Evidence map›Paper›PMID 34999762›Full record

ArticleEuropean heart journal2022

Multi-organ assessment in mainly non-hospitalized individuals after SARS-CoV-2 infection: The Hamburg City Health Study COVID programme.

Elina Larissa Petersen, Alina Goßling, Gerhard Adam, Martin Aepfelbacher, Christian-Alexander Behrendt, Ersin Cavus, Bastian Cheng, Nicole Fischer, Jürgen Gallinat, Simone Kühn and 29 more

Open access · bronzeAbstract read
In one paragraph

Article in European heart journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 6 pooled it
16.3field-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

96 citing papers in PubMed, 6 syntheses or guidelines pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Lung Function Impairment after Mild SARS-CoV-2 Infection in Previously Healthy Individuals.Respiration; international review of thoracic diseases · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Observational

36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 5 institutions in 3 countries.

Elina Larissa PetersenDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-1235-5066
Alina GoßlingDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-5211-5593
Gerhard AdamDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Martin AepfelbacherInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christian-Alexander BehrendtDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0003-0406-3319
Ersin CavusDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Bastian ChengDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-2434-1822
Nicole FischerInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-5092-8179
Jürgen GallinatClinic and Policlinic for Psychiatry and Psychotherapy, University Clinic Hamburg-Eppendorf, Hamburg, Germany.
Simone KühnClinic and Policlinic for Psychiatry and Psychotherapy, University Clinic Hamburg-Eppendorf, Hamburg, Germany.
Christian GerloffDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Uwe Koch-GromusDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Martin HärterDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Uta HanningDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Tobias B HuberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7175-5062
Stefan KlugeDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-8391-3988
Johannes K KnoblochInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-2591-6387
Piotr KutaInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg- Eppendorf, Hamburg, Germany.
Christian Schmidt-LauberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marc LütgehetmannInstitute of Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-9468-7944
Christina MagnussenDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-5102-0955
Carola MayerDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-8065-8683
Kai MuellerleileDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Julia MünchDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0001-6288-7389
Felix Leonard NägeleDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-3774-6765
Marvin PetersenDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-6426-7167
Thomas RennéInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg- Eppendorf, Hamburg, Germany.ORCID 0000-0003-4594-5975
Katharina Alina RiedlDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0001-5956-0051
David Leander RimmeleDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-1625-5721
Ines SchäferDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Holger SchulzDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.ORCID 0000-0001-5375-0030
Enver TahirDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-6999-2787
Benjamin WaschkiDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Jan-Per WenzelDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-6302-8671
Tanja ZellerGerman Center for Cardiovascular Research (DZHK), partner site Hamburg/Kiel/Luebeck, Hamburg, Germany.
Andreas ZieglerDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-8386-5397
Götz ThomallaDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-4785-1449
Raphael TwerenboldDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0003-3814-6542
Stefan BlankenbergDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Universität Hamburg · DEGerman Centre for Cardiovascular Research · DEKlinikum Itzehoe · DERoyal College of Surgeons in Ireland · IEUniversity of KwaZulu-Natal · ZA

Funding

Deutsche Forschungsgemeinschaft TH1106/5-1Deutsche Gesetzliche UnfallversicherungeuCanSHare 825903-euCanSHare H2020Foundation Leducq 16 CVD 03Innovative medicine initiative 116074Senat und Behörde für Wissenschaft E43026-03.HCHS
6 · The paper itself

Abstract

aimsLong-term sequelae may occur after SARS-CoV-2 infection. We comprehensively assessed organ-specific functions in individuals after mild to moderate SARS-CoV-2 infection compared with controls from the general population. METHODS AND

resultsFour hundred and forty-three mainly non-hospitalized individuals were examined in median 9.6 months after the first positive SARS-CoV-2 test and matched for age, sex, and education with 1328 controls from a population-based German cohort. We assessed pulmonary, cardiac, vascular, renal, and neurological status, as well as patient-related outcomes. Bodyplethysmography documented mildly lower total lung volume (regression coefficient -3.24, adjusted P = 0.014) and higher specific airway resistance (regression coefficient 8.11, adjusted P = 0.001) after SARS-CoV-2 infection. Cardiac assessment revealed slightly lower measures of left (regression coefficient for left ventricular ejection fraction on transthoracic echocardiography -0.93, adjusted P = 0.015) and right ventricular function and higher concentrations of cardiac biomarkers (factor 1.14 for high-sensitivity troponin, 1.41 for N-terminal pro-B-type natriuretic peptide, adjusted P ≤ 0.01) in post-SARS-CoV-2 patients compared with matched controls, but no significant differences in cardiac magnetic resonance imaging findings. Sonographically non-compressible femoral veins, suggesting deep vein thrombosis, were substantially more frequent after SARS-CoV-2 infection (odds ratio 2.68, adjusted P < 0.001). Glomerular filtration rate (regression coefficient -2.35, adjusted P = 0.019) was lower in post-SARS-CoV-2 cases. Relative brain volume, prevalence of cerebral microbleeds, and infarct residuals were similar, while the mean cortical thickness was higher in post-SARS-CoV-2 cases. Cognitive function was not impaired. Similarly, patient-related outcomes did not differ.

conclusionSubjects who apparently recovered from mild to moderate SARS-CoV-2 infection show signs of subclinical multi-organ affection related to pulmonary, cardiac, thrombotic, and renal function without signs of structural brain damage, neurocognitive, or quality-of-life impairment. Respective screening may guide further patient management.

Indexed as

COVID-19Cohort StudiesHumansSARS-CoV-2Stroke VolumeVentricular Function, LeftCOVID-19Matched controlsMulti-organ assessmentSequelae

Identifiers

PMID34999762
PMCPMC8755397
OpenAlexW4205915966

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.