Evidence map›Paper›PMID 36366465›Full record

ArticleViruses2022

Infection with SARS-CoV-2 Variants Is Associated with Different Long COVID Phenotypes.

Michele Spinicci, Lucia Graziani, Marta Tilli, Jerusalem Nkurunziza, Iacopo Vellere, Beatrice Borchi, Jessica Mencarini, Irene Campolmi, Leonardo Gori, Lorenzo Giovannoni and 14 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Cellular Metabolic Signatures of Long COVID-19.Infectious disease reports · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Mechanisms of long COVID: An updated review.Chinese medical journal pulmonary and critical care medicine · 2023
    Review
  17. Review
  18. Article
  19. The immunology of long COVID.Nature reviews. Immunology · 2023
    Review
  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

24 authors at 2 institutions in 1 country.

Michele SpinicciDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-5377-7118
Lucia GrazianiDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Marta TilliDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-2097-2443
Jerusalem NkurunzizaDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Iacopo VellereDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-3883-0766
Beatrice BorchiInfectious and Tropical Diseases Unit, Careggi University Hospital, 50134 Florence, Italy.
Jessica MencariniInfectious and Tropical Diseases Unit, Careggi University Hospital, 50134 Florence, Italy.
Irene CampolmiInfectious and Tropical Diseases Unit, Careggi University Hospital, 50134 Florence, Italy.
Leonardo GoriDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Lorenzo GiovannoniDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Carla AmatoDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Luca LiviDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Laura RaseroDepartment of Health Science, University of Florence, 50134 Florence, Italy.
Francesco FattirolliDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Rossella MarcucciDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Betti GiustiDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0002-8708-9444
Iacopo OlivottoDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Sara TomassettiDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Federico LavoriniDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Laura MaggiDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-2862-9591
Francesco AnnunziatoDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Niccolò MarchionniDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.
Lorenzo ZammarchiDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0003-0892-8404
Alessandro BartoloniDepartment of Experimental & Clinical Medicine, University of Florence, 50134 Florence, Italy.ORCID 0000-0001-9758-1523
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19 has been associated with a broad range of long-term sequelae, commonly referred to as "long-COVID" or "post-COVID-19" syndrome. Despite an increasing body of literature, long COVID remains poorly characterized. We retrospectively analysed data from electronic medical records of patients admitted to the post-COVID-19 outpatient service of the Infectious and Tropical Diseases Unit, Careggi University Hospital, Florence, Italy, between June 2020 and June 2021, 4-12 weeks after hospital discharge. A total of 428 patients, 41% women, median age 64 years, underwent a follow-up visit a median 53 days after hospital discharge. Overall, 76% patients reported at least one persistent symptom, including dyspnoea (37%), chronic fatigue (36%), insomnia (16%), visual disorders (13%) and brain fog (13%). Increasing oxygen support (OR 1.4, 95% CI 1.1-1.8), use of immunosuppressants (OR 6.4, 95% CI 1.5-28) and female sex (OR 1.8, 95% CI 1.1-2.9) were associated with a higher risk of long COVID symptoms. Comparison between symptomatic patients infected in the period March-December 2020 (prevalent circulation of wild-type SARS-CoV-2) with those infected in the period January-April 2021 (prevalent circulation of B.1.1.7 Alpha variant) showed a significant modification in the pattern of symptoms belonging to the neurological and cognitive/emotional categories. Our findings confirmed shortness of breath and chronic fatigue as the most frequent long COVID manifestations, while female sex and severe COVID-19 course were the main risk factors for developing lingering symptoms. SARS-CoV-2 variants may induce different long COVID phenotypes, possibly due to changes in cell tropism and differences in viral-host interaction.

Indexed as

COVID-19Fatigue Syndrome, ChronicFemaleHumansMaleMiddle AgedPandemicsPhenotypePost-Acute COVID-19 SyndromeRetrospective StudiesSARS-CoV-2long COVIDpost-COVID-19predictorsrisk factorsvariantVOC

Identifiers

PMID36366465
PMCPMC9698829
OpenAlexW4307358083

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.