Evidence map›Paper›PMID 35393771›Full record

ArticleAnnals of clinical and translational neurology2022

Prevalence and patterns of symptoms of dysautonomia in patients with long-COVID syndrome: A cross-sectional study.

Ahmed M Eldokla, Aliae A Mohamed-Hussein, Ahmed M Fouad, Mariam G Abdelnaser, Sara T Ali, Nahed A Makhlouf, Islam G Sayed, Hoda A Makhlouf, Jaffer Shah, Hani Aiash

Registry-linked trialAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05993871 (Diabetic Small Fiber Neuropathy), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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.

NCT05993871 completednot on this mapstarted 2023, after this paper: background citation

Diabetic Small Fiber Neuropathy: Clinical, Electrophysiological and Neurosonographic Study

TypeobservationalSponsorTanta UniversityRan2023 to 2024Enrolled45ConditionsSmall Fiber Neuropathy, Diabetic Neuropathies, Autonomic Neuropathy, Diabetic Peripheral NeuropathyArmsClinical Evaluation/Questionnaires, Nerve Conduction Study, Small fiber electrodiagnostic tests, Nerve Ultrasound, Skin Biopsy
3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  6. Validation of the Arabic version of the composite autonomic symptom score 31 questionnaire in diabetic autonomic neuropathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  9. Autonomic dysfunction and quality of life in a cohort of neurology outpatients with post-acute sequelae of COVID-19, a two-year follow-up study.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2026
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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

10 authors.

Ahmed M EldoklaDepartment of Neurology, State University of New York, Upstate Medical University, Syracuse, New York, 13210, USA.ORCID 0000-0001-8817-3683
Aliae A Mohamed-HusseinChest Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Ahmed M FouadDepartment of Public Health, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Mariam G AbdelnaserDepartment of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.
Sara T AliDepartment of Neurology, State University of New York, Upstate Medical University, Syracuse, New York, 13210, USA.
Nahed A MakhloufDepartment of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Islam G SayedDepartment of Public Health and Community Medicine, Faculty of Medicine, Assiut University, Assiut, Egypt.
Hoda A MakhloufChest Department, Faculty of Medicine, Assiut University, Assiut, Egypt.
Jaffer ShahNew York State Department of Health, Albany, New York, USA.ORCID 0000-0002-8961-218X
Hani AiashDepartment of Family Medicine, Suez Canal University, Ismailia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between autonomic dysfunction and long-COVID syndrome is established. However, the prevalence and patterns of symptoms of dysautonomia in long-COVID syndrome in a large population are lacking.

objectiveTo evaluate the prevalence and patterns of symptoms of dysautonomia in patients with long-COVID syndrome.

methodsWe administered the Composite Autonomic Symptom Score 31 (COMPASS-31) questionnaire to a sample of post-COVID-19 patients who were referred to post-COVID clinic in Assiut University Hospitals, Egypt for symptoms concerning for long-COVID syndrome. Participants were asked to complete the COMPASS-31 questionnaire referring to the period of more than 4 weeks after acute COVID-19.

resultsWe included 320 patients (35.92 ± 11.92 years, 73% females). The median COMPASS-31 score was 26.29 (0-76.73). The most affected domains of dysautonomia were gastrointestinal, secretomotor, and orthostatic intolerance with 91.6%, 76.4%, and 73.6%, respectively. There was a positive correlation between COMPASS-31 score and long-COVID duration (p < 0.001) and a positive correlation between orthostatic intolerance domain score and post-COVID duration (p < 0.001). There was a positive correlation between orthostatic intolerance domain score and age of participants (p = 0.004). Two hundred forty-seven patients (76.7%) had a high score of COMPASS-31 >16.4. Patients with COMPASS-31 >16.4 had a longer duration of long-COVID syndrome than those with score <16.4 (46.2 vs. 26.8 weeks, p < 0.001).

conclusionsSymptoms of dysautonomia are common in long-COVID syndrome. The most common COMPASS-31 affected domains of dysautonomia are gastrointestinal, secretomotor, and orthostatic intolerance. There is a positive correlation between orthostatic intolerance domain score and patients' age.

Indexed as

COVID-19Orthostatic IntolerancePrimary DysautonomiasCross-Sectional StudiesFemaleHumansMalePost-Acute COVID-19 SyndromePrevalenceSyndrome

Identifiers

PMID35393771
PMCPMC9110879

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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.