Evidence map›Paper›PMID 33528824›Full record

ArticleJournal of neurovirology2021

Persistent COVID-19-associated neurocognitive symptoms in non-hospitalized patients.

Joanna Hellmuth, T Allen Barnett, Breton M Asken, J Daniel Kelly, Leonel Torres, Melanie L Stephens, Bryan Greenhouse, Jeffrey N Martin, Felicia C Chow, Steven G Deeks and 5 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Journal of neurovirology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 6 pooled it
13.8field-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

86 citing papers in PubMed, 6 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. COVID-19 associated cognitive impairment: A systematic review.Cortex; a journal devoted to the study of the nervous system and behavior · 2022
    Pooled it
  5. Changes in cognitive functioning after COVID-19: A systematic review and meta-analysis.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022
    Pooled it
  6. Pooled it
  7. Persistent CD4Cellular immunology · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  13. Article
  14. Article
  15. Long-COVID and postural orthostatic tachycardia syndrome: a preliminary comparison of neuropsychological performance.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  16. Sex Differences in Long COVID.JAMA network open · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Article

26 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

15 authors at 1 institution in 1 country.

Joanna HellmuthMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA. joanna.hellmuth@ucsf.edu.ORCID http://orcid.org/0000-0002-7577-4196
T Allen BarnettSchool of Medicine, University of California, San Francisco, CA, USA.
Breton M AskenMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.
J Daniel KellyDepartment of Epidemiology & Biostatistics, University of California, San Francisco, CA, USA.
Leonel TorresDivision of Experimental Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Melanie L StephensMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.
Bryan GreenhouseDivision of Experimental Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Jeffrey N MartinDepartment of Epidemiology & Biostatistics, University of California, San Francisco, CA, USA.
Felicia C ChowWeill Institute for Neuroscience, Department of Neurology, University of California, San Francisco, USA.
Steven G DeeksDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Meredith GreeneDivision of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA.
Bruce L MillerMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.
Wesley AnnanMemory and Aging Center, Department of Neurology, University of California, San Francisco, CA, USA.
Timothy J HenrichDivision of Experimental Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Michael J PelusoDivision of HIV, Infectious Diseases, and Global Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
University of California, San Francisco · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Training in HIV Translational ResearchT32AI060530 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Diane V Havlir · 2005 to 2026
$6.4M
Targeting Non Viral Markers of HIV PersistenceR01AI141003 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HENRICH, TIMOTHY JENSEN · 2018 to 2022
$4.9M
Mentoring translational scientists in international infectious disease researchK24AI144048 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Bryan R Greenhouse · 2019 to 2026
$1.6M
Defining the clinical utility of CSF biomarkers of neurodegeneration in HIV+ eldersK23MH114724 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HELLMUTH, JOANNA · 2017 to 2020
$796k
Understanding the epidemiology and natural history of unrecognized Ebola virus infectionK23AI146268 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KELLY, JOHN DANIEL · 2019 to 2022
$748k
NIAID NIH HHS K23 AI146268NIAID NIH HHS K24 AI144048NIAID NIH HHS P30 AI027763NIAID NIH HHS R01 AI141003NIAID NIH HHS T32 AI060530NIMH NIH HHS K23 MH114724
6 · The paper itself

Abstract

As cases of coronavirus disease 2019 (COVID-19) mount worldwide, attention is needed on potential long-term neurologic impacts for the majority of patients who experience mild to moderate illness managed as outpatients. To date, there has not been discussion of persistent neurocognitive deficits in patients with milder COVID-19. We present two cases of non-hospitalized patients recovering from COVID-19 with persistent neurocognitive symptoms. Commonly used cognitive screens were normal, while more detailed testing revealed working memory and executive functioning deficits. An observational cohort study of individuals recovering from COVID-19 (14 or more days following symptom onset) identified that among the first 100 individuals enrolled, 14 were non-hospitalized patients reporting persistent cognitive issues. These 14 participants had a median age of 39 years (interquartile range: 35-56), and cognitive symptoms were present for at least a median of 98 days (interquartile range: 71-120 following acute COVID-19 symptoms); no participants with follow-up evaluation reported symptom resolution. We discuss potential mechanisms to be explored in future studies, including direct viral effects, indirect consequences of immune activation, and immune dysregulation causing auto-antibody production.

Indexed as

AdultCognitive DysfunctionCOVID-19Executive FunctionFemaleHumansMemory, Short-TermMiddle AgedNeuropsychological TestsOutpatientsSARS-CoV-2Time FactorsBrain fogCognitive changesCOVID-19Outpatient COVID-19

Identifiers

PMID33528824
PMCPMC7852463
OpenAlexW3128928176

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.