&#41;&#46; Most participants suffered from mild to moderate disease &#40;56&#46;11&#37;&#41;&#44; whereas 23&#46;94&#37; and 19&#46;95&#37; suffered from severe and critical diseases&#46; Nearly half of the participants required hospitalization&#44; and 39&#46;40&#37; required oxygen support&#46; In addition&#44; 52&#46;87&#37; of participants received antibiotics&#44; 49&#46;63&#37; received steroids&#44; 28&#46;18&#37; received anticoagulants&#44; 15&#46;46&#37; received remedesevir&#44; and 1&#46;25&#37; received tocilizumab&#46; Hypertension &#40;22&#46;94&#37;&#41; and diabetes &#40;21&#46;95&#37;&#41; were the two most common&#46; Two-thirds of participants recovered from COVID-19 6&#8211;12 months before&#44; and the rest recovered 3&#8211;6 months back&#46; 19&#46;2&#37; of the respondents suffered from memory complaints&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Unadjusted and adjusted results of binary logistic regression of study variables are presented in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; The unadjusted results show the region&#44; duration since recovery from COVID-19&#44; and co-existing respiratory disease to be significantly associated with post-COVID-19 memory complaints&#46; Among these factors&#44; only region and duration since recovery from COVID-19 retained their significance after adjustment&#46; Rural people were 3&#46;6 times more likely to suffer from post-COVID-19 memory complaints than urban people &#40;AOR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;63&#44; 95&#37;CI&#58; 1&#46;72 to 7&#46;67&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46; Also&#44; memory complaints tended to become more prevalent as longer time progressed after COVID-19 recovery&#46; People who suffered from COVID-19 6&#8211;12 months ago had a higher tendency to develop memory complaints than people who suffered from COVID-19 3&#8211;6 months ago &#40;AOR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;56&#44; 95&#37;CI&#58; 1&#46;16 to 38&#46;18&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;033&#41;&#46; Participants receiving steroids and antibiotics as a part of their COVID-19 treatment were 65&#37; and 51&#37; more likely to develop memory complaints&#44; respectively&#46; Patients with co-existing chronic obstructive pulmonary disease &#40;&#8216;&#41; are almost three times more likely to suffer from memory complaints&#46; However&#44; it loses its significance after adjusting for other factors&#46; No association was found between age&#44; Sex&#44; COVID-19 severity with post-COVID-19 memory complaints&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discussion</span><p id="par0085" class="elsevierStylePara elsevierViewall">Our results reveal that memory complaints is prevalent among one-fifth of the patients within one year of the post-COVID-19 recovery period&#46; In contrast&#44; S&#248;raas et al&#46; &#40;2021&#41; reported an 11&#37; prevalence eight months after COVID-19 recovery&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">31</span></a> Our study included COVID-19 patients of all severity from mild to critical&#59; on the other hand&#44; S&#248;raas et al&#46; &#40;2021&#41; included only relatively mild and non-hospitalized cases&#44; which may explain their lower prevalence&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">31</span></a> Our study also revealed that memory complaints was more likely to happen as time passed from COVID-19 recovery&#46; For example&#44; participants who recovered 6&#8211;12 months back were 6&#46;6 times more likely to have memory complaints than the people who recovered 3 to 6 months ago &#40;AOR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>6&#46;56&#44; 95&#37;CI&#58; 1&#46;16 to 38&#46;18&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;033&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">A cross-sectional survey among 1520 people of Bangladesh revealed that rural residents had a poor level of knowledge and practice associated with COVID-19&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">35</span></a> Moreover&#44; many rural people rely on traditional healers for treatment purposes which may hamper their receipt of evidence-based treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">36</span></a> Furthermore&#44; healthcare facilities are also scarce in rural regions&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">37</span></a> These factors may contribute to the higher likelihood of memory complaints of the rural people than urban dwellers &#40;AOR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#46;63&#44; 95&#37;CI&#58; 1&#46;72 to 7&#46;67&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#41;&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Pre-existing COPD was significantly associated with post-COVID-19 memory complaints in bivariate analysis of our study&#44; although it did not retain significance in multivariate analysis&#44; COPD patients were three times more likely to have memory complaints than individuals&#46; This finding is consistent with Huppert &#40;1982&#41;&#44; who reported chronic hypoxia due to COPD may lead to memory complaints&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">38</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">Steroid and antibiotic therapy participants showed a somewhat increased chance of experiencing memory complaints than other treatment groups&#46; American Academy of Neurology suggests antibiotics may be more closely associated with delirium and other brain problems than previously thought&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">39</span></a> According to the available research&#44; long-term glucocorticoid exposure may impair cognition by altering hippocampal function and architecture progressively and irreversibly&#46; However&#44; it is unclear if these acute hormonal effects on memory retrieval processes contribute to the problems observed with chronic exposure to glucocorticoids related to memory deficiencies&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Previous studies suggested that COVID-19 infection severity affected cognitive disorders&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">40</span></a> However&#44; our study found no significant relation of memory complaints with COVID-19 severity&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">One of the drawbacks of this study is the lack of a control group or a similar cohort study that may provide a better picture of the problem&#46; Generalizability is also an issue as the sample size is comparatively smaller than the population size of COVID-19 recovered patients&#46; This study also did not administer any neuropsychological test to assess memory complaints&#46; Therefore&#44; a future longitudinal study with a larger sample adminstering neuropsychological tests and with a control group is warranted to understand the condition better&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conclusion</span><p id="par0115" class="elsevierStylePara elsevierViewall">One-fifth of the COVID-19 patients develop memory complaints within a year&#46; The reason behind this memory complaints is still unclear&#46; Since the quality of life of an individual is directly related to memory complaints&#44;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">40</span></a> further investigations should be done to evaluate the etiology of post-COVID-19 memory complaints and to take necessary actions to minimize its prevalence&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Funding</span><p id="par0120" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflict of interest</span><p id="par0125" class="elsevierStylePara elsevierViewall">The authors declare not to have any conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Memory complaints resulting from COVID-19 may have a significant impact on the survivors&#8217; quality of life&#46; Unfortunately&#44; there is insufficient information available on memory loss and its relationship to COVID-19&#46; Therefore&#44; the purpose of this research was to determine the prevalence of memory complaints in post-COVID-19 patients and to find potential contributing factors&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional survey was conducted on 401 individuals who had previously been diagnosed with COVID-19 at four COVID testing centers situated across Bangladesh&#46; The MAC-Q questionnaire was used to evaluate memory&#46; A binary logistic regression model was fit to study the variables related to memory complaints&#44; with a <span class="elsevierStyleItalic">p</span>-value of &#60;0&#46;05 deemed statistically significant&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Result</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Memory complaints was prevalent in 19&#46;2&#37; of the post-COVID patients&#46; Individual predictor analysis revealed that among the treatment modalities&#44; steroids and antibiotics were associated with impaired memory&#46; Multiple logistic regression showed that individuals who recovered from COVID-19 within six to twelve months were more likely to have memory deficits&#46; Even though age&#44; sex&#44; oxygen demand&#44; and hospitalization were not linked with memory complaints&#44; rural residents exhibited more significant memory complaints than urban residents&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Nearly one-fifth of the COVID-19 patients suffer from various degrees of memory complaints within one year&#46; However&#44; no association was found between COVID-19 severity to memory complaints&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Method"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Result"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusion"
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      "es" => array:3 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las quejas de memoria resultantes de la COVID-19 pueden tener un impacto significativo en la calidad de vida de los sobrevivientes&#46; Desafortunadamente&#44; no hay suficiente informaci&#243;n disponible sobre la p&#233;rdida de memoria y su relaci&#243;n con el COVID-19&#46; Por lo tanto&#44; el prop&#243;sito de esta investigaci&#243;n fue determinar la prevalencia de quejas de memoria en pacientes posteriores a COVID-19 y encontrar posibles factores contribuyentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; una encuesta transversal a 401 personas a las que se les hab&#237;a diagnosticado previamente COVID-19 en 4 centros de pruebas de COVID ubicados en Bangladesh&#46; Se utiliz&#243; el cuestionario MAC-Q para evaluar la memoria&#46; Se ajust&#243; un modelo de regresi&#243;n log&#237;stica binaria para estudiar las variables relacionadas con las quejas de memoria&#44; con un valor de p &#60; 0&#44;05&#44; considerado estad&#237;sticamente significativo&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultado</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Las quejas de memoria prevalecieron en el 19&#44;2&#37; de los pacientes post-COVID&#46; El an&#225;lisis de predictores individuales revel&#243; que&#44; entre las modalidades de tratamiento&#44; los esteroides y los antibi&#243;ticos se asociaron con problemas de memoria&#46; La regresi&#243;n log&#237;stica m&#250;ltiple mostr&#243; que las personas que se recuperaron de la COVID-19 dentro de los 6 a 12 meses ten&#237;an m&#225;s probabilidades de tener d&#233;ficits de memoria&#46; Aunque la edad&#44; el sexo&#44; la demanda de ox&#237;geno y la hospitalizaci&#243;n no se relacionaron con las quejas de memoria&#44; los residentes rurales exhibieron quejas de memoria m&#225;s significativas que los residentes urbanos&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Casi una quinta parte de los pacientes con COVID-19 sufren varios grados de problemas de memoria en el plazo de un a&#241;o&#46; Sin embargo&#44; no se encontr&#243; asociaci&#243;n entre la gravedad de la COVID-19 y las quejas de memoria&#46;</p></span>"
        "secciones" => array:4 [
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            "identificador" => "abst0025"
            "titulo" => "Introducci&#243;n"
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            "identificador" => "abst0030"
            "titulo" => "M&#233;todo"
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          2 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Resultado"
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          3 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Conclusi&#243;n"
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      ]
    ]
    "NotaPie" => array:1 [
      0 => array:3 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">These authors contributed equally&#46;</p>"
        "identificador" => "fn0005"
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        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
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        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">STrengthening the Reporting of OBservational studies in Epidemiology &#40;STROBE&#41; flow chart of study participants&#46;</p>"
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      1 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">HTN&#44; hypertension&#59; DM&#44; diabetes mellitus&#59; CKD&#44; chronic kidney disease&#59; COPD&#44; chronic obstructive pulmonary disease&#46;</p>"
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                  \t\t\t\t">141 &#40;35&#46;16&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#91;0&#44;1-3&#93;<span class="elsevierStyleItalic">Region</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Rural&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">44 &#40;10&#46;97&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">357 &#40;89&#46;03&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">158&#40;39&#46;40&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">193 &#40;48&#46;13&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Steroid&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">199 &#40;49&#46;63&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tocilizumab&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;1&#46;25&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anticoagulant&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">113 &#40;28&#46;18&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Remdesevir&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">62 &#40;15&#46;46&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>HTN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">92 &#40;22&#46;94&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>DM&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">88 &#40;21&#46;95&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>CKD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;1&#46;5&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#40;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>3&#8211;6 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">147 &#40;36&#46;66&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>6&#8211;12 months&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">254 &#40;63&#46;34&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Memory complaints</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Without significant memory complaints &#40;MAC-Q scores of &#60;25&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">324 &#40;80&#46;8&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>With significant memory Impairment &#40;MAC-Q scores of &#8805;25&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">77 &#40;19&#46;2&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;909&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;982 to 1&#46;017&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;365&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;987 to 1&#46;037&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Female&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ref&#46;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ref&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Male&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;005&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;984&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;597 to 1&#46;692&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;031&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;916&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;589 to 1&#46;804&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="7" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Region</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Urban&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">ref&#46;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;105 to 2&#46;275&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Critical&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;356 to 1&#46;366&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;087 to 2&#46;881&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Duration since COVID-19 recovery</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>3&#8211;6 months&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>6&#8211;12 months&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;837s&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;032<a class="elsevierStyleCrossRef" href="#tblfn0005">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;054 to 3&#46;204&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">6&#46;656&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&#46;033<a class="elsevierStyleCrossRef" href="#tblfn0005">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">1&#46;16 to 38&#46;18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Oxygen needed</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;596&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;349 to 1&#46;019&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;938&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;176 to 6&#46;545&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Hospitalized</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#46;876&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;532 to 1&#46;442&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;18&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;696 to 6&#46;916&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " colspan="7" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Treatment modalities</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Antibiotics&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;51&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0&#46;111&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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          "identificador" => "bibs0015"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Cognitive and neuropsychiatric manifestations of COVID-19 and effects on elderly individuals with dementia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Alonso-Lana"
                            1 => "M&#46; Marqui&#233;"
                            2 => "A&#46; Ruiz"
                            3 => "M&#46; Boada"
                          ]
                        ]
                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.3389/fnagi.2020.588872"
                      "Revista" => array:4 [
                        "tituloSerie" => "Front Aging Neurosci"
                        "fecha" => "2020"
                        "volumen" => "12"
                        "numero" => "October"
                      ]
                    ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long term complications and rehabilitation of COVID-19 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Dasgupta"
                            1 => "A&#46; Kalhan"
                            2 => "S&#46; Kalra"
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                      ]
                    ]
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                    0 => array:2 [
                      "doi" => "10.5455/JPMA.32.S131-5"
                      "Revista" => array:3 [
                        "tituloSerie" => "J Pakistan Med Assoc"
                        "fecha" => "2020"
                        "volumen" => "70"
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos