Evidence map›Paper›PMID 35606551›Full record

Observational studyNature medicine2022

A multisystem, cardio-renal investigation of post-COVID-19 illness.

Andrew J Morrow, Robert Sykes, Alasdair McIntosh, Anna Kamdar, Catherine Bagot, Hannah K Bayes, Kevin G Blyth, Michael Briscoe, Heerajnarain Bulluck, David Carrick and 37 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04403607 (Cardiovascular and Pulmonary Imaging in SARS-CoV-2), which is not on this map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
10.2field-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.

NCT04403607 unknown statusnot on this map

Cardiovascular and Pulmonary Imaging in SARS-CoV-2: A Study of the Heart, Lungs and Wellbeing After COVID-19.

TypeobservationalSponsorNHS Greater Glasgow and ClydeRan2020 to 2023Enrolled180ConditionsCOVID
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. 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
    Pooled it
  3. Trial
  4. Trial
  5. Personalised Health Behaviour Support Programme in Adults With Post-COVID Syndrome: A Randomised, Controlled Pilot Feasibility Trial.Health expectations : an international journal of public participation in health care and health policy · 2024
    Trial
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Observational
  14. Myocardial ischaemia following COVID-19: a cardiovascular magnetic resonance study.The international journal of cardiovascular imaging · 2025
    Observational
  15. Prospective electrocardiographic and cardiovascular magnetic resonance alterations in the UK Biobank coronavirus disease 2019 repeat imaging study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Article
  16. Article
  17. Review
  18. Mutual regulation of CD4Haematologica · 2024
    Article
  19. Article
  20. Article
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

47 authors at 11 institutions in 1 country.

Andrew J Morrow *British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Robert Sykes *British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-1010-5474
Alasdair McIntoshRobertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Anna KamdarBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-9194-547X
Catherine BagotDepartment of Haemostasis and Thrombosis, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0002-6439-9706
Hannah K BayesDepartment of Respiratory Medicine, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Kevin G BlythDepartment of Respiratory Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0003-2972-6641
Michael BriscoeDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Heerajnarain BulluckLeeds General Infirmary, St. James's University Hospital, Leeds, UK.
David CarrickDepartment of Cardiology, University Hospital Hairmyres, East Kilbride, UK.
Colin ChurchDepartment of Respiratory Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
David CorcoranBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Iain FindlayDepartment of Cardiology, Royal Alexandra Hospital, Paisley, UK.
Vivienne B GibsonDepartment of Haemostasis and Thrombosis, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Lynsey GillespieProject Management Unit, Glasgow Clinical Research Facility, Greater Glasgow and Clyde Health Board, Glasgow, UK.
Douglas GrieveDepartment of Respiratory Medicine, Royal Alexandra Hospital, Glasgow, UK.
Pauline Hall BarrientosDepartment of Medical Physics, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Antonia HoMRC-University of Glasgow Centre for Virus Research, Institute of Infection and Immunity, University of Glasgow, Glasgow, UK.
Ninian N LangBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0001-8441-6887
Vera LennieDepartment of Cardiology, Aberdeen Royal Infirmary, Aberdeen, UK.
David J LoweDepartment of Emergency Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0003-4866-2049
Peter W MacfarlaneElectrocardiology Core Laboratory, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Patrick B MarkBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-3387-2123
Kaitlin J MayneBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Alex McConnachieRobertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-7262-7000
Ross McGeochDepartment of Cardiology, University Hospital Hairmyres, East Kilbride, UK.
Christopher McGinleyDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Connor McKeeDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Sabrina NordinDepartment of Cardiology, Queen Elizabeth University Hospital, Glasgow, UK.
Alexander PayneDepartment of Cardiology, University Hospital Crosshouse, Kilmarnock, UK.
Alastair J RankinBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Keith E RobertsonWest of Scotland Heart and Lung Centre, NHS Golden Jubilee, Clydebank, UK.ORCID http://orcid.org/0000-0002-6557-8298
Giles RoditiDepartment of Radiology, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Nicola RyanDepartment of Cardiology, Aberdeen Royal Infirmary, Aberdeen, UK.ORCID http://orcid.org/0000-0002-2451-8790
Naveed SattarBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-1604-2593
Sarah Allwood-SpiersDepartment of Respiratory Medicine, Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
David StoboDepartment of Radiology, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.
Rhian M TouyzBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0003-0670-0887
Gruschen VeldtmanScottish Adult Congenital Cardiac Services, NHS Golden Jubilee, Clydebank, UK.
Stuart WatkinsWest of Scotland Heart and Lung Centre, NHS Golden Jubilee, Clydebank, UK.ORCID http://orcid.org/0000-0003-1579-6294
Sarah WeedenRobertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Robin A WeirDepartment of Cardiology, University Hospital Hairmyres, East Kilbride, UK.
Paul WelshBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-7970-3643
Ryan WereskiDepartment of Emergency Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde Health Board, Glasgow, UK.ORCID http://orcid.org/0000-0001-6485-453X
CISCO-19 Consortium
Kenneth MangionBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Colin BerryBritish Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK. colin.berry@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-4547-8636
NHS Greater Glasgow and Clyde · GBBritish Heart Foundation · GBQueen Elizabeth University Hospital · GBUniversity of Glasgow · GBGolden Jubilee National Hospital · GBHairmyres Hospital · GBAberdeen Royal Infirmary · GBRoyal Alexandra Hospital · GBLeeds General Infirmary · GBMRC University of Glasgow Centre for Virus Research · GBUniversity Hospital Crosshouse · GB

Funding

British Heart Foundation RE/18/6134217Chief Scientist Office 311300Medical Research Council MC_PC_19026
6 · The paper itself

Abstract

The pathophysiology and trajectory of post-Coronavirus Disease 2019 (COVID-19) syndrome is uncertain. To clarify multisystem involvement, we undertook a prospective cohort study including patients who had been hospitalized with COVID-19 (ClinicalTrials.gov ID NCT04403607 ). Serial blood biomarkers, digital electrocardiography and patient-reported outcome measures were obtained in-hospital and at 28-60 days post-discharge when multisystem imaging using chest computed tomography with pulmonary and coronary angiography and cardio-renal magnetic resonance imaging was also obtained. Longer-term clinical outcomes were assessed using electronic health records. Compared to controls (n = 29), at 28-60 days post-discharge, people with COVID-19 (n = 159; mean age, 55 years; 43% female) had persisting evidence of cardio-renal involvement and hemostasis pathway activation. The adjudicated likelihood of myocarditis was 'very likely' in 21 (13%) patients, 'probable' in 65 (41%) patients, 'unlikely' in 56 (35%) patients and 'not present' in 17 (11%) patients. At 28-60 days post-discharge, COVID-19 was associated with worse health-related quality of life (EQ-5D-5L score 0.77 (0.23) versus 0.87 (0.20)), anxiety and depression (PHQ-4 total score 3.59 (3.71) versus 1.28 (2.67)) and aerobic exercise capacity reflected by predicted maximal oxygen utilization (20.0 (7.6) versus 29.5 (8.0) ml/kg/min) (all P < 0.01). During follow-up (mean, 450 days), 24 (15%) patients and two (7%) controls died or were rehospitalized, and 108 (68%) patients and seven (26%) controls received outpatient secondary care (P = 0.017). The illness trajectory of patients after hospitalization with COVID-19 includes persisting multisystem abnormalities and health impairments that could lead to substantial demand on healthcare services in the future.

Indexed as

COVID-19AftercareFemaleHumansMaleMiddle AgedPatient DischargeProspective StudiesQuality of LifeSARS-CoV-2

Identifiers

PMID35606551
PMCPMC9205780
OpenAlexW4281399905

What OpenQuestion holds

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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.