Evidence map›Paper›PMID 37344782›Full record

ArticleBMC infectious diseases2023

Post-infection functional gastrointestinal disorders following coronavirus disease-19: a prospective follow-up cohort study.

Daya Zhang, Chen Chen, Yunqian Xie, Fan Zeng, Shiju Chen, Runxiang Chen, Xiaodong Zhang, Shimei Huang, Da Li, Feihu Bai

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
6.9field-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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Daya Zhang *Graduate School, Hainan Medical University, Haikou, 571199, China.ORCID http://orcid.org/0000-0002-1560-6131
Chen Chen *Graduate School, Hainan Medical University, Haikou, 571199, China.ORCID http://orcid.org/0000-0001-6133-8919
Yunqian Xie *Department of Gastroenterology, The Second Affiliated Hospital of Hainan Medical University, Yehai Avenue, #368, Longhua District, Haikou, 570216, Hainan Province, China.
Fan ZengGraduate School, Hainan Medical University, Haikou, 571199, China.
Shiju ChenGraduate School, Hainan Medical University, Haikou, 571199, China.
Runxiang ChenGraduate School, Hainan Medical University, Haikou, 571199, China.
Xiaodong ZhangGraduate School, Hainan Medical University, Haikou, 571199, China.
Shimei HuangGraduate School, Hainan Medical University, Haikou, 571199, China.
Da LiGraduate School, Hainan Medical University, Haikou, 571199, China.
Feihu BaiDepartment of Gastroenterology, The Second Affiliated Hospital of Hainan Medical University, Yehai Avenue, #368, Longhua District, Haikou, 570216, Hainan Province, China. 328473521@qq.com.
Hainan Medical University · CNHainan Medical College Hospital · CN

Funding

Hainan Province Clinical Medical Center No. 2021818Hainan Provincial Health Industry Research Project 22A200078Hainan Provincial Postgraduate Innovation Research Project Qhyb2022-133scientific research projects of the academician innovation platform in Hainan Province 00817378the specific research fund of The Innovation Platform for Academicians of Hainan Province No.2022136
6 · The paper itself

Abstract

backgroundAcute gastrointestinal infections can lead to post-infectious irritable bowel syndrome (PI-IBS). Moreover, coronavirus disease (COVID-19) is related to long-term gastrointestinal sequelae. In this study, the frequency, disease spectrum, and risk factors for post-infection functional gastrointestinal disease (PI-FGID) in COVID-19 patients and healthy controls were prospectively examined.

methodsValidated Rome III and Rome IV questionnaires and limited objective assessment were used to assess the incidence of PI-FGID in 190 COVID-19 patients, and 160 healthy controls prospectively followed for 1, 3, and 6 months.

resultsSix(3.2%), 1(0.5%), 3(1.6%), 5(2.6%), 6(3.2%)COVID-19 patients had diarrhea, abdominal pain, constipation, dyspepsia and their overlap at 1 month, respectively, while 4(2.1%), 1(0.5%), 4(2.1%), 4(2.1%), and 6(3.2%)COVID-19 patients had diarrhea, abdominal pain, constipation, dyspepsia and their overlap at three months, respectively. Furthermore, 2(1.3%), 4(2.5%), and 3(1.9%)healthy controls developed constipation, dyspepsia, and their overlap at one month, respectively (P = 0.193), while 2(1.3%), 4(2.5%), and 2(1.3%)healthy controls developed constipation, dyspepsia and their overlap at three months, respectively (P = 0.286). FGIDs incidence was higher among COVID-19 patients(8.9%) than in healthy controls(3.1%) at 6-month follow-up (P = 0.025). Moreover, 7 (3.7%), 5 (2.6%), 3 (1.6%), and 2 (1.1%) COVID-19 patients developed IBS, functional dyspepsia(FD), functional diarrhea(FDr), functional constipation(FC)at six months, respectively, while only 2 (1.3%) and 3 (1.9%) healthy controls developed IBS and FD at six months, respectively. Notably, gastrointestinal(GI)symptoms at onset were the independent risk factors for post-COVID-19 FGIDs at six months.

conclusionsCOVID-19 increases new-onset PI-FGID at six months compared with healthy controls. GI symptom at the onset of COVID-19 is an independent risk factor for post-COVID-19 FGIDs.

Indexed as

COVID-19DyspepsiaGastrointestinal DiseasesIrritable Bowel SyndromeAbdominal PainConstipationDiarrheaFollow-Up StudiesHumansProspective StudiesSurveys and QuestionnairesCoronavirus disease (COVID-19)Functional Gastrointestinal Disorders (FGID)Gastrointestinal(GI) symptomsPost infection-irritable bowel syndrome (PI-IBS)Risk factorsRome IIIRome IV

Identifiers

PMID37344782
PMCPMC10286442
OpenAlexW4381547146

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.