Evidence map›Paper›PMID 40604227›Full record

ArticleCommunications medicine2025

Quality of life and mental health in children with long COVID.

Lieke C E Noij, Coen R Lap, Michiel A J Luijten, Simone Hashimoto, Lorynn Teela, Kim J Oostrom, Mattijs W Alsem, Marlies A van Houten, Giske Biesbroek, Lotte Haverman and 3 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

13 authors.

Lieke C E NoijDepartment of Pediatric Pulmonology and Allergy, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands. l.noij@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-4528-6351
Coen R LapDepartment of Pediatric Pulmonology and Allergy, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands.
Michiel A J LuijtenDepartment of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam UMC, Amsterdam Reproduction & Development, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-8016-2859
Simone HashimotoDepartment of Pediatric Pulmonology and Allergy, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands.
Lorynn TeelaDepartment of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam UMC, Amsterdam Reproduction & Development, Amsterdam, Netherlands.
Kim J OostromDepartment of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam UMC, Amsterdam Reproduction & Development, Amsterdam, Netherlands.
Mattijs W AlsemDepartment of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-7830-6742
Marlies A van HoutenDepartment of Pediatrics, Spaarne Gasthuis, Hoofddorp and Haarlem, Netherlands.
Giske BiesbroekEmma Children's Hospital, Amsterdam UMC, University of Amsterdam, Department of Pediatric Immunology, Rheumatology and Infectious diseases, Amsterdam, Netherlands.
Lotte HavermanDepartment of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam UMC, Amsterdam Reproduction & Development, Amsterdam, Netherlands.
Anke H Maitland-van der ZeeDepartment of Pulmonary Medicine, Amsterdam UMC, Amsterdam, Netherlands.
Johannes B van GoudoeverDepartment of Pediatrics, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0003-3960-1703
Suzanne W J Terheggen-LagroDepartment of Pediatric Pulmonology and Allergy, Emma Children's Hospital, Amsterdam University Medical Center, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric Long COVID (PLC) is a heterogeneous condition, which can have a substantial impact on daily life of children and adolescents. This study aimed to evaluate health related quality of life (HRQoL), and mental and social health of children with PLC, in relation to children with other chronic health conditions (CHC) and from the general population (GP) during the pandemic.

methodsDutch children (8-18 years) with PLC (n = 106, 31% male) were included between May 2021 and March 2023. Reference data was available from a CHC-cohort (n = 90, 56% male) and GP-cohort (n = 844, 47% male) during the first wave of the pandemic (April-May, 2020). Participants completed the Pediatric Quality of Life Inventory (PedsQL) 4.0 and Patient-Reported Outcomes Measurement Information System (PROMIS) instruments (Anxiety, Anger, Depressive symptoms, Sleep-Related Impairment (SRI), and Peer Relationships). Mean scores were analyzed using adjusted ANCOVA. Relative risks (RR (95% CI)) were calculated for impaired HRQoL and severe PROMIS scores.

resultsChildren with PLC report high proportions of impaired HRQoL (84%, RR = 3.67 (2.35-5.74)), and have significantly lower PedsQL scores than children with CHC. Children with PLC also exhibit worse PROMIS T-scores of Anxiety, Depressive Symptoms, and SRI than children from the CHC- and GP-cohorts (mean difference range 2.2-9.8 (95%CI 0.6-11.7)), and significantly higher risks of severe anxiety (17%), depressive symptoms (18%), and SRI (17%).

conclusionsPLC can severely impact HRQoL and mental and social health in children. Screening of these outcomes and individualized management of children with PLC should be a vital part of clinical care for these highly burdened patients.

Identifiers

PMID40604227
PMCPMC12222676

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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.