Evidence map›Paper›PMID 37287969›Full record

ArticleFrontiers in immunology2023

Cognitive impairment in long-COVID and its association with persistent dysregulation in inflammatory markers.

Rodolfo Furlan Damiano, Cristiana Castanho de Almeida Rocca, Antonio de Pádua Serafim, Jennifer M Loftis, Leda Leme Talib, Pedro Mário Pan, Edecio Cunha-Neto, Jorge Kalil, Gabriela Salim de Castro, Marilia Seelaender and 7 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Resting-state functional connectivity and cognitive impairment after COVID-19 infection: Evidence from a large-scale fMRI study.European psychiatry : the journal of the Association of European Psychiatrists · 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

17 authors at 4 institutions in 2 countries.

Rodolfo Furlan DamianoDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Cristiana Castanho de Almeida RoccaDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Antonio de Pádua SerafimInstituto de Psicologia, Universidade de São Paulo, São Paulo, SP, Brazil.
Jennifer M LoftisResearch & Development Service, VA Portland Health Care System, Portland, OR, United States.
Leda Leme TalibDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Pedro Mário PanDepartamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Edecio Cunha-NetoDepartamento de Cínica Médica, Universidade de São Paulo FMUSP, São Paulo, SP, Brazil.
Jorge KalilDepartamento de Cínica Médica, Universidade de São Paulo FMUSP, São Paulo, SP, Brazil.
Gabriela Salim de CastroCancer Metabolism Research Group, Department of Surgery and LIM 26, Hospital das Clínicas, University of São Paulo, São Paulo, SP, Brazil.
Marilia SeelaenderCancer Metabolism Research Group, Department of Surgery and LIM 26, Hospital das Clínicas, University of São Paulo, São Paulo, SP, Brazil.
Bruno F GuedesDepartamento de Neurologia, Universidade de São Paulo FMUSP, São Paulo, Brazil.
Suely K Nagahashi MarieDepartamento de Neurologia, Universidade de São Paulo FMUSP, São Paulo, Brazil.
Heraldo Possolo de SouzaDepartamento de Emergências Médicas, Universidade de São Paulo FMUSP, São Paulo, SP, Brazil.
Ricardo NitriniDepartamento de Neurologia, Universidade de São Paulo FMUSP, São Paulo, Brazil.
Euripedes Constantino MiguelDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Geraldo BusattoDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Orestes V ForlenzaDepartamento e Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP, Brazil.
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BROregon Health & Science University · USUniversidade Federal de São Paulo · BR

Funding

HCV and co-morbid alcohol use disorders: a translational investigation of antiviral therapy outcomes on CNS functionI01BX002061 · VA · PORTLAND VA MEDICAL CENTER · PI LOFTIS, JENNIFER M · 2014 to 2023
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BLRD VA I01 BX002061CSRD VA I01 CX002668
6 · The paper itself

Abstract

Objective: To analyze the potential impact of sociodemographic, clinical and biological factors on the long-term cognitive outcome of patients who survived moderate and severe forms of COVID-19. Methods: We assessed 710 adult participants (Mean age = 55 ± 14; 48.3% were female) 6 to 11 months after hospital discharge with a complete cognitive battery, as well as a psychiatric, clinical and laboratory evaluation. A large set of inferential statistical methods was used to predict potential variables associated with any long-term cognitive impairment, with a focus on a panel of 28 cytokines and other blood inflammatory and disease severity markers. Results: Concerning the subjective assessment of cognitive performance, 36.1% reported a slightly poorer overall cognitive performance, and 14.6% reported being severely impacted, compared to their pre-COVID-19 status. Multivariate analysis found sex, age, ethnicity, education, comorbidity, frailty and physical activity associated with general cognition. A bivariate analysis found that G-CSF, IFN-alfa2, IL13, IL15, IL1.RA, EL1.alfa, IL45, IL5, IL6, IL7, TNF-Beta, VEGF, Follow-up C-Reactive Protein, and Follow-up D-Dimer were significantly (p<.05) associated with general cognition. However, a LASSO regression that included all follow-up variables, inflammatory markers and cytokines did not support these findings. Conclusion: Though we identified several sociodemographic characteristics that might protect against cognitive impairment following SARS-CoV-2 infection, our data do not support a prominent role for clinical status (both during acute and long-stage of COVID-19) or inflammatory background (also during acute and long-stage of COVID-19) to explain the cognitive deficits that can follow COVID-19 infection.

Indexed as

Cognitive DysfunctionCOVID-19AdultAgedCytokinesFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeSARS-CoV-2Cytokinescognitioncohort study (or longitudinal study)COVID-19inflammationSARS- CoV-2

Identifiers

PMID37287969
PMCPMC10242059
OpenAlexW4378082734

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.