Evidence map›Paper›PMID 39982872›Full record

Observational studyPloS one2025

COVID-19 symptom severity and duration among outpatients, July 2021-May 2023: The PROTECT observational study.

Bhavya Vashi, Kristen Pettrone, Claire S Wilson, Josh G Chenoweth, Joost Brandsma, Melissa K Gregory, Pavol Genzor, Deborah A Striegel, Richard E Rothman, Bhakti Hansoti and 9 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Bhavya VashiThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Kristen PettroneThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.ORCID 0000-0001-9163-572X
Claire S WilsonDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Josh G ChenowethThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Joost BrandsmaThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Melissa K GregoryThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Pavol GenzorThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Deborah A StriegelThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.
Richard E RothmanDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Bhakti HansotiDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Gideon D AvornuDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Breana McBrydeDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Lauren Reynolds ZimmermanDepartment of Emergency Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America.
Christopher W WoodsDivision of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Elizabeth A PetzoldDivision of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Jessica CowdenWalter Reed Army Institute of Research-Armed Forces Research Institute of Medical Science (WRAIR-AFRIMS), Bangkok, Thailand.ORCID 0000-0002-1981-7366
Sorachai NitayaphanRoyal Thai Army, Armed Forces Research Institute of Medical Sciences, Bangkok, Thailand.
Worapong NasomsongDivision of Infectious Disease, Department of Internal Medicine, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.ORCID 0000-0002-3486-8591
Danielle V ClarkThe Austere environments Consortium for Enhanced Sepsis Outcomes (ACESO), The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc., Bethesda, Maryland, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the emergence of new SARS-CoV-2 variants has come significant variations in disease manifestation, severity, and duration in non-hospitalized infected patients. To characterize symptom patterns and risk factors associated with symptom severity and duration, COVID-19 and influenza-like illness (ILI) outpatients and their contacts were enrolled at two sites in the United States of America and one site in Thailand.

methodsCOVID-19 infection was confirmed at enrollment with a positive antigen or PCR test. Baseline demographics and medical histories were collected from participants at enrollment and daily self-reported symptom questionnaires were obtained to assess symptom severity and duration. Risk factors associated with symptom severity and duration were determined by multivariate logistic regression and Cox proportional hazards model.

resultsTwo hundred and forty one participants meeting the eligibility criteria were enrolled, including 174 confirmed COVID-19 cases (9% Delta and 90% Omicron), 33 ILI cases, and 34 healthy contacts. COVID-19 participants had a shorter median symptom duration of 9.0 (95% CI, 8.0-11.0) days than ILI participants. Infection with the Delta variant resulted in a longer symptom alleviation period compared to infection with the Omicron variant. The most commonly reported symptoms among COVID-19 participants were reported in the nasal and chest/respiratory domains of the FLU-PRO Plus. Participants infected with the Delta variant reported more symptoms overall, with significantly more symptoms affecting eyes and senses reported. 55% of SARS-CoV-2-positive participants reached a negative N1 Ct value by the day 14 study time point. No risk factors for moderate to severe symptoms were identified in this outpatient cohort. Male sex was associated with a shorter symptom duration.

conclusionSymptom manifestation varied among Delta and Omicron variants. Few risk factors were identified for increased symptom severity or duration.

Indexed as

COVID-19SARS-CoV-2AdultAgedFemaleHumansMaleMiddle AgedOutpatientsRisk FactorsSeverity of Illness IndexThailandUnited States

Identifiers

PMID39982872
PMCPMC11844841

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.