Evidence map›Paper›PMID 34834555›Full record

ReviewJournal of personalized medicine2021

Sleep Dysfunction in COVID-19 Patients: Prevalence, Risk Factors, Mechanisms, and Management.

Athanasia Pataka, Seraphim Kotoulas, Elpitha Sakka, Paraskevi Katsaounou, Sofia Pappa

Open access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. COVID-19 infection and sleep health: findings from the nationally representative COVID-19's Unequal Racial Burden survey.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Fatigue in Post-Acute Sequelae of Coronavirus Disease 2019.Physical medicine and rehabilitation clinics of North America · 2023
    Review
  11. Review
  12. Neuropsychiatric aspects of long COVID: A comprehensive review.Psychiatry and clinical neurosciences · 2023
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Sleep During the COVID-19 Pandemic.Current psychiatry reports · 2022
    Review
  18. Article
  19. Article
  20. Review
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

5 authors at 4 institutions in 2 countries.

Athanasia PatakaRespiratory Failure Unit, G Papanikolaou Hospital Medical School, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.ORCID 0000-0002-3252-6694
Seraphim KotoulasRespiratory Failure Unit, G Papanikolaou Hospital Medical School, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.ORCID 0000-0002-6092-1341
Elpitha SakkaSchool of Pharmacy and Biomolecular Sciences, University of Brighton, Brighton BN2 4AT, UK.
Paraskevi KatsaounouDepartment of Respiratory Medicine, First ICU, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-8736-619X
Sofia PappaDepartment of Brain Sciences, Imperial College London, London W12 0NN, UK.ORCID 0000-0002-6303-1547
Aristotle University of Thessaloniki · GRNational and Kapodistrian University of Athens · GRUniversity of Brighton · GBWest London Mental Health NHS Trust · GB

Funding

Hellenic Thoracic Society n/a
6 · The paper itself

Abstract

During the COVID-19 pandemic, the need to establish the prevalence of sleep dysfunction and psychological distress, identify predisposing and protective factors, and explore effective management strategies remains an important priority. Evidence to date suggests that a considerable proportion of COVID-19 patients experience significant sleep disturbances (estimated to afflict up to 50-75%) as well as psychological distress such as depression, anxiety, and traumatic stress. Duration of hospitalization, pre-existing mental health concerns, lower absolute lymphocyte count, and increased neutrophil-to-lymphocyte ratio have been all associated with a greater risk of sleep dysfunction in infected and hospitalized patients. Furthermore, in this review, we discuss the link between sleep deprivation, susceptibility to viral infections, and psychosocial wellbeing in relevance to COVID-19 and summarize the existing evidence regarding the presence and role of sleep apnea in infected individuals. Finally, we highlight the importance of suitable interventions in order to prevent and manage sleep dysfunction and avoid long-term physical and psychological implications. Future research should aim to provide high-quality information including in high risk, underserved, or difficult to reach populations and on the long-term consequences and effectiveness of applied interventions.

Indexed as

COVID-19 patientsinsomniamental healthobstructive sleep apneasleep dysfunction

Identifiers

PMID34834555
PMCPMC8618512
OpenAlexW3212189922

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.