Evidence map›Paper›PMID 38153928›Full record

SynthesisPloS one2023

Persistent symptoms are associated with long term effects of COVID-19 among children and young people: Results from a systematic review and meta-analysis of controlled studies.

Sanaz Behnood, Fiona Newlands, Lauren O'Mahoney, Mahta Haghighat Ghahfarokhi, Mohammed Z Muhid, Jake Dudley, Terence Stephenson, Shamez N Ladhani, Sophie Bennett, Russell M Viner and 5 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
6.8field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Definitions and symptoms of the post-COVID syndrome: an updated systematic umbrella review.European archives of psychiatry and clinical neuroscience · 2025
    Pooled it
  3. Review
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  11. Long COVID in children and young people: then and now.Current opinion in infectious diseases · 2025
    Review
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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

15 authors at 6 institutions in 1 country.

Sanaz BehnoodUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
Fiona NewlandsUCL Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0000-0003-3078-7281
Lauren O'MahoneyDiabetes Research Centre, University of Leicester, Leicester, United Kingdom.
Mahta Haghighat GhahfarokhiKings College London, London, United Kingdom.
Mohammed Z MuhidUniversity College London, London, United Kingdom.
Jake DudleyUCL Great Ormond Street Institute of Child Health, London, United Kingdom.ORCID 0009-0006-9857-9285
Terence StephensonUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Shamez N LadhaniImmunisation Department, MRCPCH(UK), UK Health Security Agency, London, United Kingdom.
Sophie BennettUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Russell M VinerUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Rowan BhopalUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Paige KolasinskaUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Roz ShafranUCL Great Ormond Street Institute of Child Health, London, United Kingdom.
Olivia V SwannDepartment of Child Life and Health, University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0001-7386-2849
Andrea TakedaFreelance Systematic Reviewer, Winchester, United Kingdom.
Great Ormond Street Hospital · GBUniversity of Edinburgh · GBKing's College London · GBUK Health Security Agency · GBUniversity College London · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch on the long-term impact on COVID-19 in children and young people (CYP) has been published at pace. We aimed to update and refine an earlier systematic review and meta-analysis to assess the current evidence for Post-COVID-19 Condition in CYP.

methodsStudies from the previous systematic review were combined with studies from a systematic search from July 2021 to November 2022 (registration PROSPERO CRD42021233153). Eligible studies included CYP aged ≤19 years with confirmed or probable SARS-CoV-2 infection and symptoms persisting at least 12 weeks.

findings55 studies (n = 1,139,299 participants) were included. Over two-hundred symptoms were associated with Post COVID-19 Condition. Gastrointestinal problems, headaches, cough and fever were among the most prevalent symptoms with rates of 50.2%, 35.6%, 34.7% and 25.8% respectively. Twenty-one symptoms from 11 studies were suitable for meta-analysis. There were significantly higher pooled estimates of proportions of symptoms for altered / loss of smell or taste, dyspnoea, fatigue, and myalgia in CYP with confirmed SARS-CoV-2 infection. Heterogeneity was high suggesting substantial variation amongst the included studies.

conclusionsMany CYP continue to experience symptoms after SARS-CoV-2 infection. Efforts to aid early identification and intervention of those most in need is warranted and the consequences of COVID-19 for CYP call for long-term follow-up.

Indexed as

COVID-19Gastrointestinal DiseasesAdolescentChildHeadacheHumansPost-Acute COVID-19 SyndromeResearch DesignSARS-CoV-2

Identifiers

PMID38153928
PMCPMC10754445
OpenAlexW4390336452

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.