Evidence map›Paper›PMID 37653345›Full record

ArticleNature medicine2023

Acute blood biomarker profiles predict cognitive deficits 6 and 12 months after COVID-19 hospitalization.

Maxime Taquet, Zuzanna Skorniewska, Adam Hampshire, James D Chalmers, Ling-Pei Ho, Alex Horsley, Michael Marks, Krisnah Poinasamy, Betty Raman, Olivia C Leavy and 22 more

Abstract read
In one paragraph

Article in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing 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

60 citing papers in PubMed.

  1. Profiles of Individuals With Long COVID Reporting Persistent Cognitive Complaints.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2025
    Trial
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Inflammatory predictors of Post-COVID fatigue.Brain, behavior, & immunity - health · 2025
    Article
  14. Review
  15. Article
  16. Review
  17. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Maxime TaquetDepartment of Psychiatry, University of Oxford, Oxford, UK. maxime.taquet@psych.ox.ac.uk.ORCID http://orcid.org/0000-0002-8987-952X
Zuzanna SkorniewskaDepartment of Psychiatry, University of Oxford, Oxford, UK.
Adam HampshireDepartment of Brain Sciences, Imperial College London, London, UK.
James D ChalmersUniversity of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Ling-Pei HoMRC Human Immunology Unit, University of Oxford, Oxford, UK.
Alex HorsleyDivision of Infection, Immunity & Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0003-1828-0058
Michael MarksDepartment of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK.
Krisnah PoinasamyAsthma and Lung UK, London, UK.
Betty RamanRadcliffe Department of Medicine, University of Oxford, Oxford, UK.
Olivia C LeavyDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Matthew RichardsonThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Omer ElneimaThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Hamish J C McAuleyThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Aarti ShikotraNIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Amisha SingapuriThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0009-0002-4711-7516
Marco SerenoThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0003-4573-9303
Ruth M SaundersThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Victoria C HarrisThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Linzy Houchen-WolloffCentre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre-Respiratory, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0003-4940-8835
Neil J GreeningThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0003-0453-7529
Parisa MansooriMQ: Transforming Mental Health, London, UK.
Ewen M HarrisonCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-5018-3066
Annemarie B DochertyCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0001-8277-420X
Nazir I LoneUsher Institute, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0003-2707-2779
Jennifer QuintNHLI, Imperial College London, London, UK.
Naveed SattarSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-1604-2593
Christopher E BrightlingThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.
Louise V WainDepartment of Population Health Sciences, University of Leicester, Leicester, UK.
Rachael E EvansThe institute for Lung Health, NIHR Leicester Biomedical Research Centre, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-1667-868X
John R GeddesDepartment of Psychiatry, University of Oxford, Oxford, UK.
Paul J HarrisonDepartment of Psychiatry, University of Oxford, Oxford, UK. paul.harrison@psych.ox.ac.uk.ORCID http://orcid.org/0000-0002-6719-1126
PHOSP-COVID Study Collaborative Group

Funding

Department of Health BRC-1215-20005Department of Health NIHR203316Medical Research Council MR/V027859/1Wellcome Trust 209553
6 · The paper itself

Abstract

Post-COVID cognitive deficits, including 'brain fog', are clinically complex, with both objective and subjective components. They are common and debilitating, and can affect the ability to work, yet their biological underpinnings remain unknown. In this prospective cohort study of 1,837 adults hospitalized with COVID-19, we identified two distinct biomarker profiles measured during the acute admission, which predict cognitive outcomes 6 and 12 months after COVID-19. A first profile links elevated fibrinogen relative to C-reactive protein with both objective and subjective cognitive deficits. A second profile links elevated D-dimer relative to C-reactive protein with subjective cognitive deficits and occupational impact. This second profile was mediated by fatigue and shortness of breath. Neither profile was significantly mediated by depression or anxiety. Results were robust across secondary analyses. They were replicated, and their specificity to COVID-19 tested, in a large-scale electronic health records dataset. These findings provide insights into the heterogeneous biology of post-COVID cognitive deficits.

Indexed as

COVID-19C-Reactive ProteinAdultBiomarkersCognitionHospitalizationHumansProspective StudiesBiomarkersC-Reactive Protein

Identifiers

PMID37653345
PMCPMC10579097

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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.