Evidence map›Paper›PMID 38700656›Full record

Observational studyInfection2024

Comparison of post-COVID-19 symptoms in patients infected with the SARS-CoV-2 variants delta and omicron-results of the Cross-Sectoral Platform of the German National Pandemic Cohort Network (NAPKON-SUEP).

Sina M Pütz, Katharina S Appel, Olga Miljukov, Johannes Schneider, Marylyn M Addo, Robert Bals, Sven Bercker, Sabine Blaschke, Isabel Bröhl, Nikolaus Büchner and 29 more

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study 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, 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
–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, 1 synthesis or guideline pooled it.

  1. Diagnosis and Treatment of Adult Patients with Cough.Respiration; international review of thoracic diseases · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. [Immunological aspects and stress regulation in fatigue].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    Review
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

39 authors.

Sina M PützFaculty of Medicine, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, University Hospital Cologne, Weißhausstraße 24, 50939, Cologne, Germany. sina.puetz@uk-koeln.de.
Katharina S AppelCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Olga MiljukovFaculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Johannes SchneiderCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Marylyn M AddoInstitute for Infection Research and Vaccine Development (IIRVD), Center for Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Robert BalsDepartment of Internal Medicine V, Saarland University Medical Center, Homburg, Germany.
Sven BerckerDepartment of Anesthesiology and Intensive Care Medicine, University of Leipzig Medical Faculty, Leipzig, Germany.
Sabine BlaschkeEmergency Department, University Medical Center Goettingen, Goettingen, Germany.
Isabel BröhlFaculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Nikolaus BüchnerDepartment of Respiratory and Sleep Medicine, Helios Hospital Duisburg, , Duisburg, Germany.
Hiwa DashtiBAG Hausarztpraxis Dashti, Eberswalde, Germany.
Johanna ErberTUM School of Medicine and Health, Department of Clinical Medicine, Clinical Department for Internal Medicine II, University Medical Center, Technical University of Munich, Munich, Germany.
Anette FriedrichsDepartment of Internal Medicine I, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Ramsia GeislerCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Siri GöpelDepartment of Internal Medicine 1, University Hospital Tübingen, Tübingen, Germany.
Marina HagenCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Frank HansesEmergency Department and Department for Infection Control and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany.
Björn-Erik Ole JensenDepartment of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, University Hospital Duesseldorf, Heinrich-Heine-University, Duesseldorf, Germany.
Maria KeulMVZ Altstadt-Carree Fulda GmbH, Fulda, Germany.
Adalbert KrawczykDepartment of Infectious Diseases, West German Centre of Infectious Diseases, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Bettina Lorenz-DepiereuxInstitute of Epidemiology, Helmholtz Zentrum München, Munich, Germany.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Würzburg, Würzburg, Germany.
Milena MilovanovicMalteser Krankenhaus St. Franziskus Hospital Flensburg, Flensburg, Germany.
Lazar MitrovFaculty of Medicine, Department I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, University of Cologne, University Hospital Cologne, Weißhausstraße 24, 50939, Cologne, Germany.
Carolin NürnbergerFaculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Wilfried ObstDepartment of Gastroenterology, Hepatology and Infectious Diseases, University Hospital Magdeburg, Medical Faculty of Otto-Von-Guericke University Magdeburg, Magdeburg, Germany.
Christoph RömmeleClinic for Internal Medicine III, Gastroenterology and Infectious Diseases, University Hospital of Augsburg, Stenglinstraße 2, 86156, Augsburg, Germany.
Christian SchäferInstitute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Greifswald, Germany.
Christian ScheerDepartment of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, University Medicine Greifswald, Greifswald, Germany.
Margarete SchererCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Julia SchmidtFaculty of Medicine, Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
Kristina SeibelFaculty of Medicine, Department I of Internal Medicine, University of Cologne, University Hospital Cologne, Cologne, Germany.
Shimita SikdarCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
Johannes Josef TebbeKlinikum Lippe Department of Gastroenterology and Infectious Diseases, Bielefeld University, Medical School OWL, Bielefeld, Germany.
Phil-Robin TepasseDepartment of Medicine B for Gastroenterology, Hepatology, Endocrinology and Clinical Infectiology, University Hospital Muenster, Münster, Germany.
Philipp ThelenInstitute of Medical Microbiology and Virology, Carl Von Ossietzky University of Oldenburg, Oldenburg, Germany.
Maria J G T VehreschildDepartment of Internal Medicine, Infectious Diseases, Goethe University, University Hospital Frankfurt, Frankfurt Am Main, Germany.
Christina WeismantelCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.
J Janne VehreschildCenter for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Goethe University Frankfurt, University Hospital, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe influence of new SARS-CoV-2 variants on the post-COVID-19 condition (PCC) remains unanswered. Therefore, we examined the prevalence and predictors of PCC-related symptoms in patients infected with the SARS-CoV-2 variants delta or omicron.

methodsWe compared prevalences and risk factors of acute and PCC-related symptoms three months after primary infection (3MFU) between delta- and omicron-infected patients from the Cross-Sectoral Platform of the German National Pandemic Cohort Network. Health-related quality of life (HrQoL) was determined by the EQ-5D-5L index score and trend groups were calculated to describe changes of HrQoL between different time points.

resultsWe considered 758 patients for our analysis (delta: n = 341; omicron: n = 417). Compared with omicron patients, delta patients had a similar prevalence of PCC at the 3MFU (p = 0.354), whereby fatigue occurred most frequently (n = 256, 34%). HrQoL was comparable between the groups with the lowest EQ-5D-5L index score (0.75, 95% CI 0.73-0.78) at disease onset. While most patients (69%, n = 348) never showed a declined HrQoL, it deteriorated substantially in 37 patients (7%) from the acute phase to the 3MFU of which 27 were infected with omicron.

conclusionWith quality-controlled data from a multicenter cohort, we showed that PCC is an equally common challenge for patients infected with the SARS-CoV-2 variants delta and omicron at least for the German population. Developing the EQ-5D-5L index score trend groups showed that over two thirds of patients did not experience any restrictions in their HrQoL due to or after the SARS-CoV-2 infection at the 3MFU. CLINICAL TRAIL REGISTRATION: The cohort is registered at ClinicalTrials.gov since February 24, 2021 (Identifier: NCT04768998).

Indexed as

COVID-19Quality of LifeSARS-CoV-2AdultAgedCohort StudiesFemaleGermanyHumansMaleMiddle AgedPost-Acute COVID-19 SyndromePrevalenceRisk FactorsHealth-related quality of lifeMulticenter prospective cohort studyPost-covid-19 conditionSARS-CoV-2 variants

Identifiers

PMID38700656
PMCPMC11621170

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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.