Evidence map›Paper›PMID 32878870›Full record

ReviewBritish journal of sports medicine2020

Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians.

Mathew G Wilson, James H Hull, John Rogers, Noel Pollock, Miranda Dodd, Jemma Haines, Sally Harris, Mike Loosemore, Aneil Malhotra, Guido Pieles and 5 more

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 4 pooled it
27.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 4 syntheses or guidelines pooled it, 203 citations in OpenAlex.

  1. Brazilian Society of Cardiology Guideline on Myocarditis - 2022.Arquivos brasileiros de cardiologia · 2022
    Guideline
  2. Myocarditis in Athletes Recovering from COVID-19: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  3. Pooled it
  4. Guideline
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44 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 4 countries.

Mathew G WilsonInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK mathew.wilson@hcahealthcare.co.uk.ORCID http://orcid.org/0000-0002-6317-0168
James H HullInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.ORCID http://orcid.org/0000-0003-4697-1526
John RogersManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.
Noel PollockInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.
Miranda DoddThe Princess Grace Hospital (HCA Healthcare UK), London, United Kingdom.
Jemma HainesManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.ORCID http://orcid.org/0000-0003-3813-041X
Sally HarrisManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.
Mike LoosemoreInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.ORCID http://orcid.org/0000-0002-4855-0744
Aneil MalhotraManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.ORCID http://orcid.org/0000-0002-8670-3764
Guido PielesInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.ORCID http://orcid.org/0000-0003-1203-688X
Anand ShahDepartment of Respiratory Medicine, Royal Brompton Hospital, London, UK.ORCID http://orcid.org/0000-0001-5257-520X
Lesley TaylorManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.
Aashish VyasManchester Institute of Health & Performance (MHIP), Manchester, United Kingdom.
Fares S HaddadInstitute for Sport Exercise and Health (ISEH), University College Hospital London, London, UK.
Sanjay SharmaSt. George's University Hospitals NHS Foundation Trust, London, United Kingdom.ORCID http://orcid.org/0000-0002-3630-6138
University College Hospital · GBWiLAN (Canada) · CAManchester Academic Health Science Centre · GBLancashire Teaching Hospitals NHS Foundation Trust · GBRoyal Brompton Hospital · GBSt George’s University Hospitals NHS Foundation Trust · GBThe Princess Grace Hospital · GB

Funding

Medical Research Council MC_PC_19012Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

SARS-CoV-2 is the causative virus responsible for the COVID-19 pandemic. This pandemic has necessitated that all professional and elite sport is either suspended, postponed or cancelled altogether to minimise the risk of viral spread. As infection rates drop and quarantine restrictions are lifted, the question how athletes can safely resume competitive sport is being asked. Given the rapidly evolving knowledge base about the virus and changing governmental and public health recommendations, a precise answer to this question is fraught with complexity and nuance. Without robust data to inform policy, return-to-play (RTP) decisions are especially difficult for elite athletes on the suspicion that the COVID-19 virus could result in significant cardiorespiratory compromise in a minority of afflicted athletes. There are now consistent reports of athletes reporting persistent and residual symptoms many weeks to months after initial COVID-19 infection. These symptoms include cough, tachycardia and extreme fatigue. To support safe RTP, we provide sport and exercise medicine physicians with practical recommendations on how to exclude cardiorespiratory complications of COVID-19 in elite athletes who place high demand on their cardiorespiratory system. As new evidence emerges, guidance for a safe RTP should be updated.

Indexed as

BetacoronavirusPractice Guidelines as TopicAthletesBiomarkersCoronavirus InfectionsCOVID-19Death, Sudden, CardiacElectrocardiographyHumansMyocarditisMyocardiumNecrosisPandemicsPneumonia, ViralRespiration DisordersReturn to SportBiomarkersTroponincardiologyexerciseinfectionrespiratory

Identifiers

PMID32878870
PMCPMC7513247
OpenAlexW3082473779

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.