Evidence map›Paper›PMID 34902448›Full record

ArticleThe Journal of infection2022

Post-sequelae one year after hospital discharge among older COVID-19 patients: A multi-center prospective cohort study.

Xiaoyu Fang, Chao Ming, Yuan Cen, Hao Lin, Kegang Zhan, Sha Yang, Li Li, Guoqiang Cao, Qi Li, Xiangyu Ma

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 8 pooled it
4.7field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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  4. Global prevalence of post-COVID-19 condition: a systematic review and meta-analysis of prospective evidence.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
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  13. ERJ open research · 2024
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  16. TheInternational journal of molecular sciences · 2023
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  18. COVID-19 Oral Sequelae: Persistent Gustatory and Saliva Secretory Dysfunctions after Recovery from COVID-19.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Xiaoyu FangDepartment of Epidemiology, College of Preventive Medicine, Third Military Medical University (Army Medical University), Chongqing, China; College of Public Health, Southwest Medical University, Luzhou, Sichuan, China.
Chao MingDepartment of ophthalmology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Yuan CenDepartment of Orthopedics, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Hao LinWest China School of Clinical Medicine, Sichuan University, Chengdu, Sichuan, China.
Kegang ZhanCollege of Public Health, Southwest Medical University, Luzhou, Sichuan, China.
Sha YangDepartment of Infectious Diseases, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400038, P.R. China.
Li LiDepartment of Respiratory Medicine, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Guoqiang CaoDepartment of Respiratory Medicine, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Qi LiPulmonary and critical care medicine center, Chinese PLA Respiratory Disease Institute, Xinqiao Hospital, Third Military Medical University (Army Medical University), Chongqing, China.
Xiangyu MaDepartment of Epidemiology, College of Preventive Medicine, Third Military Medical University (Army Medical University), Chongqing, China. Electronic address: xymacq@hotmail.com.
Army Medical University · CNSichuan University · CNSouthwest Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo systematically evaluate the prevalence of post-sequelae and chronic obstructive pulmonary disease assessment test (CAT) scoring one year after hospital discharge among older COVID-19 patients, as well as potential risk factors.

methodsA multi-center prospective cohort study involving 1,233 eligible older COVID-19 patients was conducted. All patients were followed-up between Mar 1, 2021 and Mar 20, 2021. CAT scoring was adopted to measure symptom burden in COVID-19 patients.

resultsOf the 1233 eligible cases, 630 (51.1%) reported at least one sequelae. The top six post-sequelae included fatigue (32.4%), sweating (20.0%), chest tightness (15.8%), anxiety (11.4%), myalgia (9.0%), and cough (5.8%). Severe patients had significantly higher percentage of fatigue, sweating, chest tightness, myalgia, and cough (P<0.05), while anxiety was universal in all subjects. Sweating, anxiety, palpitation, edema of lower limbs, smell reduction, and taste change were emerging sequelae. Disease severity during hospitalization (OR: 1.46, 95% CI: 1.15-1.84, P = 0.002), and follow-up time (OR: 0.71, 95% CI: 0.50-0.99, P = 0.043) were independently associated with risk of post-sequelae, while disease severity during hospitalization was significantly associated with increased risk of emerging sequelae (OR: 1.33, 95% CI: 1.03-1.71, P = 0.029). The median of CAT score was 2 (0-5) in all patients, and a total of 120 patients (9.7%) had CAT scores ≥10. Disease severity during hospitalization (OR: 1.81, 95% CI: 1.23-2.67, P = 0.003) and age (OR: 1.07, 95% CI: 1.04-1.09, P<0.001) were significantly associated with increased risk of CAT scores ≥10.

conclusionsWhile the dramatic decline in the prevalence rate of persistent symptoms is reassuring, new sequelae among older COVID-19 patients cannot be ignored. Disease severity during hospitalization, age, and follow-up time contributed to the risk of post-sequelae and CAT scoring one year after hospital discharge among older COVID-19 patients. Our study provides valuable clues for long-term post-sequelae of the older COVID-19 patients, as well as their risk factors.

Indexed as

COVID-19Patient DischargeHospitalizationHospitalsHumansProspective StudiesSARS-CoV-2COVID-19Older peopleSARS-CoV-2SequelaeWuhan

Identifiers

PMID34902448
PMCPMC8662958
OpenAlexW4200181906

What OpenQuestion holds

Textmetadata
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.