Evidence map›Paper›PMID 41157669›Full record

Observational studyViruses2025

Baseline Dysregulation in B, T, and NK Cells in COVID-19 Predicts Increased Late Mortality but Not Long-COVID Symptoms: Results from a Single-Center Observational Study.

Aleksandra Matyja-Bednarczyk, Radosław Dziedzic, Anna Drynda, Ada Gradzikiewicz, Monika Bociąga-Jasik, Krzysztof Wójcik, Sabina Lichołai, Karolina Górka, Natalia Celejewska-Wójcik, Tomasz Stachura and 5 more

Abstract readObservational Study
In one paragraph

Observational study in Viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Aleksandra Matyja-BednarczykJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Allergy, Autoimmunization and Hypercoagulation, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0003-4038-5016
Radosław DziedzicJagiellonian University Medical College, Doctoral School of Medical and Health Sciences, św. Łazarza 16, 31-530 Kraków, Poland.ORCID 0000-0003-0321-3557
Anna DryndaJagiellonian University Medical College, Doctoral School of Medical and Health Sciences, św. Łazarza 16, 31-530 Kraków, Poland.ORCID 0009-0009-5556-2637
Ada GradzikiewiczUniversity Hospital in Kraków, Department of Rheumatology, Immunology and Internal Medicine, Jakubowskiego 2, 30-688 Kraków, Poland.ORCID 0009-0003-1285-1267
Monika Bociąga-JasikJagiellonian University Medical College, Department of Infectious and Tropical Diseases, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0002-6474-0177
Krzysztof WójcikJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Allergy, Autoimmunization and Hypercoagulation, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0001-9786-2499
Sabina LichołaiJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Molecular Biology and Clinical Genetics, Skawińska 8, 31-066 Kraków, Poland.ORCID 0000-0001-7008-2492
Karolina GórkaJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Pulmonology, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0002-6404-7233
Natalia Celejewska-WójcikJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Pulmonology, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0003-2770-8669
Tomasz StachuraJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Pulmonology, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0002-4178-6914
Kamil PolokJagiellonian University Medical College, Department of Intensive Care and Perioperative Medicine, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0003-0777-9785
Lech ZarębaUniversity of Rzeszów, Faculty of Exact and Technical Science, Institute of Computer Science, Pigonia 1, 35-310 Rzeszów, Poland.ORCID 0000-0002-2221-614X
Teresa IwaniecJagiellonian University Medical College, Department of Hematology, Jakubowskiego 2, 30-688 Kraków, Poland.ORCID 0000-0002-9796-9242
Krzysztof SładekJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Pulmonology, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0001-7012-4613
Stanisława Bazan-SochaJagiellonian University Medical College, Prof A. Szczeklik 2nd Chair of Internal Medicine, Department of Allergy, Autoimmunization and Hypercoagulation, Jakubowskiego 2, 30-668 Kraków, Poland.ORCID 0000-0001-9634-0963

Funding

N41/DBS/000687 Jagiellonian University Medical College
6 · The paper itself

Abstract

The SARS-CoV-2 pandemic presents a broad clinical spectrum from asymptomatic cases to severe respiratory failure with high mortality. Severe COVID-19 is characterized by immune dysregulation, including lymphopenia and alterations in the counts of T, B, and NK cells in peripheral blood. Due to the limited data on long-term outcomes related to immune dysregulation, we aimed to analyze immunologic features at baseline in severe and mild COVID-19 cases and assess follow-up characteristics associated with later mortality and long-COVID signs. We included adult patients consecutively hospitalized with COVID-19 between June and November 2020 at the University Hospital in Kraków, corresponding to the first and second waves of COVID-19 in Poland. We enrolled only those who had been thoroughly assessed in terms of clinic and laboratory data, including immunological workups, and survived the acute phase of the disease. In 2025, between February and April (median time of follow-up: 54 months), we conducted a telephone questionnaire on long-COVID symptoms among survivors who had given their consent. Statistical analyses were performed to compare groups with severe and mild disease in terms of dysregulation in lymphocyte subpopulations and the follow-up outcomes. The study included 103 COVID-19 patients, comprising 53 severe (based on the need for at least high-flow nasal oxygen therapy) and 50 mild cases, with no differences in age, sex, and body mass index. Severe COVID-19 patients compared to mild cases had lower CD3+ T cells (count and percentage), CD4+ T cells (count and percentage), CD8+ T cells (count), and NK cells (count), but higher CD19+ B cells (percentage) at baseline (

Indexed as

B-LymphocytesCOVID-19Killer Cells, NaturalT-LymphocytesAdultAgedFemaleHumansLymphocyte CountLymphopeniaMaleMiddle AgedPolandSARS-CoV-2Severity of Illness IndexCOVID-19long-COVIDlymphocyte subpopulationslymphopeniaSARS-CoV-2

Identifiers

PMID41157669
PMCPMC12567989

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.