Evidence map›Paper›PMID 37414856›Full record

ArticleCommunications medicine2023

Physical and cognitive impact following SARS-CoV-2 infection in a large population-based case-control study.

Hilma Holm, Erna V Ivarsdottir, Thorhildur Olafsdottir, Rosa Thorolfsdottir, Elias Eythorsson, Kristjan Norland, Rosa Gisladottir, Gudrun Jonsdottir, Unnur Unnsteinsdottir, Kristin E Sveinsdottir and 56 more

Abstract read
In one paragraph

Article in Communications medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

66 authors.

Hilma Holm *deCODE genetics/Amgen Inc., Reykjavik, Iceland. hilma.holm@decode.is.ORCID http://orcid.org/0000-0002-9517-6636
Erna V Ivarsdottir *deCODE genetics/Amgen Inc., Reykjavik, Iceland.
Thorhildur Olafsdottir *deCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-2003-9984
Rosa ThorolfsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-7475-0398
Elias EythorssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Kristjan NorlanddeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Rosa GisladottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-0941-1888
Gudrun JonsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Unnur UnnsteinsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Kristin E SveinsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Benedikt A JonssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Margret AndresdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
David O ArnardeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Asgeir O ArnthorssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Kolbrún BirgisdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Kristbjorg BjarnadottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Solveig BjarnadottirInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Gyda BjornsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-8100-0306
Gudmundur EinarssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-1326-2339
Berglind EiriksdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Elisabet Eir GardarsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Thorarinn GislasonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Magnus GottfredssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-2465-0422
Steinunn GudmundsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-9317-0903
Julius GudmundssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Kristbjorg GunnarsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Anna HelgadottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Dadi HelgasonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Ingibjorg HinriksdottirNational Institute of Hearing and Speech in Iceland, Reykjavik, Iceland.
Ragnar F IngvarssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Sigga S JonasdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Ingileif JonsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-8339-150X
Tekla H KarlsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Anna M KristinsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Sigurdur Yngvi KristinssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Steinunn KristjansdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Thorvardur J LoveInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Dora LudviksdottirInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Gisli MassondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Gudmundur NorddahldeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Thorunn OlafsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-5454-938X
Isleifur OlafssonClinical Laboratory Services, Diagnostics and Blood Bank, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Thorunn RafnardeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-0491-7046
Hrafnhildur L RunolfsdottirInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-1826-1383
Jona SaemundsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Svanur SigurbjornssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-7104-126X
Kristin SigurdardottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Engilbert SigurdssonFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Martin I SigurdssonFaculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Emil L SigurdssonDepartment of Family Medicine, University of Iceland, Reykjavik, Iceland.
Valgerdur SteinthorsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-1846-6274
Gardar SveinbjornssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Emil A ThorarensendeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Bjarni ThorbjornssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Brynja ThorsteinsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Vinicius TragantedeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-8223-8957
Magnus O UlfarssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Hreinn StefanssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Thorsteinn GislasondeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Mar KristjanssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.
Runolfur PalssonInternal Medicine and Emergency Services, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-6763-1702
Patrick SulemdeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-7123-6123
Unnur ThorsteinsdottirdeCODE genetics/Amgen Inc., Reykjavik, Iceland.
Gudmundur ThorgeirssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-7146-1395
Daniel F GudbjartssondeCODE genetics/Amgen Inc., Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-5222-9857
Kari StefanssondeCODE genetics/Amgen Inc., Reykjavik, Iceland. kstefans@decode.is.ORCID http://orcid.org/0000-0003-1676-864X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersistent symptoms are common after SARS-CoV-2 infection but correlation with objective measures is unclear.

methodsWe invited all 3098 adults who tested SARS-CoV-2 positive in Iceland before October 2020 to the deCODE Health Study. We compared multiple symptoms and physical measures between 1706 Icelanders with confirmed prior infection (cases) who participated, and 619 contemporary and 13,779 historical controls. Cases participated in the study 5-18 months after infection.

resultsHere we report that 41 of 88 symptoms are associated with prior infection, most significantly disturbed smell and taste, memory disturbance, and dyspnea. Measured objectively, cases had poorer smell and taste results, less grip strength, and poorer memory recall. Differences in grip strength and memory recall were small. No other objective measure associated with prior infection including heart rate, blood pressure, postural orthostatic tachycardia, oxygen saturation, exercise tolerance, hearing, and traditional inflammatory, cardiac, liver, and kidney blood biomarkers. There was no evidence of more anxiety or depression among cases. We estimate the prevalence of long Covid to be 7% at a median of 8 months after infection.

conclusionsWe confirm that diverse symptoms are common months after SARS-CoV-2 infection but find few differences between cases and controls in objective parameters measured. These discrepancies between symptoms and physical measures suggest a more complicated contribution to symptoms related to prior infection than is captured with conventional tests. Traditional clinical assessment is not expected to be particularly informative in relating symptoms to a past SARS-CoV-2 infection.

Identifiers

PMID37414856
PMCPMC10325957

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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.