Evidence map›Paper›PMID 33257910›Full record

ArticleERJ open research2020

Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome?

Yvonne M J Goërtz, Maarten Van Herck, Jeannet M Delbressine, Anouk W Vaes, Roy Meys, Felipe V C Machado, Sarah Houben-Wilke, Chris Burtin, Rein Posthuma, Frits M E Franssen and 7 more

5 registry-linked trialsAbstract read
In one paragraph

Article in ERJ open research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 402 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
402citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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.

NCT04957199 unknown statusnot on this mapstarted 2021, after this paper: background citation

Physiotherapist Awareness in the Community During the COVID-19 Pandemic Process

TypeobservationalSponsorIstanbul University - CerrahpasaRan2021 to 2021Enrolled1,550ConditionsHealthy
NCT05167357 nacompletednot on this mapstarted 2021, after this paper: background citation

Multicentric Evaluation of the Impact on Hypoxia Sensitivity of Patients With COVID-19

TypeinterventionalSponsorInstitut de Formation et de Recherche en Médecine de MontagneRan2021 to 2021Enrolled68ConditionsCovid19, SARS-CoV2 Infection, Hypoxia, AltitudeArmsCOVID19
NCT05228691 recruitingnot on this mapstarted 2022, after this paper: background citation

Long COVID: Evaluation of Physical and Functional Status

Typeobservational_patient_registrySponsorUniversity of Las Palmas de Gran CanariaRan2022 to 2026Enrolled600ConditionsCOVID-19ArmsEvaluation and Education
NCT05587868 unknown statusnot on this mapstarted 2022, after this paper: background citation

Karakteristik Dan Pengaruh Vaksinasi COVID-19 Terhadap Klinis Dan Kualitas Hidup Pasien Long COVID di RSUPN Dr. Cipto Mangunkusumo

TypeobservationalSponsorIndonesia UniversityRan2022 to 2023Enrolled250ConditionsCOVID-19, SARS CoV-2 InfectionArmsCOVID-19 Vaccine
NCT05736939 completednot on this mapstarted 2022, after this paper: background citation

Gender Differences in the Recovery Rate Following a Hybrid Pulmonary Rehabilitation Programme in Patients With Long COVID-19 Syndrome

TypeobservationalSponsorNational and Kapodistrian University of AthensRan2022 to 2023Enrolled30ConditionsPost Acute COVID-19 SyndromeArmsOut-patient Pulmonary Rehabilitation
3 · Its place in the literature

Who cites it

402 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Long COVID Optimal Health Programme to Enhance Mental and Physical Health: A Feasibility Randomised Controlled Trial.Health expectations : an international journal of public participation in health care and health policy · 2025
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  13. Article
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  17. Integrating Biomechanical Screening into Protocols for Preventive Health Check-up.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
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  18. Article
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  20. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review

342 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Yvonne M J GoërtzDept of Research and Development, Ciro, Horn, the Netherlands.
Maarten Van HerckDept of Research and Development, Ciro, Horn, the Netherlands.
Jeannet M DelbressineDept of Research and Development, Ciro, Horn, the Netherlands.
Anouk W VaesDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0002-4136-1553
Roy MeysDept of Research and Development, Ciro, Horn, the Netherlands.
Felipe V C MachadoDept of Research and Development, Ciro, Horn, the Netherlands.
Sarah Houben-WilkeDept of Research and Development, Ciro, Horn, the Netherlands.
Chris BurtinREVAL - Rehabilitation Research Center, BIOMED - Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.
Rein PosthumaDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0003-0015-0116
Frits M E FranssenDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0002-1633-6356
Nicole van LoonDept of Research and Development, Ciro, Horn, the Netherlands.
Bita HajianDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0003-0453-968X
Yvonne SpiesLung Foundation Netherlands, Amersfoort, the Netherlands.
Herman VijlbriefLung Foundation Netherlands, Amersfoort, the Netherlands.
Alex J van 't HulDept of Pulmonary Disease, Radboud University Medical Center, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0002-5514-2327
Daisy J A JanssenDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0002-1827-9869
Martijn A SpruitDept of Research and Development, Ciro, Horn, the Netherlands.ORCID https://orcid.org/0000-0003-3822-7430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany patients with COVID-19 did not require hospitalisation, nor underwent COVID-19 testing. There is anecdotal evidence that patients with "mild" COVID-19 may complain about persistent symptoms, even weeks after the infection. This suggests that symptoms during the infection may not resolve spontaneously. The objective of this study was to assess whether multiple relevant symptoms recover following the onset of symptoms in hospitalised and nonhospitalised patients with COVID-19.

methodsA total of 2113 members of two Facebook groups for coronavirus patients with persistent complaints in the Netherlands and Belgium, and from a panel of people who registered on a website of the Lung Foundation Netherlands, were assessed for demographics, pre-existing comorbidities, health status, date of symptoms onset, COVID-19 diagnosis, healthcare utilisation, and the presence of 29 symptoms at the time of the onset of symptoms (retrospectively) and at follow-up (mean±sd 79±17 days after symptoms onset).

resultsOverall, 112 hospitalised patients and 2001 nonhospitalised patients (confirmed COVID-19, n=345; symptom-based COVID-19, n=882; and suspected COVID-19, n=774) were analysed. The median number of symptoms during the infection reduced significantly over time (median (interquartile range) 14 (11-17)

conclusionIn previously hospitalised and nonhospitalised patients with confirmed or suspected COVID-19, multiple symptoms are present about 3 months after symptoms onset. This suggests the presence of a "post-COVID-19 syndrome" and highlights the unmet healthcare needs in a subgroup of patients with "mild" or "severe" COVID-19.

Identifiers

PMID33257910
PMCPMC7491255

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.