Evidence map›Paper›PMID 35736479›Full record

ArticleMetabolites2022

The Impact of Iron Dyshomeostasis and Anaemia on Long-Term Pulmonary Recovery and Persisting Symptom Burden after COVID-19: A Prospective Observational Cohort Study.

Thomas Sonnweber, Philipp Grubwieser, Sabina Sahanic, Anna Katharina Böhm, Alex Pizzini, Anna Luger, Christoph Schwabl, Sabine Koppelstätter, Katharina Kurz, Bernhard Puchner and 8 more

Open access · goldAbstract read
In one paragraph

Article in Metabolites, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. 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
  2. Impact of nutrition on long COVID.Sports medicine and health science · 2026
    Review
  3. Article
  4. Article
  5. Why cells need iron: a compendium of iron utilisation.Trends in endocrinology and metabolism: TEM · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
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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

18 authors at 2 institutions in 1 country.

Thomas SonnweberDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-5080-386X
Philipp GrubwieserDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0001-6233-8910
Sabina SahanicDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Anna Katharina BöhmDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Alex PizziniDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Anna LugerDepartment of Radiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-0445-8372
Christoph SchwablDepartment of Radiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0002-4438-9025
Sabine KoppelstätterDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Katharina KurzDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Bernhard PuchnerDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Barbara Sperner-UnterwegerDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Clinic for Psychiatry II, 6020 Innsbruck, Austria.ORCID 0000-0001-8936-676X
Katharina HüfnerDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Clinic for Psychiatry II, 6020 Innsbruck, Austria.ORCID 0000-0002-5453-8792
Ewald WöllDepartment of Internal Medicine, St. Vinzenz Hospital, 6511 Zams, Austria.
Manfred NairzDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Gerlig WidmannDepartment of Radiology, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Ivan TancevskiDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Judith Löffler-RaggDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.
Günter WeissDepartment of Internal Medicine II, Medical University of Innsbruck, 6020 Innsbruck, Austria.ORCID 0000-0003-0709-2158
Innsbruck Medical University · ATUniversity Clinic of Traumatology · AT

Funding

Austrian National bank Fund, J.LR Project 17271Boehringer Ingelheim RCV GmbH & Co KG (I.T.) IIS 1199-0424Verein zur Förderung von Forschung und Weiterbildung in Infektiologie und Immunologie, Innsbruck (G.We.) n.a.
6 · The paper itself

Abstract

Coronavirus disease 2019 (COVID-19) is frequently associated with iron dyshomeostasis. The latter is related to acute disease severity and COVID-19 convalescence. We herein describe iron dyshomeostasis at COVID-19 follow-up and its association with long-term pulmonary and symptomatic recovery. The prospective, multicentre, observational cohort study "Development of Interstitial Lung Disease (ILD) in Patients With Severe SARS-CoV-2 Infection (CovILD)" encompasses serial extensive clinical, laboratory, functional and imaging evaluations at 60, 100, 180 and 360 days after COVID-19 onset. We included 108 individuals with mild-to-critical acute COVID-19, whereas 75% presented with severe acute disease. At 60 days post-COVID-19 follow-up, hyperferritinaemia (35% of patients), iron deficiency (24% of the cohort) and anaemia (9% of the patients) were frequently found. Anaemia of inflammation (AI) was the predominant feature at early post-acute follow-up, whereas the anaemia phenotype shifted towards iron deficiency anaemia (IDA) and combinations of IDA and AI until the 360 days follow-up. The prevalence of anaemia significantly decreased over time, but iron dyshomeostasis remained a frequent finding throughout the study. Neither iron dyshomeostasis nor anaemia were related to persisting structural lung impairment, but both were associated with impaired stress resilience at long-term COVID-19 follow-up. To conclude, iron dyshomeostasis and anaemia are frequent findings after COVID-19 and may contribute to its long-term symptomatic outcome.

Indexed as

COVID-19hepcidinhyperferritinaemiainflammationiron metabolismlong-COVIDpost-acute sequelae of COVID (PASC)SARS-CoV-2

Identifiers

PMID35736479
PMCPMC9228477
OpenAlexW4282937704

What OpenQuestion holds

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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.