Evidence map›Paper›PMID 38992068›Full record

ArticleCommunications medicine2024

Identification of risk factors of Long COVID and predictive modeling in the RECOVER EHR cohorts.

Chengxi Zang, Yu Hou, Edward J Schenck, Zhenxing Xu, Yongkang Zhang, Jie Xu, Jiang Bian, Dmitry Morozyuk, Dhruv Khullar, Anna S Nordvig and 10 more

Abstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Cancer and COVID-19: A review of immune insights and partnerships to inform public health strategy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
    Review
  11. Article
  12. Article
  13. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review
  14. A Predictive Model for the Development of Long COVID in Children.International journal of environmental research and public health · 2025
    Article
  15. Review
  16. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  17. SatHealth: A Multimodal Public Health Dataset with Satellite-based Environmental Factors.KDD : proceedings. International Conference on Knowledge Discovery & Data Mining · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Chengxi ZangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0002-8244-9551
Yu HouDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Edward J SchenckDivision of Pulmonary and Critical Care Medicine, Weill Cornell Department of Medicine, New York, NY, USA.
Zhenxing XuDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Yongkang ZhangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Jie XuDepartment of Health Outcomes Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Jiang BianDepartment of Health Outcomes Biomedical Informatics, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-2238-5429
Dmitry MorozyukDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Dhruv KhullarDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Anna S NordvigDepartment of Neurology, Weill Cornell Medicine, New York, NY, USA.
Elizabeth A ShenkmanDepartment of Health Outcomes Biomedical Informatics, University of Florida, Gainesville, FL, USA.
Russell L RothmanCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Jason P BlockDepartment of Population Medicine, Harvard Pilgrim Health Care Institute, Harvard Medical School, Boston, MA, USA.
Kristin LymanLouisiana Public Health Institute, New Orleans, LA, USA.
Yiye ZhangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Jay VarmaDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Mark G WeinerDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-5586-9940
Thomas W CartonLouisiana Public Health Institute, New Orleans, LA, USA.
Fei WangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA. few2001@med.cornell.edu.ORCID http://orcid.org/0000-0001-9459-9461
Rainu KaushalDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.

Funding

OTA-21-015A Post-Acute Sequelae of SARS-CoV-2 Infection Initiative: NYU Langone Health Clinical Science Core, Data Resource Core, and PASC Biorepository CoreOT2HL161847 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON, HORWITZ, LEORA · 2021 to 2025
$651.0M
Necroinflammatory Cell Death in SepsisK23HL151876 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SCHENCK, EDWARD JAMES · 2021 to 2025
$975k
NHLBI NIH HHS K23 HL151876NHLBI NIH HHS OT2 HL161847
6 · The paper itself

Abstract

backgroundSARS-CoV-2-infected patients may develop new conditions in the period after the acute infection. These conditions, the post-acute sequelae of SARS-CoV-2 infection (PASC, or Long COVID), involve a diverse set of organ systems. Limited studies have investigated the predictability of Long COVID development and its associated risk factors.

methodsIn this retrospective cohort study, we used electronic healthcare records from two large-scale PCORnet clinical research networks, INSIGHT (~1.4 million patients from New York) and OneFlorida+ (~0.7 million patients from Florida), to identify factors associated with having Long COVID, and to develop machine learning-based models for predicting Long COVID development. Both SARS-CoV-2-infected and non-infected adults were analysed during the period of March 2020 to November 2021. Factors associated with Long COVID risk were identified by removing background associations and correcting for multiple tests.

resultsWe observed complex association patterns between baseline factors and a variety of Long COVID conditions, and we highlight that severe acute SARS-CoV-2 infection, being underweight, and having baseline comorbidities (e.g., cancer and cirrhosis) are likely associated with increased risk of developing Long COVID. Several Long COVID conditions, e.g., dementia, malnutrition, chronic obstructive pulmonary disease, heart failure, PASC diagnosis U099, and acute kidney failure are well predicted (C-index > 0.8). Moderately predictable conditions include atelectasis, pulmonary embolism, diabetes, pulmonary fibrosis, and thromboembolic disease (C-index 0.7-0.8). Less predictable conditions include fatigue, anxiety, sleep disorders, and depression (C-index around 0.6).

conclusionsThis observational study suggests that association patterns between investigated factors and Long COVID are complex, and the predictability of different Long COVID conditions varies. However, machine learning-based predictive models can help in identifying patients who are at risk of developing a variety of Long COVID conditions.

Identifiers

PMID38992068
PMCPMC11239808

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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.