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Residual clinical damage after COVID-19: A retrospective and prospective observational cohort study
Open accessAbstract
Data on residual clinical damage after Coronavirus disease-2019 (COVID-19) are lacking. The aims of this study were to investigate whether COVID-19 leaves behind residual dysfunction, and identify patients who might benefit from post-discharge monitoring. All patients aged ≥18 years admitted to the Emergency Department (ED) for COVID-19, and evaluated at post-discharge follow-up between 7 April and 7 May, 2020, were enrolled. Primary outcome was need of follow-up, defined as the presence at follow-up of at least one among: respiratory rate (RR) >20 breaths/min, uncontrolled blood pressure (BP) requiring therapeutic change, moderate to very severe dyspnoea, malnutrition, or new-onset cognitive impairment, according to validated scores. Post-traumatic stress disorder (PTSD) served as secondary outcome. 185 patients were included. Median [interquartile range] time from hospital discharge to follow-up was 23 [20-29] days. 109 (58.9%) patients needed follow-up. At follow-up evaluation, 58 (31.3%) patients were dyspnoeic, 41 (22.2%) tachypnoeic, 10 (5.4%) malnourished, 106 (57.3%) at risk for malnutrition. Forty (21.6%) patients had uncontrolled BP requiring therapeutic change, and 47 (25.4%) new-onset cognitive impairment. PTSD was observed in 41 (22.2%) patients. At regression tree analysis, the ratio of arterial oxygen partial pressure to fractional inspired oxygen (PaO2/FiO2) and body mass index (BMI) at ED presentation, and age emerged as independent predictors of the need of follow-up. Patients with PaO2/FiO2 <324 and BMI ≥33 Kg/m2 had the highest odds to require follow-up. Among hospitalised patients, age ≥63 years, or age <63 plus non-invasive ventilation or diabetes identified those with the highest probability to need follow-up. PTSD was independently predicted by female gender and hospitalisation, the latter being protective (odds ratio, OR, 4.03, 95% confidence interval, CI, 1.76 to 9.47, p 0.0011; OR 0.37, 95% CI 0.14 to 0.92, p 0.033, respectively). COVID-19 leaves behind physical and psychological dysfunctions. Follow-up programmes should be implemented for selected patients.
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“with severity of psychiatric symptoms after virus clearance being proportional to the severity of systemic inflammation during the acute infection and significantly contributing to the quality of life of survivors (De Lorenzo et al., 2020, Ma et al., 2020, Mazza et al., 2020, Varatharaj et al., 2020).”
From Persistent psychopathology and neurocognitive impairment in COVID-19 survivors: effect of inflammatory biomarkers at three-month follow-up (2021) · cites this paper as De Lorenzo et al., 2020
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“Emerging data show that COVID-19 outbreak is associated with delirium, fatigue, confusion, depression, anxiety, post-traumatic stress disorder (PTSD), obsessive–compulsive symptoms, and insomnia in the context of acute viral infection or at short-term follow-up after clinical recovery”
From Persistent psychopathology and neurocognitive impairment in COVID-19 survivors: effect of inflammatory biomarkers at three-month follow-up (2021) · cites this paper as De Lorenzo et al., 2020
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Background
Cited by
Sorted by citations
Four-Month Clinical Status of a Cohort of Patients After Hospitalization for COVID-19
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BackgroundMazza, M. G., Palladini, M., De Lorenzo, R., Magnaghi, C., Poletti, S., Furlan, R., Ciceri, F., Rovere-Querini, P., & Benedetti, F. (2021) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2021.02.021 · Cited by 513
Psychiatric and neuropsychiatric sequelae of COVID-19 – A systematic review
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“Sleep disturbances following COVID-19 was reported in 24 studies (Al-Aly et al., 2021; Boari et al., 2021; D’Cruz et al., 2021; De Lorenzo et al., 2020; Frontera et al., 2021; Gautam et al., 2021; Gennaro et al., 2021; Graham et al., 2021; Huang et al., 2021a; Huang et al., 2021b; Iqbal et al.,…”
InfluentialPhysical and mental health complications post-COVID-19: Scoping review
Shanbehzadeh, S., Tavahomi, M., Zanjari, N., Ebrahimi-Takamjani, I., & Amiri-arimi, S. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110525 · Cited by 334
Persistent neuropsychiatric symptoms after COVID-19: a systematic review and meta-analysis
Badenoch, J., Rengasamy, E. R., Watson, C. J., Jansen, K., Chakraborty, S., Sundaram, R. D., Hafeez, D., Burchill, E., Saini, A., Thomas, L., et al. (2021) · Brain Communications · doi:10.1093/braincomms/fcab297 · Cited by 288
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More Than 100 Persistent Symptoms of SARS-CoV-2 (Long COVID): A Scoping Review
Hayes, L. D., Ingram, J., & Sculthorpe, N. F. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.750378 · Cited by 255
Vanderlind, W. M., Rabinovitz, B. B., Miao, I. Y., Oberlin, L. E., Castellano, C. B., Fridman, C. B., Jaywant, A., & Kanellopoulos, D. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000713 · Cited by 201
“Others confirm greater rates of anxiety among never-hospitalized patients in the near term after infection [35].”
BackgroundCares-Marambio, K., Montenegro-Jiménez, Y., Torres‐Castro, R., Vera‐Uribe, R., Torralba, Y., Alsina‐Restoy, X., Vasconcello‐Castillo, L., & Vilaró, J. (2021) · Chronic Respiratory Disease · doi:10.1177/14799731211002240 · Cited by 176
Cognitive Impairment After COVID-19—A Review on Objective Test Data
Daroische, R., Hemminghyth, M. S., Eilertsen, T., Breitve, M. H., & Chwiszczuk, L. J. (2021) · Frontiers in Neurology · doi:10.3389/fneur.2021.699582 · Cited by 188
COVID-19 associated cognitive impairment: A systematic review
Tavares-Júnior, J. W. L., de Souza, A. C. C., Borges, J. W. P., Oliveira, D. N., Neto, J. I. S., Sobreira-Neto, M. A., & Braga‐Neto, P. (2022) · Cortex · doi:10.1016/j.cortex.2022.04.006 · Cited by 179
“…age 63 years IQR 54 e73 years) * MoCA cognitive impairment (61.5%); deficits primarily in executive function, attention, language and delayed recall De Lorenzo et al. (2020) Italy Retrospective and prospective cohort To investigate whether COVID-19 leaves behind residual dysfunction, and identify…”
InfluentialS1-Leitlinie Post-COVID/Long-COVID
Koczulla, A. R., Ankermann, T., Behrends, U., Berlit, P., Böing, S., Brinkmann, F., Franke, C., Glöckl, R., Gogoll, C., Hummel, T. R., et al. (2021) · Pneumologie · doi:10.1055/a-1551-9734 · Cited by 164
“[166] De Lorenzo R, Conte C, Lanzani C et al.”
BackgroundJennings, G., Monaghan, A., Feng, X., Mockler, D., & Romero‐Ortuño, R. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10245913 · Cited by 156
Long COVID‐19: Objectifying most self‐reported neurological symptoms
Bungenberg, J., Humkamp, K., Hohenfeld, C., Rust, M. I., Ermis, U., Dreher, M., Hartmann, N. K., Marx, G., Binkofski, F., Finke, C., et al. (2022) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.51496 · Cited by 137
Benedetti, F., Palladini, M., Paolini, M., Melloni, E. M. T., Vai, B., LORENZO, R. D., Furlan, R., Rovere, P. Q., Falini, A., & Mazza, M. G. (2021) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2021.100387 · Cited by 132
Thye, A. Y.-K., Law, J. W., Tan, L. T., Pusparajah, P., Ser, H., Thurairajasingam, S., Letchumanan, V., & Lee, L. (2022) · Biology · doi:10.3390/biology11010061 · Cited by 122
“Although having a history of psychiatric disorder seems to be associated with increased severity of post-COVID-19 psychiatric symptoms [35,37], even those without any history of mental health morbidity (74%) did report symptoms of depression and anxiety post-COVID-19 [77].”
BackgroundResultKoczulla, A. R., Ankermann, T., Behrends, U., Berlit, P., Berner, R., Böing, S., Brinkmann, F., Frank, U., Franke, C., Glöckl, R., et al. (2022) · Pneumologie · doi:10.1055/a-1946-3230 · Cited by 118
“[299] De Lorenzo R, Conte C, Lanzani C et al.”
BackgroundLong COVID and neuropsychiatric manifestations (Review)
Efstathiou, V., Stefanou, M., Demetriou, M., Siafakas, N., Makris, M. P., Tsivgoulis, G. K., Zoumpourlis, V., Kympouropoulos, S. P., Tsoporis, J. N., Spandidos, D. A., et al. (2022) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2022.11290 · Cited by 118
“With respect to physical comorbidities, the findings suggest that there is no association with PTSD development, particularly following adjustment for other confounding factors (73,76).”
InfluentialSkeletal Muscle Damage in COVID-19: A Call for Action
Ali, A. M., & Kunugi, H. (2021) · Medicina · doi:10.3390/medicina57040372 · Cited by 105
Low Vitamin D Levels Are Associated With Long COVID Syndrome in COVID-19 Survivors
di Filippo, L., Frara, S., Nannipieri, F., Cotellessa, A., Locatelli, M., Rovere, P. Q., & Giustina, A. (2023) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgad207 · Cited by 103
Biomarkers of post-covid depression
Lorkiewicz, P., & Waszkiewicz, N. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10184142 · Cited by 102
Incidence of New-Onset Hypertension Post–COVID-19: Comparison With Influenza
Zhang, V., Fisher, M. C., Hou, W., Zhang, L., & Duong, T. Q. (2023) · Hypertension · doi:10.1161/hypertensionaha.123.21174 · Cited by 100
Cognitive impairment in people with previous COVID-19 infection: A scoping review
Bertuccelli, M., Ciringione, L., Rubega, M., Bisiacchi, P. S., Masiero, S., & Felice, A. D. (2022) · Cortex · doi:10.1016/j.cortex.2022.06.002 · Cited by 110
Sleep disturbance in post COVID-19 conditions: Prevalence and quality of life
Tedjasukmana, R., Budikayanti, A., Islamiyah, W. R., Witjaksono, A. M. A. L., & Hakim, M. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2022.1095606 · Cited by 104
Righi, E., Mirandola, M., Mazzaferri, F., Dossi, G., Razzaboni, E., Zaffagnini, A., Ivaldi, F., Visentin, A., Lambertenghi, L., Arena, C., et al. (2022) · Journal of Infection · doi:10.1016/j.jinf.2022.02.003 · Cited by 92
Frequent and Persistent Salivary Gland Ectasia and Oral Disease After COVID-19
Gherlone, E. F., Polizzi, E., Tetè, G., LORENZO, R. D., Magnaghi, C., Rovere, P. Q., & Ciceri, F. (2021) · Journal of Dental Research · doi:10.1177/0022034521997112 · Cited by 89
“Patients discharged after viral clearance (De Lorenzo et al. 2020; Farina et al. 2020), defined as 2 negative consecutive swabs, were subsequently evaluated at the COVID-19 Follow-up Outpatient Clinic of San Raffaele University Hospital.”
MethodEinvik, G., Dammen, T., Ghanima, W., Heir, T., & Stavem, K. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042079 · Cited by 88
“Two of the studies also comprised both hospitalized and non-hospitalized subjects [7,21].”
ResultFahriani, M., Ilmawan, M., Fajar, J. K., Maliga, H. A., Frediansyah, A., Masyeni, S., Yusuf, H., Nainu, F., Rosiello, F., Sirinam, S., et al. (2021) · Narra J · doi:10.52225/narraj.v1i2.36 · Cited by 83
COVID-19 Mechanisms in the Human Body—What We Know So Far
Kumar, A., Narayan, R. K., Prasoon, P., Kumari, C., Kaur, G., Kumar, S., Kulandhasamy, M., Sesham, K., Pareek, V., Faiq, M. A., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.693938 · Cited by 76
Wrona, M., & Skrypnik, D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192013280 · Cited by 80
“6%) patients had uncontrolled blood pressure requiring treatment after twenty-three days post-discharge from the hospital or emergency department (ED) for COVID-19 infection [15].”
BackgroundLorè, N. I., LORENZO, R. D., Rancoita, P. M. V., Cugnata, F., Agresti, A., Benedetti, F., Bianchi, M. E., Bonini, C., Capobianco, A., Conte, C., et al. (2021) · Molecular Medicine · doi:10.1186/s10020-021-00390-4 · Cited by 65
Prevalence, trajectory over time, and risk factor of post-COVID-19 fatigue
Mazza, M. G., Palladini, M., Villa, G., LORENZO, R. D., Rovere, P. Q., & Benedetti, F. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.08.008 · Cited by 70
Voruz, P., Cionca, A., de Alcântara, I. J., Nuber‐Champier, A., Allali, G., Benzakour, L., Lalive, P. H., Lövblad, K., Braillard, O., Nehme, M., et al. (2022) · Human Brain Mapping · doi:10.1002/hbm.26163 · Cited by 63
“…with disruption of global cognitive efficiency (Alemanno et al., 2021; Amalakanti et al., 2021; Beaud et al., 2021; Blazhenets et al., 2021; De Lorenzo et al., 2020; Ferrucci et al., 2021; Kas et al., 2021; Negrini et al., 2021; Ortelli et al., 2021; Pirker-Kees et al., 2021; Pistarini et…”
BackgroundPaolini, M., Palladini, M., Mazza, M. G., Colombo, F., Vai, B., Rovere, P. Q., Falini, A., Poletti, S., & Benedetti, F. (2022) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2022.12.002 · Cited by 63
“58 COVID-19 survivors were enrolled starting from January 2021 until January 2022 in the context of an ongoing prospective cohort study taking place at San Raffaele Hospital in Milan (25).”
MethodInfluentialBonsaksen, T., Heir, T., Schou‐Bredal, I., Ekeberg, Ø., Skogstad, L., & Grimholt, T. K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17249210 · Cited by 62
Chenchula, S., Vidyasagar, K., Pathan, S., Sharma, S. K., Chavan, M. R., Bhagavathula, A. S., Padmavathi, R., Manjula, M., Chhabra, M., Gupta, R., et al. (2023) · Scientific Reports · doi:10.1038/s41598-023-33314-9 · Cited by 59
Approaches to Nutritional Screening in Patients with Coronavirus Disease 2019 (COVID-19)
Ali, A. M., & Kunugi, H. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052772 · Cited by 60
“3% of recovering patients 100 days after discharge from the hospital [50].”
BackgroundEight Weeks Unsupervised Pulmonary Rehabilitation in Previously Hospitalized of SARS-CoV-2 Infection
Stavrou, V. T., Tourlakopoulos, K. N., Vavougios, G. D., Papayianni, E., Kiribesi, K., Maggoutas, S., Nikolaidis, K., Fradelos, Ε. C., Dimeas, I. E., Daniil, Z. D., et al. (2021) · Journal of Personalized Medicine · doi:10.3390/jpm11080806 · Cited by 62
“[29] reported that COVID-19 survivors presented elevated systolic and diastolic blood pressure at follow-up, requiring pharmaceutical.”
BackgroundZangrillo, A., Belletti, A., Palumbo, D., Calvi, M. R., Guzzo, F., Fominskiy, E. V., Ortalda, A., Nardelli, P., Ripa, M., Redaelli, M. B., et al. (2021) · Journal of Cardiothoracic and Vascular Anesthesia · doi:10.1053/j.jvca.2021.11.032 · Cited by 57
Cognitive symptoms after COVID-19
Altuna, M., Sánchez‐Saudinós, M. B., & Lleó, A. (2021) · Neurology Perspectives · doi:10.1016/j.neurop.2021.10.005 · Cited by 61
Screening for Sarcopenia (Physical Frailty) in the COVID-19 Era
Ali, A. M., & Kunugi, H. (2021) · International Journal of Endocrinology · doi:10.1155/2021/5563960 · Cited by 54
“Although weight loss is higher in ICUadmitted patients [39, 40], it was also recorded in patients treated at home [41].”
ResultDepressive and Neurocognitive Disorders in the Context of the Inflammatory Background of COVID-19
Dąbrowska, E., Galińska-Skok, B., & Waszkiewicz, N. (2021) · Life · doi:10.3390/life11101056 · Cited by 47
“Despite the duration of the pandemic for many months, SARS-CoV-2 infection still hides many unknowns, especially regarding its long-term effects [2,3].”
BackgroundNegrini, F., Alessandro de, S. I. R. E., Andrenelli, E., Lazzarini, S. G., Patrini, M., & Ceravolo, M. G. (2021) · European Journal of Physical and Rehabilitation Medicine · doi:10.23736/s1973-9087.20.06723-4 · Cited by 47
Evidence mapping and review of long-COVID and its underlying pathophysiological mechanism
Umesh, A., Pranay, K., Pandey, R. C., & Gupta, M. K. (2022) · Infection · doi:10.1007/s15010-022-01835-6 · Cited by 50
Cognitive Impairment after Post-Acute COVID-19 Infection: A Systematic Review of the Literature
Perrottelli, A., Sansone, N., Giordano, G. M., Caporusso, E., Giuliani, L., Melillo, A., Pezzella, P., Bucci, P., Mucci, A., & Galderisi, S. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12122070 · Cited by 49
“Seven of the studies included more than 50% of hospitalized patients [9,63,80,84,88,92,98].”
O’Brien, K. K., Brown, D. A., Bergin, C. J., Erlandson, K. M., Vera, J. H., Avery, L. M., Carusone, S. C., Cheung, A. M., Goulding, S., Harding, R., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-060826 · Cited by 43
Imamura, M., Mirisola, A. R., Ribeiro, F. D. Q., Pretto, L. R. D., Alfieri, F. M., Ramos, V. D., & Battistella, L. R. (2021) · Clinics · doi:10.6061/clinics/2021/e2804 · Cited by 45
“45 billion people in need of rehabilitation (1) is further challenged by the emerging physical, mental, cognitive, neurological, nutritional, swallowing-related, and respiratory complications identified in COVID-19 survivors (2-4).”
Post-COVID syndrome: A reflection and opinion paper
Bouza, E., Cantón, R., Ramos, P. D. L., Botella, A. G., García‐Lledó, A., Gómez‐Pavón, J., del Castillo, J. M. G., Hernández‐Sampelayo, T., Delgado, M. C. M., Martín‐Sánchez, F. J., et al. (2021) · Revista Española de Quimioterapia · doi:10.37201/req/023.2021 · Cited by 44
Physical and psychological sequelae at three months after acute illness in COVID-19 survivors
LORENZO, R. D., Cinel, E., Cilla, M., Compagnone, N., Ferrante, M., Falbo, E., Patrizi, A., Castellani, J., Magnaghi, C., Calvisi, S. L., et al. (2021) · Panminerva Medica · doi:10.23736/s0031-0808.21.04399-8 · Cited by 41
Diana, L., Regazzoni, R., Sozzi, M., Piconi, S., Borghesi, L., Lazzaroni, E., Basilico, P., Aliprandi, A., Bolognini, N., Bonardi, D. R., et al. (2022) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2022.120511 · Cited by 39
“second-level assessment [14,15] – converging evidence shows that cognitive deficits in COVID-19 patients can be appreciated from the early sub-acute stage [16] and few days after hospital discharge [17-19], up to 57 months [14,20-22] and even 1 year after hospital discharge [23,24].”
Skeletal Muscle in Hypoxia and Inflammation: Insights on the COVID-19 Pandemic
Girolamo, F. G. D., Fiotti, N., Sisto, U. G., Nunnari, A., Colla, S., Mearelli, F., Vinci, P., Schincariol, P., & Biolo, G. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.865402 · Cited by 42
Rehabilitation in long COVID-19: A mini-review
Swarnakar, R., & Yadav, S. L. (2022) · World Journal of Methodology · doi:10.5662/wjm.v12.i4.235 · Cited by 35
Evolution of Nutritional Status after Early Nutritional Management in COVID-19 Hospitalized Patients
Bedock, D., Couffignal, J., Lassen, P. B., Soares, L., Mathian, A., Fadlallah, J., Amoura, Z., Oppert, J., & Faucher, P. (2021) · Nutrients · doi:10.3390/nu13072276 · Cited by 35
“However, only one study [19] has described short-term changes in nutritional status after nutritional management in such patients.”
BackgroundPsychological problems and reduced health-related quality of life in the COVID-19 survivors
Dorri, M., Bazargany, M. H. M., Khodaparast, Z., Bahrami, S., Alan, M. S., Rahimi, F., Kamipoor, Z., Niksima, M. M., Manshadi, S. H. D., & Rastad, H. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100248 · Cited by 36
Respiratory symptoms and radiological findings in post-acute COVID-19 syndrome
Jutant, E., Meyrignac, O., Beurnier, A., Jaïs, X., Pham, T. O., Morin, L., Boucly, A., Bulifon, S., Figueiredo, S., Harrois, A., et al. (2021) · ERJ Open Research · doi:10.1183/23120541.00479-2021 · Cited by 34
Poletti, S., Paolini, M., Mazza, M. G., Palladini, M., Furlan, R., Rovere, P. Q., & Benedetti, F. (2022) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2022.06.008 · Cited by 34
Impact of the COVID-19 pandemic on transgender and gender diverse health care
Burgess, C., Batchelder, A. W., Sloan, C. A., Ieong, M. H., & Streed, C. G. (2021) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(21)00266-7 · Cited by 36
Residual lung damage following ARDS in COVID‐19 ICU survivors
Compagnone, N., Palumbo, D., Cremona, G., Vitali, G., LORENZO, R. D., Calvi, M. R., Prete, A. D., Redaelli, M. B., Calamarà, S., Belletti, A., et al. (2021) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13996 · Cited by 33
Mazzitelli, M., Trunfio, M., Sasset, L., Scaglione, V., Ferrari, A. M., Mengato, D., Gardin, S., Bonadiman, N., Calandrino, L., Agostini, E., et al. (2023) · Journal of Medical Virology · doi:10.1002/jmv.28660 · Cited by 31
Persistent neuropsychiatric symptoms after COVID-19: a systematic review and meta-analysisPreprint
Badenoch, J., Rengasamy, E. R., Watson, C. J., Jansen, K., Chakraborty, S., Sundaram, R. D., Hafeez, D., Burchill, E., Saini, A., Thomas, L., et al. (2021) · medRxiv · doi:10.1101/2021.04.30.21256413 · Cited by 31
Brown, L. A., Ballentine, E., Zhu, Y., McGinley, E. L., Pezzin, L. E., & Abramoff, B. A. (2022) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2022.100460 · Cited by 33
COVID-19 disease severity to predict persistent symptoms: a systematic review and meta-analysis
Dirican, E., & Bal, T. (2022) · Primary Health Care Research & Development · doi:10.1017/s1463423622000585 · Cited by 33
“(Garrigues et al., 2020; Wang et al., 2020; de Graaf et al., 2021; De Lorenzo et al., 2020; Halpin et al., 2021; Huang et al., 2021a, 2021b; Iqbal et al., 2021; Jacobson et al., 2021; Lerum et al., 2021; Lombardo et al., 2021; Maestre-Muñiz et al., 2021; Meije et al., 2021; Menges et al., 2021;…”
BackgroundInfluentialThe possible onset of fibromyalgia following acute COVID-19 infection
Savin, E., Rosenn, G., Tsur, A. M., Hen, O., Ehrenberg, S., Gendelman, O., Buskila, D., Halpert, G., Amital, D., & Amital, H. (2023) · PLoS ONE · doi:10.1371/journal.pone.0281593 · Cited by 28
Long COVID: Long-Term Impact of SARS-CoV2
Makhluf, H. A., Madany, H., & Kim, K. (2024) · Diagnostics · doi:10.3390/diagnostics14070711 · Cited by 28
“Beyond the immune system, LC affects most organs and organ systems in the body, including the heart [3–5], lungs, brain [6–10], kidneys [11–13], liver, and gut in general [14–16], including the spleen, pancreas [17–22], and also the reproductive system [23,24].”
Rothenberg, E. M. (2021) · Nutrients · doi:10.3390/nu13041294 · Cited by 28
“was a retrospective and prospective cohort study [47].”
BackgroundWang, B., Yang, X., Fu, L., Hu, Y., Luo, D., Xiao, X., Ju, N., Zheng, W., Xu, H., Fang, Y., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.773106 · Cited by 27
Coping Strategies and Stress Related Disorders in Patients with COVID-19
Dehelean, L., Papavă, I., Mușat, M. I., Bondrescu, M., Bratosin, F., Bucatos, B. O., Bortun, A. M. C., Mager, D. V., Romoșan, R. S., Romoșan, A. M., et al. (2021) · Brain Sciences · doi:10.3390/brainsci11101287 · Cited by 25
Long COVID-19: Psychological symptoms in COVID-19 and probiotics as an adjunct therapy
Thye, A. Y.-K., Tan, L. T., Law, J. W., Pusparajah, P., & Letchumanan, V. (2022) · Progress In Microbes & Molecular Biology · doi:10.36877/pmmb.a0000267 · Cited by 24
Elevated Arterial Blood Pressure as a Delayed Complication Following COVID-19—A Narrative Review
Bielecka, E., Sielatycki, P. J., Pietraszko, P., Zapora-Kurel, A., & Zbroch, E. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25031837 · Cited by 28
“Additionally, as reported in the study by DeLorenzo et al. [60], individuals with pre-existing arterial hypertension experienced an elevation in their blood pressure, necessitating adjustments in their treatment regimens due to a loss of disease control.”
BackgroundResultPicker, L. D., Yolken, R. H., Benedetti, F., Borsini, A., Branchi, I., Fusar‐Poli, P., Leza, J. C., Pariante, C. M., Pollak, T. A., Tamouza, R., et al. (2021) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2021.01.008 · Cited by 22
Direct, indirect, post-infection damages induced by coronavirus in the human body: an overview
Priya, S. P., Sunil, P., Varma, S. R., Brigi, C., Isnadi, M. F. A. R., Johnrose, J., Shadamarshan, R. A., Kumar, S., Kumari, N. V., & Kumar, R. P. R. (2022) · VirusDisease · doi:10.1007/s13337-022-00793-9 · Cited by 21
Domènech-Montoliu, S., Puig‐Barberà, J., Pac-Sa, M. R., Vidal-Utrillas, P., Latorre-Poveda, M., Rio-González, A. D., Ferrando-Rubert, S., Ferrer-Abad, G., Sanchéz-Urbano, M., Aparisi-Esteve, L., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910039 · Cited by 20
Chen, H., Peng, J., Wang, T., Wen, J., Chen, S., Huang, Y., & Zhang, Y. (2023) · Biochemical Pharmacology · doi:10.1016/j.bcp.2022.115370 · Cited by 19
LORENZO, R. D., Sciorati, C., Lorè, N. I., Capobianco, A., Tresoldi, C., Cirillo, D. M., Ciceri, F., Rovere, P. Q., & Manfredi, A. A. (2022) · Scientific Reports · doi:10.1038/s41598-022-11532-x · Cited by 19
Amadoro, G., Latina, V., Stigliano, E., & Micera, A. (2023) · Cells · doi:10.3390/cells12222601 · Cited by 20
Azami, P., Vafa, R. G., Heydarzadeh, R., Sadeghi, M., Amiri, F., Azadian, A., Khademolhosseini, A., Yousefi, M., Montaseri, M., Hosseini, N., et al. (2024) · BMC Cardiovascular Disorders · doi:10.1186/s12872-024-03916-w · Cited by 17
Cognitive Deficits in the Acute Phase of COVID-19: A Review and Meta-Analysis
de Alcântara, I. J., Nuber‐Champier, A., Voruz, P., Cionca, A., Assal, F., & Péron, J. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12030762 · Cited by 17
“[35] 57 (IQR 48–67) Confirmed cases of COVID-19 Mild; Intermed.”
What might COVID-19 patients experience after recovery? A comprehensive review
Elhiny, R., Al‐Jumaili, A. A., & Jamal, M. Y. (2022) · International Journal of Pharmacy Practice · doi:10.1093/ijpp/riac026 · Cited by 16
Clinical standards for diagnosis, treatment and prevention of post-COVID-19 lung disease
Visca, D., Centis, R., Pontali, E., Zampogna, E., Russell, A., Migliori, G. B., Andréjak, C., Aro, M., Bayram, H., Berkani, K., et al. (2023) · The International Journal of Tuberculosis and Lung Disease · doi:10.5588/ijtld.23.0248 · Cited by 15
“In this context, the strongest independent predictors of persistent respiratory impairment with need for follow-up 114,115 are patients with COVID-19 presenting with dyspnoea 3 weeks after hospital discharge and those with impaired gas exchange on admission to hospital.”
BackgroundCOVID-19-associated PTSD in the elderly—lessons learned for the next global pandemic
Sarangi, A., Javed, S., Karki, K., & Kaushal, A. (2021) · Middle East Current Psychiatry · doi:10.1186/s43045-021-00119-3 · Cited by 15
“Further, there is the incidence of enhanced PTSD symptoms if the patients have an existing chronic illness/non-communicable disease [18, 22, 23].”
BackgroundImpact of COVID‐19 infection on cognition and its association with neurological symptoms
Almería, M., Cejudo, J. C., Santos, J. S., Deus, J., & Krupiński, J. (2023) · Brain and Behavior · doi:10.1002/brb3.2902 · Cited by 16
“…or concomitant cerebrovascular diseases (Romero-Sánchez et al., 2020), encephalopathy (Li et al., 2020; Xiang et al., 2020), and symptoms of anxiety and depression (Amanzio et al., 2021; De Lorenzo et al., 2020; Deng et al., 2021; Jeong et al., 2016; Rogers et al., 2020; Sozzi et al., 2020).”
BackgroundInfluentialGarcía-Grimshaw, M., Sankowski, R., & Valdés‐Ferrer, S. I. (2022) · Current Opinion in Neurology · doi:10.1097/wco.0000000000001046 · Cited by 15
Hu, W., Tang, R., Gong, S., Liu, J., Li, J., & Liao, C. (2024) · Cureus · doi:10.7759/cureus.63656 · Cited by 15
“It was found that the degree of systemic inflammation during acute COVID-19 infection is intricately connected with the emergence of psychiatric symptoms after viral clearance and that this has a significant impact on survivors' living lives [7].”
BackgroundAIDS and COVID: A tale of two pandemics and the role of statisticians
Ellenberg, S. S., & Morris, J. S. (2021) · Statistics in Medicine · doi:10.1002/sim.8936 · Cited by 12
Case Report: Nintedaninb May Accelerate Lung Recovery in Critical Coronavirus Disease 2019
Bussolari, C., Palumbo, D., Fominskiy, E. V., Nardelli, P., LORENZO, R. D., Vitali, G., COBELLI, F. D., Rovere, P. Q., & Scandroglio, A. M. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.766486 · Cited by 13
Benedetti, F., Palladini, M., D'Orsi, G., Furlan, R., Ciceri, F., Rovere, P. Q., & Mazza, M. G. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.077 · Cited by 15
Acute and long‑term psychiatric symptoms associated with COVID‑19 (Review)
Paunescu, R., Micluția, I., Verișezan-Roșu, O., & Crecan-Suciu, B. D. (2022) · Biomedical Reports · doi:10.3892/br.2022.1586 · Cited by 17
Myosteatosis Significantly Predicts Persistent Dyspnea and Mobility Problems in COVID-19 Survivors
LORENZO, R. D., Palmisano, A., Esposito, A., Gnasso, C., Nicoletti, V., Leone, R., Vignale, D., Falbo, E., Ferrante, M., Cilla, M., et al. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.846901 · Cited by 13
“However, even patients with mild disease experience persisting symptoms after SARS-CoV-2 infection (5, 6).”
BackgroundCeravolo, M. G., Anwar, F., Andrenelli, E., Udensi, C., QURESHI, J., Sivan, M., Kiekens, C., & Zampolini, M. (2024) · European Journal of Physical and Rehabilitation Medicine · doi:10.23736/s1973-9087.23.08315-6 · Cited by 12
Noviello, M., LORENZO, R. D., Chimienti, R., Maugeri, N., de Lalla, C., Siracusano, G., Lorè, N. I., Rancoita, P. M. V., Cugnata, F., Tassi, E., et al. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2024.1381091 · Cited by 13
Long-term consequences of COVID-19 on mental and physical health in young adults
Falbová, D., Kovalčíková, V., Beňuš, R., & Vorobeľová, L. (2024) · Central European Journal of Public Health · doi:10.21101/cejph.a8118 · Cited by 15
Long-term effects of SARS-CoV-2 infection on blood vessels and blood pressure – LOCHINVAR
Lip, S. Z. L., Tran, T., Hanna, R., Nichol, S. E. F., Guzik, T. J., Delles, C., McClure, J., McCallum, L., Touyz, R. M., Berry, C., et al. (2025) · Journal of Hypertension · doi:10.1097/hjh.0000000000004013 · Cited by 12
“Initially While acute cardiovascular complications of COVID-19, such as myocarditis, arrhythmias, and thromboembolic events, have been well documented, there is a growing body of evidence suggesting that the virus can also have long-term cardiovascular consequences including hypertension [1–3].”
Malnutrition in patients with COVID-19: assessment and consequences
van der Meij, B. S., Ligthart‐Melis, G. C., & de van der Schueren, M. A. E. (2021) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000783 · Cited by 12
Moretta, P., Ambrosino, P., Lanzillo, A., Marcuccio, L., Fuschillo, S., Papa, A., Santangelo, G., Trojano, L., & Maniscalco, M. (2022) · Healthcare · doi:10.3390/healthcare10030480 · Cited by 12
Moseholm, E., Midtgaard, J., Bollerup, S., Apol, Á. D., Olesen, O. B., Jespersen, S., & Weis, N. M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191610097 · Cited by 12
Cognitive impairment in COVID-19 survivors
Пизова, Н. В., Pizov, N. A., & Pizov, A. V. (2021) · Meditsinskiy sovet = Medical Council · doi:10.21518/2079-701x-2021-4-69-77 · Cited by 14
Peng, J., Guo, W., Li, P., Leng, L., Gao, D., Yu, Z., Huang, J., Guo, J., Wang, S., Huang, J., et al. (2024) · BMC Infectious Diseases · doi:10.1186/s12879-024-09646-w · Cited by 10
Sex-related patient-reported brain fog symptoms in non-hospitalised COVID-19 patients
Chatys-Bogacka, Ż., Mazurkiewicz, I., Słowik, J., Nowak, K., Sydor, W., Wizner, B., Słowik, A., Wnuk, M. A., & Drabik, L. (2023) · Neurologia i Neurochirurgia Polska · doi:10.5603/pjnns.a2023.0010 · Cited by 10
“There have also been studies that have used more specific neuropsychological testing, such as MoCA [42], the 10-item Kessler Psychological Distress Scale questionnaire [34], or even a battery of standardised neuro-cognitive instruments [43].”
MethodThe Post-COVID-19 cognitive impairment. A modern view of the problem, pathogenesis and treatment
Захаров, Д. В., & Buriak, I. V. (2021) · V M BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY · doi:10.31363/2313-7053-2021-57-4-97-105 · Cited by 10
Ouanes, S., Al-Amin, H. A., Hussein, N. B., Khan, F., Shahrani, A. A., David, P., Wali, A. B., Thapur, M., Karim, M. A., Maslamani, M. A. R. S. A., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.792058 · Cited by 9
Metadata
- Authors
- De Lorenzo, R., Conte, C., Lanzani, C., Benedetti, F., Roveri, L., Mazza, M. G., Brioni, E., Giacalone, G., Canti, V., Sofia, V., D’Amico, M., Di Napoli, D., Ambrosio, A., Scarpellini, P., Castagna, A., Landoni, G., Zangrillo, A., Bosi, E., Tresoldi, M., Ciceri, F., & Rovere-Querini, P.
- Affiliations
- Vita-Salute San Raffaele University (IT)
- IRCCS Ospedale San Raffaele (IT)
- ORCID
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2020-10-14
- Volume
- 15
- Issue
- 10
- Pages
- e0239570
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC7556454
- OpenAlex
- W3092984339
- Cited by
- 179
- References
- 46
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 21 · 2023: 23 · 2022: 64 · 2021: 56 · 2020: 1
- FWCI
- 15.58
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Topics
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Keywords
- COVID-19 pandemic, long COVID, post-discharge follow-up, dyspnea, tachypnea, malnutrition, uncontrolled hypertension, post-traumatic stress disorder, PaO2/FiO2 ratio, body mass index, emergency department
- MeSH terms
- COVID-19, Aftercare, Aged, Dyspnea, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pneumonia, Viral, Stress Disorders, Post-Traumatic, Coronavirus Infections, Malnutrition, Pandemics, Cognitive Dysfunction
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