Evidence map›Paper›PMID 38212781›Full record

SynthesisVirology journal2024

The burden of persistent symptoms after COVID-19 (long COVID): a meta-analysis of controlled studies in children and adults.

Ahmed Azzam, Heba Khaled, Neveen Refaey, Shorouk Mohsen, Ola Ali El-Emam, Nada Dawood, Hebatalla A Ahmed, Omar A Soliman, Sana Mostafa, Heba Ramadan and 8 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Virology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Evolutionary Predictors of Post-COVID Syndrome.Journal of clinical medicine · 2026
    Article
  5. Article
  6. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. [Fatigue in the general population: results of the "German Health Update 2023" study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Article
  11. Article
  12. Article
  13. 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

18 authors at 9 institutions in 2 countries.

Ahmed AzzamDepartment of Microbiology and Immunology, Faculty of Pharmacy, Helwan University, Cairo, Egypt. ahmed.abdelkareem@pharm.helwan.edu.eg.
Heba KhaledDepartment of Biochemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt.
Neveen RefaeyDepartment of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Shorouk MohsenPublic Health and Preventive Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Ola Ali El-EmamClinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Nada DawoodCommunity Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Hebatalla A AhmedDepartment of Public Health and Community Medicine, Faculty of Medicine, Kafr-Elsheikh University, Kafr-Elsheikh, Egypt.
Omar A SolimanDepartment of Clinical Pharmacy, Alexandria, University Main Teaching Hospital, Alexandria, Egypt.
Sana MostafaOral Biology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt.
Heba RamadanPharmacy Department, Agamy Medical District, Ministry of Health and Population, Agamy, Alexandria, Egypt.
Maha MosaOtolaryngologist, Qeft Teaching Hospital, Qena, Egypt.
Amora Omar Ibrahim ElmowafyMedical Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Shimaa Mohamed Abdou RizkMedical Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt.
Ahmed ZakiFaculty of Medicine, Cairo University, Cairo, Egypt.
Mostafa HussienFaculty of Medicine, Suez Canal University, Suez City, Ismailia Governorate, Egypt.
Ameer AhmedFaculty of Medicine, Minia University, Minya, Egypt.
Ahmad Ashraf EzzatFaculty of Pharmacy, Minia University, Minya, Egypt.
Fatma E HassanMedical Physiology Department, Kasr Alainy, Faculty of Medicine, Cairo University, Giza, 11562, Egypt.
Cairo University · EGMansoura University · EGMinia University · EGSuez Canal University · EGAlexandria University · EGHelwan University · EGJeddah University · SAKafrelsheikh University · EGMinistry of Health and Population · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious meta-analyses estimating the prevalence of the post-COVID-19 condition (PCC) were confounded by the lack of negative control groups. This may result in an overestimation of the prevalence of those experiencing PCC, as these symptoms are non-specific and common in the general population. In this study, we aimed to compare the burden of persistent symptoms among COVID-19 survivors relative to COVID-19-negative controls.

methodsA systematic literature search was conducted using the following databases (PubMed, Web of Science, and Scopus) until July 2023 for comparative studies that examined the prevalence of persistent symptoms in COVID-19 survivors. Given that many of the symptoms among COVID-19 survivors overlap with post-hospitalization syndrome and post-intensive care syndrome, we included studies that compare the prevalence of persistent symptoms in hospitalized COVID-19 patients relative to non-COVID-19 hospitalized patients and in non-hospitalized COVID-19 patients relative to healthy controls that reported outcomes after at least 3 months since infection. The results of the meta-analysis were reported as odds ratios with a 95% confidence interval based on the random effects model.

resultsTwenty articles were included in this study. Our analysis of symptomatology in non-hospitalized COVID-19 patients compared to negative controls revealed that the majority of symptoms examined were not related to COVID-19 infection and appeared equally prevalent in both cohorts. However, non-COVID-19 hospitalized patients had higher odds of occurrence of certain symptoms like anosmia, ageusia, fatigue, dyspnea, and brain fog (P < 0.05). Particularly, anosmia and ageusia showed substantially elevated odds relative to the negative control group at 11.27 and 9.76, respectively, P < 0.05. In contrast, analysis of hospitalized COVID-19 patients compared to those hospitalized for other indications did not demonstrate significantly higher odds for the tested symptoms.

conclusionsThe persistent symptoms in COVID-19 survivors may result from hospitalization for causes unrelated to COVID-19 and are commonly reported among the general population. Although certain symptoms exhibited higher odds in non-hospitalized COVID-19 patients relative to controls, these symptoms are common post-viral illnesses. Therefore, the persistent symptoms after COVID-19 may not be unique to SARS-CoV-2. Future studies including well-matched control groups when investigating persistent symptoms in COVID-19 survivors are warranted to draw a firm conclusion.

Indexed as

COVID-19Post-Acute COVID-19 SyndromeAdultAgeusiaAnosmiaChildHumans

Identifiers

PMID38212781
PMCPMC10785462
OpenAlexW4390754912

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.