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CompletedNCT07881029REWORK-COVUpdated Oct 19, 2026

Cognitive Impairment and Return to Work in Long COVID

An observational study in Long COVID, sponsored by Hopitaux de Saint-Maurice. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-19.

Sponsored by Hopitaux de Saint-Maurice · Observational

Updated Oct 19, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
55
Ages
18 Years and older
Sex
All
01

Study summary

This retrospective, single-center observational study investigates the relationship between cognitive performance and return to work in patients with Long COVID. The study includes patients followed in the Long COVID day hospital at Hôpitaux Paris Est Val-de-Marne who underwent a neuropsychological assessment as part of routine care. Cognitive performance in executive functions, attention, memory, and processing speed is analyzed in relation to employment status at the time of assessment and six months later.

Read the detailed description

Long COVID is characterized by persistent symptoms following acute SARS-CoV-2 infection and may include cognitive difficulties affecting attention, memory, executive functions, and processing speed. These impairments may interfere with daily functioning and the ability to maintain or resume professional activity.

This retrospective single-center study is based on the reuse of routinely collected healthcare data from patients followed in the Long COVID day hospital of Hôpitaux Paris Est Val-de-Marne. No additional examinations, questionnaires, or data collection are performed specifically for the research.

The primary objective is to investigate the association between cognitive performance assessed during neuropsychological evaluation and return to professional activity six months later. Secondary objectives are to describe the frequency and profile of cognitive impairments across different cognitive domains, describe return-to-work modalities at six months, compare cognitive performance according to employment status and type of return to work, and explore potential relationships between anxiety and depressive symptoms, cognitive performance, and occupational outcomes.

The analyzed data include sociodemographic and clinical characteristics, neuropsychological test scores assessing attention, executive functions, short- and long-term memory, and processing speed, as well as anxiety and depression questionnaire scores. Employment status is assessed at the time of neuropsychological evaluation and six months later, including no return to work, partial return, or full return.

02

Conditions studied

  • Long COVID

Keywords

  • Long COVID
  • Cognitive impairment
  • Neuropsychological assessment
  • Work ability
  • Employment status
03

In context

Post-Acute COVID-19 Syndrome

536 studies on the registry are indexed under Post-Acute COVID-19 Syndrome; 187 are open to participants now.

This study's enrollment of 55 is below the median of 160 across 149 observational studies indexed under Post-Acute COVID-19 Syndrome.

Browse Post-Acute COVID-19 Syndrome studies →

Lead sponsor

Hopitaux de Saint-Maurice is the lead sponsor of 16 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients with Long COVID followed in the Long COVID day hospital at Hôpitaux Paris Est Val-de-Marne who underwent a neuropsychological assessment as part of routine clinical care. The study retrospectively reuses existing clinical, neuropsychological, psychological, and occupational data. For analyses of return to work, patients were professionally active before COVID and had employment-status data available at 6-month follow-up.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Positive PCR test for SARS-CoV-2 infection.
  • Diagnosis of Long COVID according to Haute Autorité de Santé (HAS) criteria.
  • French-speaking.
  • Neuropsychological assessment available and exploitable.
  • For the primary return-to-work analysis: professionally active before COVID and employment status at 6 months available.

Exclusion criteria

Exclusion Criteria:

  • History of psychiatric or neurological disorders.
  • Patient opposition to the use of their data.
  • No exploitable neuropsychological assessment.
  • No employment-status data available at 6 months for the primary analysis.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
55 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with Long COVID

    Adult patients with Long COVID followed in the long COVID day hospital at Hôpitaux Paris Est Val-de-Marne who underwent a neuropsychological assessment as part of routine care and met the study eligibility criteria

06

What researchers measure

Primary outcomes

  1. Processing Speed According to Return-to-Work Status at 6 Months

    Processing speed assessed using the Coding subtest of the WAIS-IV at the neuropsychological assessment, compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  2. Verbal Short-Term Memory According to Return-to-Work Status at 6 Months

    Verbal short-term memory assessed using the auditory-verbal span from the WAIS-IV, compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  3. Visual Short-Term Memory According to Return-to-Work Status at 6 Months

    Visual short-term memory assessed using the visuospatial span from the MEM-III, compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  4. Long-Term Verbal Memory According to Return-to-Work Status at 6 Months

    Long-term verbal memory was assessed using the RL/RI-16 test. Measures included retrieval (sum of the three free-recall trials), storage (sum of the three total-recall trials and recognition), and long-term consolidation (delayed free and total recall). Performance was compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  5. Selective Attention According to Return-to-Work Status at 6 Months

    Selective attention was assessed using the D2 or D2-R test, based on response accuracy and errors. Performance was compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  6. Sustained Attention According to Return-to-Work Status at 6 Months

    Sustained attention was assessed using the D2 or D2-R test, based on concentration performance. Performance was compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  7. Mental Flexibility According to Return-to-Work Status at 6 Months

    Mental flexibility was assessed using the Trail Making Test (TMT), including errors on Part B and the B-A completion-time difference. Performance was compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  8. Inhibition According to Return-to-Work Status at 6 Months

    Inhibitory control was assessed using the Stroop Test, including errors on the interference condition and the interference time adjusted for naming time. Performance was compared according to return-to-work status at 6 months.

    Time frame: From the neuropsychological assessment to 6-month follow-up

Secondary outcomes

  1. Frequency of Below-Norm Cognitive Performance by Domain Using Standardized Neuropsychological Tests

    Frequency of participants with cognitive performance below normative values in each assessed domain. Processing speed was assessed with the WAIS-IV Coding subtest; verbal short-term memory with the WAIS-IV auditory-verbal span; visual short-term memory with the MEM-III visuospatial span; long-term verbal memory with the RL/RI-16; selective and sustained attention with the D2/D2-R; and executive functions with the Trail Making Test and Stroop Test. Classification as below normative values was based on the normative interpretation applicable to each test.

    Time frame: Baseline

  2. Number of Participants According to Return-to-Work Status at 6 Months

    Number of participants according to return-to-work status at 6-month follow-up: return to work or no return to work. Among participants who returned to work, partial and full return to work will also be described.

    Time frame: 6 months after the neuropsychological assessment

  3. Cognitive Performance According to Employment Status at Neuropsychological Assessment and at 6 Months

    Cognitive performance was assessed using standardized neuropsychological tests covering processing speed (WAIS-IV Coding), verbal short-term memory (WAIS-IV auditory-verbal span), visual short-term memory (MEM-III visuospatial span), long-term verbal memory (RL/RI-16), attention (D2/D2-R), mental flexibility (Trail Making Test), and inhibition (Stroop Test). Performance was compared according to employment status at the neuropsychological assessment and at 6-month follow-up.

    Time frame: From the neuropsychological assessment to 6-month follow-up

  4. Anxiety Symptoms Assessed With the State-Trait Anxiety Inventory (STAI)

    Anxiety symptoms were assessed using the State-Trait Anxiety Inventory (STAI), including state and trait anxiety measures.

    Time frame: Baseline

  5. Depressive Symptoms Assessed With the Beck Depression Inventory (BDI)

    Depressive symptoms were assessed using the Beck Depression Inventory (BDI).

    Time frame: Baseline

07

Study locations

1 site
  • Hôpitaux Paris Est Val-de-Marne - Pôle P3R
    Saint-Maurice, 94410, France
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 19, 2026
Show all 1 update
  1. Oct 19, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07881029
Lead sponsor
Hopitaux de Saint-Maurice
Responsible party
Sponsor
First posted
Oct 19, 2026
Start date
Aug 1, 2026
Primary completion
Sep 1, 2026
Completion
Sep 1, 2026
Last update
Oct 19, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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