Evidence map›Paper›PMID 36787802›Full record

ArticleJournal of the Royal Society of Medicine2023

Multi-organ impairment and long COVID: a 1-year prospective, longitudinal cohort study.

Andrea Dennis, Daniel J Cuthbertson, Dan Wootton, Michael Crooks, Mark Gabbay, Nicole Eichert, Sofia Mouchti, Michele Pansini, Adriana Roca-Fernandez, Helena Thomaides-Brears and 7 more

Registry-linked trialFull text read
In one paragraph

Article in Journal of the Royal Society of Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04369807 (Mapping Organ Health Following COVID-19 Disease Due to SARS-CoV-2 Infection), which is not on this map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–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.

NCT04369807 completednot on this map

Mapping Organ Health Following COVID-19 Disease Due to SARS-CoV-2 Infection

TypeobservationalSponsorPerspectumRan2020 to 2022Enrolled693ConditionsCOVID-19ArmsOutpatient MRI
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pathophysiological Mechanisms in Long COVID: A Mixed Method Systematic Review.International journal of environmental research and public health · 2024
    Pooled it
  4. Trial
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
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  14. Article
  15. Review
  16. Review
  17. Article
  18. Living With Long COVID: Everyday Experiences, Health Information Barriers and Patients' Quality of Life.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  19. Chronic autonomic symptom burden in long-COVID: a follow-up cohort study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

17 authors.

Andrea DennisPerspectum, Oxford, OX4 2LL, UK.
Daniel J CuthbertsonInstitute of Cardiovascular and Metabolic Medicine, University of Liverpool, Liverpool, L7 8TX, UK.
Dan WoottonInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, CH64 7TE, UK.
Michael CrooksDepartment of Respiratory Medicine, Hull and East Yorkshire Hospitals NHS Foundation Trust, Hull, HU3 2JZ, UK.
Mark GabbayInstitute of Population Health, University of Liverpool, Waterhouse Building, Block B, Brownlow Street, Liverpool, L69 3GF, UK.
Nicole EichertPerspectum, Oxford, OX4 2LL, UK.
Sofia MouchtiPerspectum, Oxford, OX4 2LL, UK.
Michele PansiniDepartment of Radiology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, OX3 0AG, Oxford, UK.
Adriana Roca-FernandezPerspectum, Oxford, OX4 2LL, UK.
Helena Thomaides-BrearsPerspectum, Oxford, OX4 2LL, UK.
Matt KellyPerspectum, Oxford, OX4 2LL, UK.
Matthew RobsonPerspectum, Oxford, OX4 2LL, UK.
Lyth HishmehLong Covid SOS, Faringdon, Oxfordshire, SN7 7EX, UK.
Emily AttreeUKDoctors#Longcovid, London, N1 5HZ, UK.
Melissa HeightmanDepartment of Medicine, University College London Hospitals NHS Foundation Trust, London, NW1 2BU, UK.
Rajarshi BanerjeePerspectum, Oxford, OX4 2LL, UK.
Amitava BanerjeeDepartment of Medicine, University College London Hospitals NHS Foundation Trust, London, NW1 2BU, UK.ORCID 0000-0001-8741-3411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the prevalence of organ impairment in long COVID patients at 6 and 12 months after initial symptoms and to explore links to clinical presentation.

designProspective cohort study.

participantsIndividuals.

methodsIn individuals recovered from acute COVID-19, we assessed symptoms, health status, and multi-organ tissue characterisation and function.

settingTwo non-acute healthcare settings (Oxford and London). Physiological and biochemical investigations were performed at baseline on all individuals, and those with organ impairment were reassessed.

main outcome measuresPrimary outcome was prevalence of single- and multi-organ impairment at 6 and 12 months post COVID-19.

resultsA total of 536 individuals (mean age 45 years, 73% female, 89% white, 32% healthcare workers, 13% acute COVID-19 hospitalisation) completed baseline assessment (median: 6 months post COVID-19); 331 (62%) with organ impairment or incidental findings had follow-up, with reduced symptom burden from baseline (median number of symptoms 10 and 3, at 6 and 12 months, respectively). Extreme breathlessness (38% and 30%), cognitive dysfunction (48% and 38%) and poor health-related quality of life (EQ-5D-5L < 0.7; 57% and 45%) were common at 6 and 12 months, and associated with female gender, younger age and single-organ impairment. Single- and multi-organ impairment were present in 69% and 23% at baseline, persisting in 59% and 27% at follow-up, respectively.

conclusionsOrgan impairment persisted in 59% of 331 individuals followed up at 1 year post COVID-19, with implications for symptoms, quality of life and longer-term health, signalling the need for prevention and integrated care of long COVID.Trial Registration: ClinicalTrials.gov Identifier: NCT04369807.

Indexed as

COVID-19FemaleHumansLongitudinal StudiesMaleMiddle AgedPost-Acute COVID-19 SyndromeProspective StudiesQuality of LifeSARS-CoV-2COVID-19integrated carelong COVIDorgan impairmentpreventionquality of life

Identifiers

PMID36787802
PMCPMC10041626

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LicenceCC BY
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Read underepoch 390

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.