Evidence map›Paper›PMID 38587752›Full record

ArticleInfection2024

Definition of the Post-COVID syndrome using a symptom-based Post-COVID score in a prospective, multi-center, cross-sectoral cohort of the German National Pandemic Cohort Network (NAPKON).

Katharina S Appel, Carolin Nürnberger, Thomas Bahmer, Christian Förster, Maria Cristina Polidori, Mirjam Kohls, Tanja Kraus, Nora Hettich-Damm, Julia Petersen, Sabine Blaschke and 27 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04768998 (Intersectoral Platform), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04768998 unknown statusnot on this map

Intersectoral Platform (SÜP) of the National Pandemic Cohort Network (NAPKON)

TypeobservationalSponsorGoethe UniversityRan2020 to 2023Enrolled6,550ConditionsSevere Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)ArmsObservational of different courses of SARS-CoV-2 infection in different phases (acute vs. post-acute) and settings
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  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. Observational
  4. Article
  5. Article
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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

37 authors.

Katharina S Appel *Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany. appel@med.uni-frankfurt.de.
Carolin Nürnberger *Institute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Thomas BahmerInternal Medicine Department I, University Hospital Schleswig-Holstein Campus Kiel, Kiel, Germany.
Christian FörsterInstitute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Maria Cristina PolidoriDepartment II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Mirjam KohlsInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Tanja KrausInstitute of General Practice and Interprofessional Care, University Hospital Tübingen, Tübingen, Germany.
Nora Hettich-DammDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Julia PetersenDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
Sabine BlaschkeEmergency Department, University Medical Center Göttingen, Göttingen, Germany.
Isabel BröhlDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Jana ButzmannMedical Faculty, Institute of Medical Microbiology and Hospital Hygiene, University Hospital Magdeburg, Otto-Von-Guericke University Magdeburg, Magdeburg, Germany.
Hiwa DashtiPractice for General Medicine Dashti, Eberswalde, Germany.
Jürgen DeckertCenter of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany.
Michael DreherDepartment of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Karin FiedlerCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Carsten FinkeDepartment of Neurology, Charité Berlin, Berlin, Germany.
Ramsia GeislerCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Frank HansesEmergency Department and Department for Infection Control an Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.
Sina M PützDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Björn-Erik O JensenDepartment of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Düsseldorf University Hospital, Heinrich Heine University, Düsseldorf, Germany.
Margarethe KonikDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Medicine Essen, University Duisburg-Essen, Essen, Germany.
Kristin LehnertDZHK (German Center for Cardiovascular Research), University Medicine Greifswald, Greifswald, Germany.
Susana M Nunes de MirandaDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Lazar MitrovDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Olga MiljukovInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Jens-Peter ReeseInstitute for Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany.
Gernot RohdeDepartment of Respiratory Medicine, Goethe University Frankfurt, University Hospital, Medical Clinic I, Frankfurt/Main, Germany.
Margarete SchererCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Kristin TauscheDepartment of Internal Medicine I, University Hospital Carl Gustav Carus TU Dresden, Dresden, Germany.
Johannes J TebbeDepartment of Gastroenterology and Infectious Diseases, Klinikum Lippe, Lippe, Germany.
Jörg Janne VehreschildCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Florian VoitDepartment of Internal Medicine II, School of Medicine, University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.
Patricia WagnerDepartment I of Internal Medicine, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Martin WeiglDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Munich, Germany.
Christina LemhöferInstitute of Physical and Rehabilitation Medicine, Jena University Hospital/Friedrich-Schiller-University Jena, Jena, Germany.
NAPKON Study Group

Funding

German Federal Ministry of Education and Research (BMBF) Network of University Medicine 2.0: "NUM 2.0" Grant No. 01KX2121
6 · The paper itself

Abstract

purposeThe objective examination of the Post-COVID syndrome (PCS) remains difficult due to heterogeneous definitions and clinical phenotypes. The aim of the study was to verify the functionality and correlates of a recently developed PCS score.

methodsThe PCS score was applied to the prospective, multi-center cross-sectoral cohort (in- and outpatients with SARS-CoV-2 infection) of the "National Pandemic Cohort Network (NAPKON, Germany)". Symptom assessment and patient-reported outcome measure questionnaires were analyzed at 3 and 12 months (3/12MFU) after diagnosis. Scores indicative of PCS severity were compared and correlated to demographic and clinical characteristics as well as quality of life (QoL, EQ-5D-5L).

resultsSix hundred three patients (mean 54.0 years, 60.6% male, 82.0% hospitalized) were included. Among those, 35.7% (215) had no and 64.3% (388) had mild, moderate, or severe PCS. PCS severity groups differed considering sex and pre-existing respiratory diseases. 3MFU PCS worsened with clinical severity of acute infection (p = .011), and number of comorbidities (p = .004). PCS severity was associated with poor QoL at the 3MFU and 12MFU (p < .001).

conclusionThe PCS score correlated with patients' QoL and demonstrated to be instructive for clinical characterization and stratification across health care settings. Further studies should critically address the high prevalence, clinical relevance, and the role of comorbidities. TRAIL REGISTRATION NUMBER: The cohort is registered at www. CLINICALTRIALS: gov under NCT04768998.

Indexed as

COVID-19Quality of LifeSARS-CoV-2AdultAgedCohort StudiesFemaleGermanyHumansMaleMiddle AgedPatient Reported Outcome MeasuresPost-Acute COVID-19 SyndromeProspective StudiesSeverity of Illness IndexSurveys and QuestionnairesDefinitionLong-COVIDMulti-center prospective cohort studyPatient reported outcome measuresPost-COVIDQuality of lifeScore

Identifiers

PMID38587752
PMCPMC11499320

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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.