Evidence map›Paper›PMID 38385031›Full record

ArticleFrontiers in neurology2024

Neurological involvement among non-hospitalized adolescents and young adults 6 months after acute COVID-19.

Lise Beier Havdal, Joel Selvakumar, Lise Lund Berven, Tonje Stiansen-Sonerud, Henrik Zetterberg, Kaj Blennow, Trygve Holmøy, Vegard Bruun Bratholm Wyller

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04686734 (Long-term Effects of COVID-19 in Adolescents), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 24% 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.

NCT04686734 completednot on this map

Long-term Effects of COVID-19 in Adolescents

TypeobservationalSponsorUniversity Hospital, AkershusRan2021 to 2022Enrolled516ConditionsCovid19ArmsNo active intervention (observational only)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

8 authors at 4 institutions in 3 countries.

Lise Beier HavdalDepartment of Paediatrics and Adolescent Health, Akershus University Hospital, Lørenskog, Norway.
Joel SelvakumarDepartment of Paediatrics and Adolescent Health, Akershus University Hospital, Lørenskog, Norway.
Lise Lund BervenDepartment of Paediatrics and Adolescent Health, Akershus University Hospital, Lørenskog, Norway.
Tonje Stiansen-SonerudDepartment of Paediatrics and Adolescent Health, Akershus University Hospital, Lørenskog, Norway.
Henrik ZetterbergInstitute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
Kaj BlennowInstitute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden.
Trygve HolmøyInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Vegard Bruun Bratholm WyllerDepartment of Paediatrics and Adolescent Health, Akershus University Hospital, Lørenskog, Norway.
Akershus University Hospital · NOUniversity of Oslo · NOSahlgrenska University Hospital · SEUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The post-COVID-19 condition (PCC) is characterized by debilitating persistent symptoms, including symptoms suggesting neurological aberrations such as concentration difficulties, impaired memory, pain, and sleep disturbances. The underlying mechanisms remain elusive. This study aimed to investigate brain injury biomarkers, neurocognitive test performance, and self-reported neurological and neuropsychological symptoms in young people with PCC. Methods: A total of 404 non-hospitalized adolescents and young adults aged 12-25 years who tested positive for SARS-CoV-2, along with 105 matched SARS-CoV-2 negative individuals, were prospectively enrolled and followed-up for 6 months (Clinical Trials ID: NCT04686734). All participants underwent comprehensive assessment encompassing clinical examinations, questionnaires, neurocognitive testing and blood sampling. Serum samples were immunoassayed for the brain injury biomarkers neurofilament light chain (Nfl) and glial fibrillary acidic protein (GFAp). At 6 months, cross-sectional analyses of serum Nfl/GFAp, neurocognitive test results and symptom scores were performed across groups based on adherence to PCC criteria as well as initial SARS-CoV-2 test results. Also, associations between Nfl/GFAp, neurocognitive test results, and symptom scores were explored. Results: A total of 381 SARS-CoV-2 positive and 85 SARS-CoV-2 negative were included in the final analysis at 6 months, of whom 48% and 47%, respectively, adhered to the PCC criteria. Serum levels of Nfl and GFAp were almost equal across groups and did not differ from reference values in healthy populations. Also, neurocognitive test results were not different across groups, whereas symptom scores were significantly higher in patients fulfilling PCC criteria (independent of initial SARS-CoV-2 status). No significant associations between Nfl/GFAp, neurocognitive test results, and symptom scores were found. Conclusion: Normal brain injury biomarkers and neurocognitive performance 6 months after mild COVID-19 implies that the persistent symptoms associated with PCC are not concurrent with ongoing central nervous system damage or permanent disruption of cognitive functions. This finding contradicts the notion of neuroinflammation as a likely explanation for the persistent symptoms.

Indexed as

adolescentscognitive functionsCOVID-19fatigueglial fibrillary acidic proteinneurofilamentpost-COVID-19 condition

Identifiers

PMID38385031
PMCPMC10879600
OpenAlexW4391609954

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.