Evidence map›Paper›PMID 34351016›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2021

Incidence and risk factors for persistent symptoms in adults previously hospitalized for COVID-19.

Daniel Munblit, Polina Bobkova, Ekaterina Spiridonova, Anastasia Shikhaleva, Aysylu Gamirova, Oleg Blyuss, Nikita Nekliudov, Polina Bugaeva, Margarita Andreeva, Audrey DunnGalvin and 25 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 11 pooled it
18.7field-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

118 citing papers in PubMed, 11 syntheses or guidelines pooled it, 197 citations in OpenAlex.

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  5. SARS-CoV-2 post-acute sequelae in previously hospitalised patients: systematic literature review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  6. Pooled it
  7. Prevalence, risk factors and treatments for post-COVID-19 breathlessness: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
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  12. 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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  15. Incidence and risk factors for persistent symptoms in adults previously hospitalized for COVID-19.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
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  16. Article
  17. Observational
  18. Botulism Sequelae: A Systematic Review.Open forum infectious diseases · 2026
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  20. Review

58 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

35 authors at 12 institutions in 7 countries.

Daniel MunblitDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.ORCID 0000-0001-9652-6856
Polina BobkovaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Ekaterina SpiridonovaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Anastasia ShikhalevaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Aysylu GamirovaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Oleg BlyussDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Nikita NekliudovDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Polina BugaevaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Margarita AndreevaDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Audrey DunnGalvinDepartment of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.ORCID 0000-0002-1540-3959
Pasquale ComberiatiDepartment of Clinical and Experimental Medicine, Section of Pediatrics, University of Pisa, Pisa, Italy.ORCID 0000-0001-5209-9733
Christian ApfelbacherInstitute of Social Medicine and Health Systems Research, Faculty of Medicine, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Jon GenuneitPediatric Epidemiology, Department of Pediatrics, Medical Faculty, Leipzig University, Leipzig, Germany.ORCID 0000-0001-5764-1528
Sergey AvdeevClinic of Pulmonology, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Valentina KapustinaDepartment of Internal Medicine №1, Institute of Clinical Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Alla GuekhtResearch and Clinical Center for Neuropsychiatry, Moscow, Russia.
Victor FominSechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Andrey A SvistunovSechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Peter TimashevInstitute for Regenerative Medicine, Sechenov First Moscow State Medical University (Sechenov University, Moscow, Russia.
Vladislav S SubbotDepartment of Oncology, Radiotherapy and Plastic Surgery, University Clinical Hospital No 1, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.ORCID 0000-0002-7834-7819
Valery V RoyukN.A. Semashko Department of Public Health and Healthcare, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Thomas M DrakeCentre for Medical Informatics, University of Edinburgh, Edinburgh, UK.
Sarah Wulf HansonInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Laura MersonNuffield Department of Medicine, ISARIC Global Support Centre, University of Oxford, Oxford, UK.
Gail CarsonNuffield Department of Medicine, ISARIC Global Support Centre, University of Oxford, Oxford, UK.
Peter HorbyNuffield Department of Medicine, ISARIC Global Support Centre, University of Oxford, Oxford, UK.
Louise SigfridNuffield Department of Medicine, ISARIC Global Support Centre, University of Oxford, Oxford, UK.
Janet T ScottMRC-University of Glasgow Centre for Virus Research, Glasgow, UK.
Malcolm G SempleHealth Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.ORCID 0000-0001-9700-0418
John O WarnerInflammation, Repair and Development Section, Faculty of Medicine, National Heart and Lung Institute, Imperial College London, London, UK.
Theo VosInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Piero OlliaroNuffield Department of Medicine, ISARIC Global Support Centre, University of Oxford, Oxford, UK.
Petr GlybochkoSechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Denis ButnaruSechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Sechenov StopCOVID Research Team
Sechenov University · RUAngkor Hospital for Children · KHUniversity of Washington · USLeipzig University · DELung Institute · USMoscow Research and Clinical Center for Neuropsychiatry · RUMRC University of Glasgow Centre for Virus Research · GBOtto-von-Guericke-Universität Magdeburg · DEUniversity of Edinburgh · GBUniversity of Hertfordshire · GBUniversity of Liverpool · GBUniversity of Pisa · IT

Funding

Medical Research Council MC_PC_19026Medical Research Council MC_PC_19059Medical Research Council MC_UU_12014/8Russian Foundation for Basic Research 20-04-60063UK Embassy in Moscow INT 2021/RSM C 19 01
6 · The paper itself

Abstract

backgroundThe long-term sequalae of COVID-19 remain poorly characterized. We assessed persistent symptoms in previously hospitalized patients with COVID-19 and assessed potential risk factors.

methodsData were collected from patients discharged from 4 hospitals in Moscow, Russia between 8 April and 10 July 2020. Participants were interviewed via telephone using an ISARIC Long-term Follow-up Study questionnaire.

results2,649 of 4755 (56%) discharged patients were successfully evaluated, at median 218 (IQR 200, 236) days post-discharge. COVID-19 diagnosis was clinical in 1291 and molecular in 1358. Most cases were mild, but 902 (34%) required supplemental oxygen and 68 (2.6%) needed ventilatory support. Median age was 56 years (IQR 46, 66) and 1,353 (51.1%) were women. Persistent symptoms were reported by 1247 (47.1%) participants, with fatigue (21.2%), shortness of breath (14.5%) and forgetfulness (9.1%) the most common symptoms and chronic fatigue (25%) and respiratory (17.2%) the most common symptom categories. Female sex was associated with any persistent symptom category OR 1.83 (95% CI 1.55 to 2.17) with association being strongest for dermatological (3.26, 2.36 to 4.57) symptoms. Asthma and chronic pulmonary disease were not associated with persistent symptoms overall, but asthma was associated with neurological (1.95, 1.25 to 2.98) and mood and behavioural changes (2.02, 1.24 to 3.18), and chronic pulmonary disease was associated with chronic fatigue (1.68, 1.21 to 2.32).

conclusionsAlmost half of adults admitted to hospital due to COVID-19 reported persistent symptoms 6 to 8 months after discharge. Fatigue and respiratory symptoms were most common, and female sex was associated with persistent symptoms.

Indexed as

AftercareCOVID-19 Drug TreatmentCOVID-19 TestingHospitalizationSARS-CoV-2Surveys and QuestionnairesAdolescentAdultAgedAged, 80 and overCOVID-19FemaleFollow-Up StudiesHumansIncidenceMaleasthmaCOVID-19long COVIDPASCpostacute sequelae SARS-CoV-2 infectionpost-COVID Conditionpost-COVID Syndromerisk factors

Identifiers

PMID34351016
PMCPMC8444748
OpenAlexW3191897276

What OpenQuestion holds

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Registered trials

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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.