Evidence map›Paper›PMID 38449921›Full record

ArticleOpen forum infectious diseases2024

Two-Year Longitudinal Study Reveals That Long COVID Symptoms Peak and Quality of Life Nadirs at 6-12 Months Postinfection.

Zoe O Demko, Tong Yu, Sarika K Mullapudi, M Gabriela Varela Heslin, Chamia A Dorsey, Christine B Payton, Jeffrey A Tornheim, Paul W Blair, Shruti H Mehta, David L Thomas and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  4. Vascular inflammation in neuropsychiatric long COVID.Brain, behavior, & immunity - health · 2026
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  5. Review
  6. Article
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  18. Sex Differences in Long COVID.JAMA network open · 2025
    Article
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Zoe O DemkoDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0003-2122-820X
Tong YuDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sarika K MullapudiDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
M Gabriela Varela HeslinDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Chamia A DorseyDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christine B PaytonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeffrey A TornheimDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Paul W BlairDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Shruti H MehtaDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
David L ThomasDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Yukari C ManabeDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Annukka A R AntarDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-6775-1103
Johns Hopkins University · USHenry M. Jackson Foundation · US

Funding

TrainingU54EB007958 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Susan Anne Tuddenham · 2007 to 2026
$34.6M
Whole Genome Sequencing of Drug Resistant Tuberculosis in India: Genotype-Phenotype Correlation, Clinical Impact of Resistance, and Sequencing Directly from SputumK23AI135102 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TORNHEIM, JEFFREY · 2018 to 2021
$776k
NIAID NIH HHS K23 AI135102NIBIB NIH HHS U54 EB007958
6 · The paper itself

Abstract

Background: Few longitudinal studies available characterize long COVID outcomes out to 24 months, especially in people with nonsevere acute coronavirus disease 2019 (COVID-19). This study sought to prospectively characterize incidence and duration of long COVID symptoms and their association with quality of life (QoL) from 1-24 months after mild-to-moderate COVID-19 using validated tools in a diverse cohort of unvaccinated people infected with SARS-CoV-2 in 2020. Methods: At 1-3, 6, 12, 18, and 24 months post-COVID-19, 70 participants had orthostatic vital signs measured, provided blood, and completed surveys characterizing symptoms, QoL, and return to pre-COVID-19 health and activities using validated tools (FLU-PRO+, Fatigue Severity Scale, Insomnia Severity Index, General Practitioner Assessment of Cognition, Patient Health Questionnaire Depression 8-Item, Generalized Anxiety Disorder 7-Item, 36-Item Short-Form Health Survey, EuroQol EQ-5D-5L). Results: During the study period, 33% of participants experienced long COVID (had not returned to pre-COVID-19 health status and reported at least 1 symptom >90 days postinfection); 8% had not returned to their pre-COVID-19 health status 24 months postinfection. Long COVID symptoms peaked 6 months post-COVID-19, frequently causing activity limitations. Having long COVID was significantly associated with decreased QoL in multiple domains. Frequencies of orthostatic hypotension and tachycardia reflected levels reported in the general population. Within-person weight increased significantly between months 1 and 6. Long COVID was associated with pre-COVID-19 obesity and hyperlipidemia, but not with high-sensitivity C-reactive protein levels 1-3 months postinfection. Conclusions: Long COVID occurs in a significant proportion of unvaccinated people, even if the acute illness was not severe. Long COVID prevalence peaked 6-12 months post-COVID-19, and a small proportion of participants still reported not returning to their pre-COVID-19 health status 24 months post-COVID-19.

Indexed as

COVID-19long COVIDlongitudinal cohortquality of lifeSARS-CoV-2

Identifiers

PMID38449921
PMCPMC10917418
OpenAlexW4392498383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.