Evidence map›Paper›PMID 36474290›Full record

ArticleJournal of translational medicine2022

Brain fog of post-COVID-19 condition and Chronic Fatigue Syndrome, same medical disorder?

N Azcue, J C Gómez-Esteban, M Acera, B Tijero, T Fernandez, N Ayo-Mentxakatorre, T Pérez-Concha, A Murueta-Goyena, J V Lafuente, Á Prada and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
10.9field-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

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Recent research in myalgic encephalomyelitis/chronic fatigue syndrome: an evidence map.Health technology assessment (Winchester, England) · 2025
    Pooled it
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  17. 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

15 authors at 6 institutions in 1 country.

N AzcueNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
J C Gómez-EstebanNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
M AceraNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
B TijeroNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
T FernandezNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
N Ayo-MentxakatorreNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
T Pérez-ConchaDepartment of Neurology, Cruces University Hospital, Barakaldo, Spain.
A Murueta-GoyenaNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
J V LafuenteDepartment of Neurosciences, University of the Basque Country UPV/EHU, Leioa, Spain.
Á PradaDepartment of Immunology, Donostia University Hospital, San Sebastián, Spain.
A López de MunainDepartment of Neurology, Donostia University Hospital, San Sebastián, Spain.
G Ruiz-IrastorzaAutoimmune Diseases Research Unit, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
L RibacobaDepartment of Internal Medicine, Cruces University Hospital, Barakaldo, Spain.
I GabilondoNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain.
R Del PinoNeurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Spain. delpinorocio@gmail.com.ORCID 0000-0002-6612-4757
BioCruces Health research Institute · ESUniversity of the Basque Country · ESHospital de Cruces · ESBiogipuzkoa Health Research Institute · ESIkerbasque · ESSpanish Multiple Sclerosis Network · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is characterized by persistent physical and mental fatigue. The post-COVID-19 condition patients refer physical fatigue and cognitive impairment sequelae. Given the similarity between both conditions, could it be the same pathology with a different precipitating factor?

objectiveTo describe the cognitive impairment, neuropsychiatric symptoms, and general symptomatology in both groups, to find out if it is the same pathology. As well as verify if the affectation of smell is related to cognitive deterioration in patients with post-COVID-19 condition.

methodsThe sample included 42 ME/CFS and 73 post-COVID-19 condition patients. Fatigue, sleep quality, anxiety and depressive symptoms, the frequency and severity of different symptoms, olfactory function and a wide range of cognitive domains were evaluated.

resultsBoth syndromes are characterized by excessive physical fatigue, sleep problems and myalgia. Sustained attention and processing speed were impaired in 83.3% and 52.4% of ME/CFS patients while in post-COVID-19 condition were impaired in 56.2% and 41.4% of patients, respectively. Statistically significant differences were found in sustained attention and visuospatial ability, being the ME/CFS group who presented the worst performance. Physical problems and mood issues were the main variables correlating with cognitive performance in post-COVID-19 patients, while in ME/CFS it was anxiety symptoms and physical fatigue.

conclusionsThe symptomatology and cognitive patterns were similar in both groups, with greater impairment in ME/CFS. This disease is characterized by greater physical and neuropsychiatric problems compared to post-COVID-19 condition. Likewise, we also propose the relevance of prolonged hyposmia as a possible marker of cognitive deterioration in patients with post-COVID-19.

Indexed as

COVID-19Fatigue Syndrome, ChronicBrainHumansMental FatigueBrain fogCognitionHyposmiaMyalgic Encephalomyelitis/Chronic Fatigue SyndromeNeuropsychological impairmentPost-COVID-19 conditionSARS-CoV-2

Identifiers

PMID36474290
PMCPMC9724286
OpenAlexW4311633580

What OpenQuestion holds

Textmetadata
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.