Evidence map›Paper›PMID 36846561›Full record

ReviewOxford open immunology2022

Long COVID: a narrative review of the clinical aftermaths of COVID-19 with a focus on the putative pathophysiology and aspects of physical activity.

Simon Haunhorst, Wilhelm Bloch, Heiko Wagner, Claudia Ellert, Karsten Krüger, Daniel C Vilser, Kathrin Finke, Philipp Reuken, Mathias W Pletz, Andreas Stallmach and 1 more

Abstract readReview
In one paragraph

Review in Oxford open immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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.

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

26 citing papers in PubMed.

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  12. [Sport and exercise therapy for burnout and fatigue-a narrative review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
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  16. Post-Acute Sequelae and Mitochondrial Aberration in SARS-CoV-2 Infection.International journal of molecular sciences · 2024
    Review
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  18. Observational
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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

11 authors.

Simon HaunhorstDepartment of Sports Medicine and Health Promotion, Friedrich-Schiller-University Jena, Jena 07749, Germany.ORCID https://orcid.org/0000-0002-4819-3513
Wilhelm BlochDepartment for Molecular and Cellular Sports Medicine, Institute for Cardiovascular Research and Sports Medicine, German Sport University Cologne, Cologne 50933, Germany.
Heiko WagnerDepartment of Movement Science, University of Münster, Münster 48149, Germany.
Claudia EllertDepartment for Vascular Surgery, Lahn-Dill Clinics Wetzlar, Wetzlar 35578, Germany.
Karsten KrügerDepartment of Exercise Physiology and Sports Therapy, Institute of Sports Science, Justus-Liebig-University Giessen, Giessen 35394, Germany.
Daniel C VilserHospital for Pediatrics and Adolescent Medicine, Jena University Hospital, Jena 07747, Germany.
Kathrin FinkeDepartment of Neurology, Jena University Hospital, Jena 07747, Germany.
Philipp ReukenClinic for Internal Medicine IV (Gastroenterology, Hepatology and Infectious Diseases), Jena University Hospital, Jena 07747, Germany.ORCID https://orcid.org/0000-0002-7696-475X
Mathias W PletzInstitute for Infectious Diseases and Infection Control, Jena University Hospital, Jena 07747, Germany.
Andreas StallmachClinic for Internal Medicine IV (Gastroenterology, Hepatology and Infectious Diseases), Jena University Hospital, Jena 07747, Germany.
Christian PutaDepartment of Sports Medicine and Health Promotion, Friedrich-Schiller-University Jena, Jena 07749, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pandemic coronavirus disease 2019 (COVID-19) can cause multi-systemic symptoms that can persist beyond the acute symptomatic phase. The post-acute sequelae of COVID-19 (PASC), also referred to as long COVID, describe the persistence of symptoms and/or long-term complications beyond 4 weeks from the onset of the acute symptoms and are estimated to affect at least 20% of the individuals infected with SARS-CoV-2 regardless of their acute disease severity. The multi-faceted clinical picture of long COVID encompasses a plethora of undulating clinical manifestations impacting various body systems such as fatigue, headache, attention disorder, hair loss and exercise intolerance. The physiological response to exercise testing is characterized by a reduced aerobic capacity, cardiocirculatory limitations, dysfunctional breathing patterns and an impaired ability to extract and use oxygen. Still, to this day, the causative pathophysiological mechanisms of long COVID remain to be elucidated, with long-term organ damage, immune system dysregulation and endotheliopathy being among the hypotheses discussed. Likewise, there is still a paucity of treatment options and evidence-based strategies for the management of the symptoms. In sum, this review explores different aspects of long COVID and maps the literature on what is known about its clinical manifestations, potential pathophysiological mechanisms, and treatment options.

Indexed as

COVID-19exerciselong COVIDlong-term symptomspathophysiologypost-acute sequelae

Identifiers

PMID36846561
PMCPMC9494493

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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.