Evidence map›Paper›PMID 38341566›Full record

ArticleBMC infectious diseases2024

Association between SARS-CoV-2 infection and select symptoms and conditions 31 to 150 days after testing among children and adults.

Yongkang Zhang, Alfonso Romieu-Hernandez, Tegan K Boehmer, Eduardo Azziz-Baumgartner, Thomas W Carton, Adi V Gundlapalli, Julia Fearrington, Kshema Nagavedu, Katherine Dea, Erick Moyneur and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 2 countries.

Yongkang ZhangDepartment of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.
Alfonso Romieu-HernandezEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Tegan K BoehmerCDC COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Eduardo Azziz-BaumgartnerCDC COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Thomas W CartonLouisiana Public Health Institute, New Orleans, LA, USA.
Adi V GundlapalliCDC COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Julia FearringtonDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, 401 Park Drive, Suite 401 East, Boston, MA, USA.
Kshema NagaveduDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, 401 Park Drive, Suite 401 East, Boston, MA, USA.
Katherine DeaStatlog, Montreal, Canada.
Erick MoyneurStatlog, Montreal, Canada.
Lindsay G CowellPeter O-Donnell Jr. School of Public Health, Department of Immunology, UT Southwestern Medical Center, Dallas, TX, USA.
Rainu KaushalDepartment of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.
Kenneth H MayerFenway Institute, Fenway Health, Harvard Medical School, Boston, MA, USA.
Jon PuroOCHIN, Inc., Portland, OR, USA.
Sonja A RasmussenDepartment of Pediatrics, University of Florida College of Medicine, Gainesville, FL, USA.
Deepika ThackerNemours Cardiac Center, Nemours Children's Health, Wilmington, Delaware, USA.
Mark G WeinerDepartment of Population Health Sciences, Weill Cornell Medical College, New York, NY, USA.
Sharon Saydah *CDC COVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jason P Block *Department of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, 401 Park Drive, Suite 401 East, Boston, MA, USA. jblock1@partners.org.
PCORnet Network Partners
Centers for Disease Control and Prevention · USHarvard University · USCornell University · USStatistics Canada · CALouisiana Public Health Institute · USNemours Children's Health System · USOchin · USSouthwestern Medical CenterUniversity of Florida · US

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI RIZZO, MATTHEW · 2016 to 2025
$42.8M
CDC HHS 6-NU38OT000316NHLBI NIH HHS OT2 HL161847NIGMS NIH HHS U54 GM115458NIH HHS OTA HL161847-01
6 · The paper itself

Abstract

backgroundAn increasing number of studies have described new and persistent symptoms and conditions as potential post-acute sequelae of SARS-CoV-2 infection (PASC). However, it remains unclear whether certain symptoms or conditions occur more frequently among persons with SARS-CoV-2 infection compared with those never infected with SARS-CoV-2. We compared the occurrence of specific COVID-associated symptoms and conditions as potential PASC 31- to 150-day following a SARS-CoV-2 test among adults and children with positive and negative test results.

methodsWe conducted a retrospective cohort study using electronic health record (EHR) data from 43 PCORnet sites participating in a national COVID-19 surveillance program. This study included 3,091,580 adults (316,249 SARS-CoV-2 positive; 2,775,331 negative) and 675,643 children (62,131 positive; 613,512 negative) who had a SARS-CoV-2 laboratory test during March 1, 2020-May 31, 2021 documented in their EHR. We used logistic regression to calculate the odds of having a symptom and Cox models to calculate the risk of having a newly diagnosed condition associated with a SARS-CoV-2 positive test.

resultsAfter adjustment for baseline covariates, hospitalized adults and children with a positive test had increased odds of being diagnosed with ≥ 1 symptom (adults: adjusted odds ratio[aOR], 1.17[95% CI, 1.11-1.23]; children: aOR, 1.18[95% CI, 1.08-1.28]) or shortness of breath (adults: aOR, 1.50[95% CI, 1.38-1.63]; children: aOR, 1.40[95% CI, 1.15-1.70]) 31-150 days following a SARS-CoV-2 test compared with hospitalized individuals with a negative test. Hospitalized adults with a positive test also had increased odds of being diagnosed with ≥ 3 symptoms or fatigue compared with those testing negative. The risks of being newly diagnosed with type 1 or type 2 diabetes (adjusted hazard ratio[aHR], 1.25[95% CI, 1.17-1.33]), hematologic disorders (aHR, 1.19[95% CI, 1.11-1.28]), or respiratory disease (aHR, 1.44[95% CI, 1.30-1.60]) were higher among hospitalized adults with a positive test compared with those with a negative test. Non-hospitalized adults with a positive test also had higher odds or increased risk of being diagnosed with certain symptoms or conditions.

conclusionsPatients with SARS-CoV-2 infection, especially those who were hospitalized, were at higher risk of being diagnosed with certain symptoms and conditions after acute infection.

Indexed as

COVID-19Diabetes Mellitus, Type 2AdultChildHumansPost-Acute COVID-19 SyndromeRetrospective StudiesSARS-CoV-2COVID-19 pandemicElectronic health recordLong-COVIDSARS-CoV-2

Identifiers

PMID38341566
PMCPMC10859007
OpenAlexW4391721781

What OpenQuestion holds

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LicenceCC BY
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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.