Evidence map›Paper›PMID 37185637›Full record

SynthesisBMJ open2023

Fatigue outcomes following COVID-19: a systematic review and meta-analysis.

Kim Poole-Wright, Ismail Guennouni, Olivia Sterry, Rachael A Evans, Fiona Gaughran, Trudie Chalder

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 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.

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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  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

6 authors.

Kim Poole-WrightPsychological Medicine, King's College London, Institute of Psychiatry Psychology and Neuroscience, London, UK.ORCID 0000-0003-4842-901X
Ismail GuennouniExperimental Psychology, University College London, London, UK.ORCID 0000-0002-1096-4714
Olivia SterryPsychological Medicine, King's College London, Institute of Psychiatry Psychology and Neuroscience, London, UK.
Rachael A EvansDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-1667-868X
Fiona GaughranPsychosis Studies, King's College London, Institute of Psychiatry Psychology and Neuroscience, London, UK.ORCID 0000-0001-7414-5569
Trudie ChalderPsychological Medicine, King's College London, Institute of Psychiatry Psychology and Neuroscience, London, UK trudie.chalder@kcl.ac.uk.ORCID 0000-0003-0775-1045

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFatigue is a pervasive clinical symptom in coronaviruses and may continue beyond the acute phase, lasting for several months or years. This systematic review and meta-analysis aimed to incorporate the current evidence for postinfection fatigue among survivors of SARS-CoV-2 and investigate associated factors.

methodsEmbase, PsyINFO, Medline, CINAHL, CDSR, Open Grey, BioRxiv and MedRxiv were systematically searched from January 2019 to December 2021. Eligible records included all study designs in English. Outcomes were fatigue or vitality in adults with a confirmed diagnosis of SARS-CoV-2 measured at >30 days post infection. Non-confirmed cases were excluded. JBI risk of bias was assessed by three reviewers. Random effects model was used for the pooled proportion with 95% CIs. A mixed effects meta-regression of 35 prospective articles calculated change in fatigue overtime. Subgroup analyses explored specific group characteristics of study methodology. Heterogeneity was assessed using Cochran's Q and I

resultsDatabase searches returned 14 262 records. Following deduplication and screening, 178 records were identified. 147 (n=48 466 participants) were included for the meta-analyses. Pooled prevalence was 41% (95% CI: 37% to 45%, k=147, I

conclusionThis study revealed that a significant proportion of survivors experienced fatigue following SARS-CoV-2 and their fatigue reduced overtime. Non-modifiable factors and psychological morbidity may contribute to ongoing fatigue and impede recovery. PROSPERO REGISTRATION NUMBER: CRD42020201247.

Indexed as

COVID-19AdultFatigueFemaleHumansMalePrevalenceProspective StudiesSARS-CoV-2COVID-19EPIDEMIOLOGYRespiratory infections

Identifiers

PMID37185637
PMCPMC10151247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.