Evidence map›Paper›PMID 38961833›Full record

ArticleAnnals of clinical and translational neurology2024

Social impact of brain fog and analysis of risk factors: Long COVID in Japanese population.

Lisa Shigematsu, Ryusei Kimura, Hideki Terai, Yu Mimura, Daisuke Ito, Shogyoku Bun, Ho Namkoong, Takanori Asakura, Shotaro Chubachi, Katsunori Masaki and 18 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
  2. Understanding how social determinants of health shape Long COVID outcomes: a rapid review of evidence.Archives of public health = Archives belges de sante publique · 2025
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. 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

28 authors.

Lisa ShigematsuDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Ryusei KimuraBiostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan.
Hideki TeraiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-1118-1930
Yu MimuraDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Daisuke ItoDepartment of Physiology/Memory Center, Keio University School of Medicine, Tokyo, Japan.
Shogyoku BunDepartment of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.
Ho NamkoongDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Takanori AsakuraDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Shotaro ChubachiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Katsunori MasakiDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Keiko OhginoDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Jun MiyataDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Ichiro KawadaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Makoto IshiiDepartment of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ryo TakemuraBiostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan.
Soichiro UedaDepartment of Internal Medicine, Saitama Medical Center, Saitama, Japan.
Takashi YoshiyamaRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Hiroyuki KokutoRespiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Tatsuya KusumotoDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Ayano OashiDepartment of Pulmonary Medicine, Eiju General Hospital, Tokyo, Japan.
Masayoshi MiyawakiDepartment of Pulmonary Medicine, Eiju General Hospital, Tokyo, Japan.
Fumitake SaitoDepartment of Pulmonary Medicine, Eiju General Hospital, Tokyo, Japan.
Tetsuo TaniDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Kota IshiokaDepartment of Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
Saeko TakahashiDepartment of Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
Morio NakamuraDepartment of Pulmonary Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
Yasunori SatoDepartment of Biostatistics, Keio University School of Medicine, Tokyo, Japan.
Koichi FukunagaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.

Funding

Core Research for Evolutional Science and Technology JPMJCR20H2Japan Agency for Medical Research and Development JP20fk0108415Japan Agency for Medical Research and Development JP20fk0108452Japan Agency for Medical Research and Development JP20nk0101612Japan Agency for Medical Research and Development JP 21fk0108431Japan Agency for Medical Research and Development JP 21fk0108553Japan Agency for Medical Research and Development JP 21fk0108563Japan Agency for Medical Research and Development JP 21fk0108573Japan Agency for Medical Research and Development JP 22fk0108510Japan Agency for Medical Research and Development JP 22fk0108513Japan Agency for Medical Research and Development JP 22fk0108573Japan Agency for Medical Research and Development JP 22wm0325031Ministry of Health, Labour and Welfare 20CA2054Ministry of Health, Labour and Welfare JPMH21HA2011Ministry of Health, Labour and Welfare JPMH23HA2011Precursory Research for Embryonic Science and Technology JPMJPR21R7
6 · The paper itself

Abstract

objectiveTo reveal the clinical features and assess risk factors linked to brain fog and its societal implications, including labor productivity, providing valuable insights for the future care of individuals who have experienced coronavirus disease 2019 (COVID-19).

methodsWe analyzed a comprehensive cohort dataset comprising 1,009 patients with COVID-19 admitted to Japanese hospitals. To assess brain fog, we analyzed patients who responded to a questionnaire indicating symptoms such as memory impairment and poor concentration.

resultsThe prevalence of brain fog symptoms decreased 3 months posthospitalization but remained stable up to 12 months. Neurological symptoms such as taste and smell disorders and numbness at hospitalization correlated with a higher frequency of identifying brain fog as a long COVID manifestation. Our findings indicated that advanced age, female sex, a high body mass index, oxygen required during hospitalization, chronic obstructive pulmonary disease, asthma, and elevated C-reactive protein and elevated D-dimer levels were risk factors in patients exhibiting brain fog. Additionally, we demonstrated the negative impact of brain fog on labor productivity by presenteeism scores. INTERPRETATIONS: This study clarified the clinical characteristics of patients experiencing brain fog as a long COVID manifestation, specifically emphasizing neurological symptoms during hospitalization and their correlation with brain fog. Additionally, the study identified associated risk factors for its onset and revealed that the emergence of brain fog was linked to a decline in labor productivity.

Indexed as

COVID-19Mental FatigueAdultAgedAged, 80 and overCohort StudiesEast Asian PeopleFemaleHospitalizationHumansJapanMaleMemory DisordersMiddle AgedPost-Acute COVID-19 SyndromeRisk Factors

Identifiers

PMID38961833
PMCPMC11330230

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.