Evidence map›Paper›PMID 37297812›Full record

ArticleJournal of clinical medicine2023

Clustering Analysis Identified Three Long COVID Phenotypes and Their Association with General Health Status and Working Ability.

Marta A Kisiel, Seika Lee, Sara Malmquist, Oliver Rykatkin, Sebastian Holgert, Helena Janols, Christer Janson, Xingwu Zhou

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
7.2field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  9. Taste dysfunction in Long COVID.bioRxiv : the preprint server for biology · 2025
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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

8 authors at 2 institutions in 1 country.

Marta A KisielDepartment of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden.
Seika LeeDepartment of Neurobiology, Care Sciences and Society, Primary Care Medicine, Karolinska Institute, 171 77 Stockholm, Sweden.
Sara MalmquistDepartment of Statistics, Uppsala University, 751 20 Uppsala, Sweden.ORCID 0009-0002-1404-9721
Oliver RykatkinDepartment of Statistics, Uppsala University, 751 20 Uppsala, Sweden.
Sebastian HolgertDepartment of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden.
Helena JanolsDepartment of Medical Sciences, Infection Disease, Uppsala University, 751 85 Uppsala, Sweden.
Christer JansonDepartment of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, 751 85 Uppsala, Sweden.
Xingwu ZhouDepartment of Statistics, Uppsala University, 751 20 Uppsala, Sweden.ORCID 0000-0002-9831-9102
Uppsala University · SEKarolinska Institutet · SE

Funding

Åke Wibergs Stiftelse 2022Lars Hiertas Minne Stiftelse 2022Sven och Dagmar Salén Stiftelse 2022Tore Nilsons Stiftelsen 2021
6 · The paper itself

Abstract

BACKGROUND/

aimThis study aimed to distinguish different phenotypes of long COVID through the post-COVID syndrome (PCS) score based on long-term persistent symptoms following COVID-19 and evaluate whether these symptoms affect general health and work ability. In addition, the study identified predictors for severe long COVID.

methodThis cluster analysis included cross-sectional data from three cohorts of patients after COVID-19: non-hospitalized (n = 401), hospitalized (n = 98) and those enrolled at the post-COVID outpatient's clinic (n = 85). All the subjects responded to the survey on persistent long-term symptoms and sociodemographic and clinical factors. K-Means cluster analysis and ordinal logistic regression were used to create PCS scores that were used to distinguish patients' phenotypes.

results506 patients with complete data on persistent symptoms were divided into three distinct phenotypes: none/mild (59%), moderate (22%) and severe (19%). The patients with severe phenotype, with the predominating symptoms were fatigue, cognitive impairment and depression, had the most reduced general health status and work ability. Smoking, snuff, body mass index (BMI), diabetes, chronic pain and symptom severity at COVID-19 onset were factors predicting severe phenotype.

conclusionThis study suggested three phenotypes of long COVID, where the most severe was associated with the highest impact on general health status and working ability. This knowledge on long COVID phenotypes could be used by clinicians to support their medical decisions regarding prioritizing and more detailed follow-up of some patient groups.

Indexed as

COVID-19general health statuslong COVID phenotypespersistent long-term symptomsworking ability

Identifiers

PMID37297812
PMCPMC10253616
OpenAlexW4378083121

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.