Evidence map›Paper›PMID 40919112›Full record

ArticleInternational journal of general medicine2025

Associations Between Inflammatory and Catecholamine Markers and Clinical Outcomes in People with Post-Acute SARS-CoV-2 Infection.

Lynn H Gerber, Micahel Estep, Leyla De Avila, Jillian K Price, Ali A Weinstein, Maria Stepanova, Aybike Birerdinc, Zobair Younossi

Abstract read
In one paragraph

Article in International journal of general medicine, 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

8 authors.

Lynn H Gerber *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.
Micahel Estep *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.
Leyla De Avila *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.
Jillian K Price *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.ORCID 0000-0003-4150-2835
Ali A Weinstein *Department of Global and Community Health, George Mason University, Fairfax, VA, USA.ORCID 0000-0002-3371-6086
Maria Stepanova *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.
Aybike Birerdinc *School of Systems Biology, College of Science, George Mason University, Fairfax, VA, USA.
Zobair Younossi *Betty and Guy Beatty Center for Integrated Research, Inova Health System, Falls Church, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The diagnosis of post-acute SARS-CoV-2 infection (PASC) is broad, referring to new or persistent health problems >four weeks after being infected with SARSCoV-2. The aim of this study was to determine whether cytokines, chemokines or catecholamine levels could specify the clinical condition. Patients and Methods: Seventy-nine participants participated in person to study PASC. They were average 51 years (mean), 52% female, 62% Caucasian, 11% African American and 37% Hispanic with a mean BMI of 30.5. Most prevalent symptoms were fatigue, memory loss and shortness of breath. We extracted co-morbid conditions, length of hospital stay and course and laboratory values; medications, history of regular exercise (total of 150 minutes/week), measures of cognition (PCCOG), including Color Word Interference Test (CWIT), Coding, Arithmetic, Matrix Reasoning), clinical assessment of health behavior change, and several patient reported outcomes (PROs) (Edmonton Symptom Assessment System (ESAS), health-related quality of life instrument (EQ5D), anxiety and depression (GAD7, PHQ9) and fatigue (Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F). Results: These data suggest that people with PASC are more likely to report lower levels of physical well-being, emotional well-being and higher fatigue levels than the non-PASC population. Epinephrine levels correlate statistically significantly with PROs (p<0.05), for overall FACIT-F, as well as the physical and functional subscales. The fatigue severity self-report, PHQ9 and number of symptoms were also significantly correlated. Interleukin-1 beta (IL1b) was inversely correlated with the Physical Well Being (PWB) and Emotional Well Being (EWB) FACIT-F subscales, the GAD7 and the PCCOG scale (p<0.05). Conclusion: Participants in this observational study of PASC report lower levels of emotional, physical well-being, more fatigue, anxiety and depression than are reported in population norms. Epinephrine and IL1b correlate with these findings and may offer a biological measurement, providing clinically useful information for tracking persistence or recovery. These findings may encourage further study to develop newer treatment approaches.

Indexed as

catecholamineschemokinescytokinesPASCpatient reported outcomespost acute SARS-CoV-2

Identifiers

PMID40919112
PMCPMC12413844

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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.