Evidence map›Paper›PMID 40208885›Full record

ArticlePLOS digital health2025

Pediatric Long COVID Subphenotypes: An EHR-based study from the RECOVER program.

Vitaly Lorman, L Charles Bailey, Xing Song, Suchitra Rao, Mady Hornig, Levon Utidjian, Hanieh Razzaghi, Asuncion Mejias, John Erik Leikauf, Seuli Bose Brill and 19 more

Abstract read
In one paragraph

Article in PLOS digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Vitaly LormanApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.ORCID https://orcid.org/0000-0003-0561-6587
L Charles BaileyApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Xing SongDepartment of Biomedical Informatics, Biostatistics and Medical Epidemiology (BBME), University of Missouri School of Medicine, Columbia, Missouri, United States of America.
Suchitra RaoDepartment of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado, United States of America.
Mady HornigDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America.ORCID https://orcid.org/0000-0001-7572-3092
Levon UtidjianApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Hanieh RazzaghiApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
Asuncion MejiasDepartment of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, United States of America.ORCID https://orcid.org/0000-0002-5983-8006
John Erik LeikaufDepartment of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry and Child Development, Stanford University School of Medicine, Palo Alto, California, United States of America.ORCID https://orcid.org/0000-0001-7364-1106
Seuli Bose BrillDepartment of Internal Medicine College of Medicine, Division of General Internal Medicine, The Ohio State University, Columbus, Ohio, United States of America.
Andrea AllenApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
H Timothy BunnellBiomedical Research Informatics Center, Nemours Children's Health, Wilmington, Delaware, United States of America.ORCID https://orcid.org/0000-0002-3099-7572
Cara ReedyBiomedical Research Informatics Center, Nemours Children's Health, Wilmington, Delaware, United States of America.
Abu Saleh Mohammad MosaDepartment of Biomedical Informatics, Biostatistics, and Medical Epidemiology, University of Missouri School of Medicine, Columbia, Missouri, United States of America.ORCID https://orcid.org/0000-0002-8956-1466
Benjamin D HorneIntermountain Medical Center Heart Institute, Salt Lake City, Utah, United States of America.ORCID https://orcid.org/0000-0002-2656-0263
Carol Reynolds GearyDepartment of Pathology, Microbiology, and Immunology, University of Nebraska Medical Center, Omaha, Nebraska, United States of America.
Cynthia H ChuangPenn State College of Medicine, Hershey, Pennsylvania, United States of America.
David A WilliamsDepartment of Anesthesiology, University of Michigan, Ann Arbor, Michigan, United States of America.
Dimitri A ChristakisCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington, United States of America.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa, United States of America.
Eneida A MendoncaDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States of America.
Lindsay G CowellO'Donnell School of Public Health, The University of Texas Southwestern Medical Center, Dallas, Texas, United States of America.
Lisa McCorkellDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, United States of America.
Mei LiuDepartment of Health Outcomes and Biomedical Informatics, College of Medicine University of Florida, Gainesville, Florida, United States of America.
Mollie R CumminsCollege of Nursing, University of Utah, Salt Lake City, Utah, United States of America.
Ravi JhaveriDivision of Infectious Diseases, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States of America.
Saul BleckerDepartment of Population Health, New York University Grossman School of Medicine, New York, New York, United States of America.
Christopher B ForrestApplied Clinical Research Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States of America.
RECOVER Consortium

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
NHLBI NIH HHS OT2 HL161847
6 · The paper itself

Abstract

Pediatric Long COVID has been associated with a wide variety of symptoms, conditions, and organ systems, but distinct clinical presentations, or subphenotypes, are still being elucidated. In this exploratory analysis, we identified a cohort of pediatric (age <21) patients with evidence of Long COVID and no pre-existing complex chronic conditions using electronic health record data from 38 institutions and used an unsupervised machine learning-based approach to identify subphenotypes. Our method, an extension of the Phe2Vec algorithm, uses tens of thousands of clinical concepts from multiple domains to represent patients' clinical histories to then identify groups of patients with similar presentations. The results indicate that cardiorespiratory presentations are most common (present in 54% of patients) followed by subphenotypes marked (in decreasing order of frequency) by musculoskeletal pain, neuropsychiatric conditions, gastrointestinal symptoms, headache, and fatigue.

Identifiers

PMID40208885
PMCPMC11984710

What OpenQuestion holds

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Registered trials

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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.