Evidence map›Paper›PMID 40281467›Full record

Observational studyBMC infectious diseases2025

Trajectories of persisting Covid- 19 symptoms up to 24 months after acute infection: findings from the Predi-Covid cohort study.

Aurélie Fischer, Lu Zhang, Abir Elbéji, Paul Wilmes, Chantal J Snoeck, Jérôme Larché, Pauline Oustric, Markus Ollert, Guy Fagherazzi

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04380987 (Luxembourg Cohort of Positive Patients for COVID-19), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT04380987 completednot on this map

Luxembourg Cohort of Positive Patients for COVID-19: a Stratification Study to Predict Patient Prognosis

TypeobservationalSponsorLuxembourg Institute of HealthRan2020 to 2024Enrolled1,366ConditionsCovid19ArmsBiological sampling
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Living With Persistent Respiratory Symptoms of Long COVID: Qualitative Study Among Brazilian Adults 12 Months After Acute Infection.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  8. Article
  9. 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

9 authors.

Aurélie FischerDepartment of Precision Health, Deep Digital Phenotyping Research Unit, Luxembourg Institute of Health, 1 A-B Rue Thomas Edison, Strassen, L- 1445, Luxembourg. Aurelie.Fischer@lih.lu.
Lu ZhangBioinformatics Platform, Luxembourg Institute of Health, 1 A-B, Rue Thomas Edison, Strassen, L- 1445, Luxembourg.
Abir ElbéjiDepartment of Precision Health, Deep Digital Phenotyping Research Unit, Luxembourg Institute of Health, 1 A-B Rue Thomas Edison, Strassen, L- 1445, Luxembourg.
Paul WilmesLuxembourg Centre for Systems Biomedicine (LCSB), University of Luxembourg, Campus 20 Belval, 7, Avenue Des Hauts-Fourneaux, Esch-Sur-Alzette, L- 4362, Luxembourg.
Chantal J SnoeckDepartment of Infection and Immunity, Clinical and Applied Virology Group, Luxembourg Institute of Health, 29, Rue Henri Koch, Esch-Sur-Alzette, L- 4354, Luxembourg.
Jérôme LarchéLong Covid Center, Clinique du Parc, Castelnau-Le-Lez, France.
Pauline OustricAssociation #ApresJ20 Covid Long France, Lucé, France.
Markus OllertDepartment of Infection and Immunity, Luxembourg Institute of Health, 29, Rue Henri Koch, Esch-Sur-Alzette, L- 4354, Luxembourg.
Guy FagherazziDepartment of Precision Health, Deep Digital Phenotyping Research Unit, Luxembourg Institute of Health, 1 A-B Rue Thomas Edison, Strassen, L- 1445, Luxembourg.

Funding

Fonds National de la Recherche Luxembourg 16954531
6 · The paper itself

Abstract

introductionLong COVID is a multisystemic, fluctuating condition inducing a high burden on affected people. Despite the existence of some guidelines, its management remains complicated. We aimed to demonstrate that symptoms after a COVID-19 infection evolve following different trajectories from the initial infection until 24 months after, to identify the determinants of these trajectories, and the quality of life of people in these trajectories.

methodsStudy participants from the Predi-COVID cohort were digitally followed from their acute SARS-CoV-2 infection until a maximum of 24 months. Data from 10 common symptoms collected at study inclusion, and months 12, 15, and 24 awere used to create a total symptom score. Impact of symptoms on quality of life was assessed at month 24 using standardized questionnaires and ad-hoc questions. Latent classes mixed models were used to identify total score symptom trajectories and individual symptoms trajectories.

resultsWe included 555 participants with at least 2 different time points available during follow-up (Baseline and at least one of the M12, M15 or M24 questionnaires). We identified 2 total symptom score trajectories: T1 "Mild symptoms, fast resolution" (N = 376; 67.7%), and T2 "Elevated and persisting symptoms" (N = 179; 32.3%). The main determinants of being in T2 were: older age (OR = 1.86; p = 0.003), to be a woman (OR = 1.81; p = 0.001)), elevated BMI (OR = 3.97; p < 0.001), and the presence of multi comorbidities (OR = 2.67; p = 0.005). Symptoms impacted the quality of life more in T2 than in T1 at 24 months (high fatigue level: 64.8% vs 19.5%, altered respiratory quality of life: 42.6% vs 4.6%, anxiety: 24.1% vs 4.6%, stress: 57.4% vs 35.6%, and bad sleep: 75.9% vs 51.1%).

conclusionA third of our study population was in the T2 "Elevated and persisting symptoms" trajectory, presenting high symptom frequencies up to 24 months after initial infection, with a significant impact on quality of life. This work underlined the urgent need to better identify individuals most vulnerable to long-term complications to develop tailored interventions for them.

trial registrationClinicaltrials.gov NCT04380987 (date of registration: 2020-05-07).

Indexed as

COVID-19AdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPost-Acute COVID-19 SyndromeQuality of LifeSARS-CoV-2Surveys and QuestionnairesCOVID- 19Latent class mixed modelsLong Covid symptomsQuality of lifeSARS-COV- 2Trajectories

Identifiers

PMID40281467
PMCPMC12023393

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.