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| Name | Class |
|---|---|
| Karolinska Institutet | OTHER |
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Critically ill patients requiring intensive care suffer to a large extent from cognitive deficits involving higher brain functions that primarily affect memory, learning and the ability to concentrate. While the background to this effect is not fully understood, there are growing evidence to support mechanisms related to neuro inflammation and changes in blood flow with concomitant ischemic brain damage. Patients with covid-19 often suffer from severe inflammatory activity with an increased risk of coagulation abnormalities and brain damage. Covid-19 patients requiring intensive care develope more severe impairment of neurological and cognitive function than critically ill intensive care patients who have not covid-19. This project therefore aims to map the link between inflammation, immunology and coagulation systems as well as biochemical and structural changes in the brain with cognitive effects in patients in intensive care for covid-19.
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| Measure | Description | Time Frame |
|---|---|---|
| The association between changes in blood biomarkers for inflammation and the presence of neuroradiologically verified brain injury and neurocognitive disorder | Up to 12 months | |
| The association between changes in blood biomarkers for nerve cell damage and the presence of neuroradiologically verified brain injury and neurocognitive disorder | Up to 12 months | |
| The association between changes in blood biomarkers for neurodegeneration and the presence of neuroradiologically verified brain injury and neurocognitive disorder | Up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| The association between changes in coagulation factors and the presence of neuroradiologically verified brain injury and / or neurocognitive disorder | Up to 12 months | |
| The association between changes in coagulation ability (ROTEM analysis - rotational thromboelastometry) and the presence of neuroradiologically verified brain injury and / or neurocognitive disorder |
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Inclusion Criteria:
Exclusion Criteria:
50 women and 50 men
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Men and women with covid-19 (positive PCR test for Coronavirus SARS-CoV-2 RNA) who are admitted to the Intensive Care Unit at Karolinska University Hospital in Solna and Huddinge
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lars I Eriksson, Professor | Contact | +46-8-51770000 | lars.i.eriksson@sll.se | |
| Mia Kivipelto, Professor | Contact | miia.kivipelto@sll.se |
| Name | Affiliation | Role |
|---|---|---|
| Lars I Eriksson, Professor | Karolinska University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Universitetssjukhuset Solna | Recruiting | Stockholm | Sweden |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D019965 | Neurocognitive Disorders |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| Up to 12 months |
| The association between changes in inflammatory biomarkers and the presence of neuroradiologically verified brain injury and / or neurocognitive disorder | Up to 12 month |
| Blood biomarker changes of inflammation impact | Markers of inflammation impact - in relation to cerebrospinal fluid changes . | Up to 3 months |
| Blood biomarker changes of neurological impact | Markers of neurological impact - in relation to cerebrospinal fluid changes . | Up to 3 months |
| Neuroradiological changes | Neurological impact in relation to cerebrospinal fluid changes | Up to 3 months |
| Clinical course - Pulmonary gas exchange | in relation to cerebrospinal fluid changes/blood | Up to 3 months |
| Clinical course - Lung function recording | in relation to cerebrospinal fluid changes/blood | Up to 3 months |
| Patient characteristics | Patient ICU care data - in relation to cerebrospinal fluid changes | Up to 3 months |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D001523 | Mental Disorders |
| D003072 | Cognition Disorders |