Evidence map›Paper›PMID 33569660›Full record

ArticleLung2021

Post-COVID-19 Symptom Burden: What is Long-COVID and How Should We Manage It?

Dominic L Sykes, Luke Holdsworth, Nadia Jawad, Pumali Gunasekera, Alyn H Morice, Michael G Crooks

2 registry-linked trialsAbstract read
In one paragraph

Article in Lung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 313 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
313citing papers in PubMed, 13 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.

NCT05268523 narecruitingnot on this map

Interventions to Teach Self-management Skills for Persisting Symptoms of COVID-19: Minimizing Impact of Symptoms on Everyday Functioning and on Healthcare Usage/utilization

TypeinterventionalSponsorToronto Rehabilitation InstituteRan2021 to 2025Enrolled270ConditionsCOVID-19ArmsEducation and Strategies Intervention, Mindfulness Skills Intervention
NCT05566379 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of a Mindfulness Intervention on Physical and Psychological Well-Being and Quality of Life in Patients With Post Acute Sequelae of SARS-CoV-2 Infection (PASC) Dysautonomia

TypeinterventionalSponsorUniversity of California, Los AngelesRan2023 to 2023Enrolled20ConditionsLong COVID, DysautonomiaArmsMindfulness - Mindful Awareness Practices ( MAPs)
3 · Its place in the literature

Who cites it

313 citing papers in PubMed, 13 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Predictors of Anxiety, Depression, and Stress in Long COVID: Systematic Review of Prevalence.International journal of environmental research and public health · 2025
    Pooled it
  4. Definitions and symptoms of the post-COVID syndrome: an updated systematic umbrella review.European archives of psychiatry and clinical neuroscience · 2025
    Pooled it
  5. Pooled it
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  8. Obesity as an independent risk factor for COVID-19 severity and mortality.The Cochrane database of systematic reviews · 2023
    Pooled it
  9. Pooled it
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  13. Inhaled corticosteroids' effect on COVID-19 patients: A systematic review and meta-analysis of randomized controlled trials.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    Pooled it
  14. 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
    Trial
  15. Trial
  16. Treatment of COVID-19 olfactory dysfunction with olfactory training, palmitoylethanolamide with luteolin, or combined therapy: a blinded controlled multicenter randomized trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Trial
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  20. Article

253 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

6 authors.

Dominic L Sykes *Hull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK. Dominic.sykes@hey.nhs.uk.ORCID 0000-0002-0925-7772
Luke Holdsworth *Hull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK.
Nadia JawadHull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK.
Pumali GunasekeraHull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK.
Alyn H MoriceHull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK.
Michael G CrooksHull University Teaching Hospitals Trust, Respiratory Clinical Trials Unit, Daisy Building, Castle Hill Hospital, Hull, HU16 5JQ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The enduring impact of COVID-19 on patients has been examined in recent studies, leading to the description of Long-COVID. We report the lasting symptom burden of COVID-19 patients from the first wave of the pandemic. All patients with COVID-19 pneumonia discharged from a large teaching hospital trust were offered follow-up. We assessed symptom burden at follow-up using a standardised data collection technique during virtual outpatient clinic appointments. Eighty-six percent of patients reported at least one residual symptom at follow-up. No patients had persistent radiographic abnormalities. The presence of symptoms at follow-up was not associated with the severity of the acute COVID-19 illness. Females were significantly more likely to report residual symptoms including anxiety (p = 0.001), fatigue (p = 0.004), and myalgia (p = 0.022). The presence of long-lasting symptoms is common in COVID-19 patients. We suggest that the phenomenon of Long-COVID may not be directly attributable to the effect of SARS-CoV-2, and believe the biopsychosocial effects of COVID-19 may play a greater role in its aetiology.

Indexed as

AftercareAnxietyCost of IllnessFatigueCOVID-19FemaleHumansMaleMiddle AgedModels, BiopsychosocialMyalgiaPatient DischargePost-Acute COVID-19 SyndromeSARS-CoV-2Sex FactorsSymptom AssessmentCOVID-19Long-COVIDSymptom burden

Identifiers

PMID33569660
PMCPMC7875681

What OpenQuestion holds

Textmetadata
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.