TABLE 1.
Characteristics of included studies
Author, year | Country | Study design | Population included | Outcomes of interest for this review | Funding source | ||||
---|---|---|---|---|---|---|---|---|---|
Frequency of long COVID‐19 a | Main signs/symptoms of long COVID‐19 evaluated/observed | Temporal criteria used for long COVID‐19 or time point to measure signs/symptoms | Mean duration of long COVID‐19 | Main aspects investigated as a potential risk factor for long COVID‐19 | |||||
Bellan, 2021 25 | Italy | Prospective cohort |
COVID‐19 participants Participants recovered from severe COVID‐19, requiring hospitalisation during the acute phase n = 256 |
No |
Ageusia Anosmia Arthralgia Chest pain Cough Diarrhoea Dyspnea Myalgia Pulmonary dysfunction Post‐traumatic stress |
16 weeks after hospital discharge | No |
Chronic Kidney Disease COPD Diabetes ICU admission during the hospital stay Modality of oxygen delivery Number of comorbidities Sex Smoking status |
AGEING Project, Department of Excellence, Department of Translational Medicine, Università del Piemonte Orientale and by the Azienda Ospedaliero–Universitaria Maggiore della Carità di Novara |
Carfi, 2020 4 | Italy | Prospective cohort |
COVID‐19 participants Participants recovered from severe COVID‐19, requiring hospitalisation during the acute phase n = 143 |
Yes |
Anosmia Arthralgia Chest pain Cough Diarrhoea Dyspnea Dysgeusia Fatigue Headache Lack of appetite Myalgia Rhinitis Red eyes Sicca syndrome Sputum production Sore throat Vertigo |
5.1 weeks (mean) after hospital discharge | No | No | Not reported |
Carvalho‐Schneider, 2020 26 | France | Prospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring or not hospitalisation during the acute phase n = 130 |
Yes |
Anosmia/ageusia Arthralgia Asthenia Chest pain Cutaneous signs Diarrhoea Dyspnoea Flulike symptoms (myalgia, headache) Palpitations |
8 weeks after acute phase onset | No |
Age Comorbidities Hospital admission at the acute phase Initial abnormal auscultation Signs and symptoms at the acute phase |
Not reported |
El Sayed, 2020 27 | Saudi Arabia | Retrospective cohort |
Long COVID‐19 participants COVID‐19 after 2 consecutive negative PCR tests who attended for pulmonology clinic for follow‐up and psychiatric department for assessment. n = 200 |
No |
Fatigue Anhedonia |
11.8 weeks (mean) after 2 consecutive negative PCR tests | No |
Age Educational level Sex Smoking status |
Not reported |
Garrigues, 2020 28 | France | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase. n = 120 |
No |
Anosmia Chest pain Concentration impairment Cough Dysgeusia Dyspnoea Fatigue Hair loss Memory impairment Sleep disorders |
14.2 weeks after hospital admission | No | ICU‐admission | Not reported |
Guedj, 2020 29 | France | Retrospective cohort |
Long‐COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase. n = 35 |
No |
Dyspnoea Hyposmia/anosmia Insomnia Memory/cognitive impairment Pain Post‐traumatic stress disorder |
3 weeks after acute phase onset | No | No | The local PET database of healthy controls was funded by Assistance Publique – Hopitaux de Marseille |
Halpin, 2020 30 | United Kingdom | Retrospective cohort |
COVID‐19 participants COVID‐19 requiring hospitalisation during the acute phase n = 100 |
No |
Concentration impairment Continence impairment Dyspnoea Fatigue Faecal/Urinary incontinence Memory impairment Neuropsychological symptoms Pain Speech‐ and swallow‐ related symptoms |
At least 4 weeks after hospital discharge | No | No | National Institute for Health Research (NIH) infrastructure at Leeds and Sheffield |
Huang, 2021 31 | China | Retrospective cohort |
COVID‐19 participants COVID‐19 requiring hospitalisation during the acute phase n = 1733 |
Yes |
Ageusia Anosmia Anxiety or depression Arthralgia Chest pain Dyspnoea Diarrhoea or vomiting Dizziness Fatigue or muscle weakness Fever Hair loss Headache Lack of appetite Mobility impairment Myalgia Palpitations Pain or discomfort Respiratory dysfunction Skin rash Sleep disorders Sore throat or difficult to swallow |
24 weeks after hospital discharge | No |
Age Severity of acute COVID‐19 infection Sex |
National Natural Science Foundation of China; Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; the National Key Research and Development Programme of China; Major Projects of National Science and Technology on New Drug Creation and Development of Pulmonary Tuberculosis; Peking Union Medical College Foundation |
Jacobs, 2020 32 | United States of America | Retrospective cohort |
COVID‐19 participants COVID‐19 requiring hospitalisation during the acute phase n = 183 |
Yes |
Anosmia Arthralgia Confusion Cough Diarrhoea Dysgeusia Dyspnoea Eye irritation Fatigue Fever Headache Myalgia Sputum production Ulcer |
4 weeks after hospital discharge | No |
Age Comorbidities Oxygen requirements during and after hospitalisation Sex |
Not reported |
Liang, 2020 33 | China | Prospective cohort |
COVID‐19 participants COVID‐19 requiring hospitalisation during the acute phase n = 76 |
No |
Chest pain on exertion Cough Diarrhoea Dyspnoea Fatigue Fever Sputum production Palpitations Respiratory dysfunction |
12 weeks after hospital discharge | No |
Age Comorbidities Hospital length of stay Severity of acute COVID‐19 infection Sex Treatment received in the acute phase |
Not reported |
Lu, 2020 34 | China | Prospective cohort |
COVID‐19 participants COVID‐19 requiring hospitalisation during the acute phase n = 60 |
Yes |
Anosmia Dysgeusia Fatigue Headache Hearing loss Mobility impairment Limb numbness Memory impairment Myalgia Mood changes Vision changes Tremor |
12 weeks after hospital discharge | No | No | Shanghai Natural Science Foundation, Youth Programme of National Natural Science Foundation of China, Shanghai Sailing Programme, Shanghai Science and Technology Development, Shanghai Municipal Science and Technology Major Project and ZJ Lab |
Moreno‐Perez, 2021 35 | Spain | Prospective cohort |
COVID‐19 participants COVID‐19 requiring or not hospitalisation during the acute phase n = 277 |
Yes |
Anosmia Arthralgia Cough Diahrrea Dysgeusia Dyspnoea Fatigue Myalgia Neurological symptoms (headache, memory or cognitive impairment) |
10‐14 weeks after discharge from hospital or ambulatory | No |
Age Comorbidities Sex Severity of acute COVID‐19 infection COVID‐19 GRAM score Inflammatory markers ICU‐admission in the acute phase ICU length of stay Treatment received in the acute phase |
No external funding was received |
Nehme, 2020 36 | Switzerland | Prospective cohort |
COVID‐19 participants Participants recovered from severe COVID‐19, requiring hospitalisation during the acute phase n = 669 |
Yes |
Ageusia Anosmia Cough Digestive symptoms Dyspnea Fatigue Fever Headache |
4‐6 weeks after acute phase onset | No | No | Not reported |
Otte, 2020a 37 /Otte, 2020b 38 | Germany | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, not requiring hospitalisation during the acute phase n = 91 |
No | Olfactory dysfunction | At least 3 weeks after recovery | No | No | Not reported |
Petersen, 2020 39 | Denmark | Prospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, not requiring hospitalisation or not during the acute phase n = 187 |
Yes |
Anosmia Arthralgia Cough Diarrhoea Dysgeusia Dyspnea Fatigue Fever Headache Myalgia Nausea Rash Throat pain |
14.2‐17.8 weeks after acute phase onset | No |
Age Comorbidities Hospitalisation Self‐reported medication use Sex Smoking status |
Krúnborg and Bortartún |
Puchner, 2021 40 | Austria | Prospective cohort |
COVID‐19 participants Participants recovered from severe COVID‐19, requiring hospitalisation during the acute phase n = 23 |
No |
Neuropsychological dysfunction Pulmonary dysfunction Sleep disorder |
3‐4 weeks after hospital discharge | No | No | No funding |
Ramani, 2021 41 | United States of America | Case series |
COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase n = 28 |
No |
Cognitive dysfunction Depression Insomnia Physical dysfunction Pulmonary dysfunction |
6 weeks after hospital discharge | No | No | No funding |
Rosales‐Castillo, 2021 42 | Spain | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase n = 118 |
Yes |
Ageusia Anosmia Asthenia Cough Dyspnea Myalgia |
7 weeks (mean) after hospital discharge | No | No | Not reported |
Roth, 2021 43 | United States of America | Case series |
Long‐COVID‐19 participants Participants recovered from severe COVID‐19, requiring hospitalisation during the acute phase n = 3 |
No | Cholestasis | Not specified | No | Ischemic hepatitis | No funding |
Simani, 2021 44 | Iran | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase n = 120 |
No |
Chornic fatigue syndrome Post‐traumatic stress disorder |
24 weeks after disease onset | No |
Comorbidity Post‐traumatic stress disorder Sex |
Not reported |
Suarez‐Robles, 2020 45 | France | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring hospitalisation during the acute phase n = 134 |
No |
Anosmia Arthralgia Cough Cutaneous manifestations Dyspnea Dysgeusia Dysphonia Fatigue Headache Palpitation Psychological symptoms Sputum production Walking disturbances |
12 weeks after hospital discharge | No | No | Not reported |
Tarazona‐Fernandez, 2020 46 | Spain | Retrospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, not requiring hospitalisation during the acute phase n = 37 |
Yes |
Anxiety Arthralgia Asthenia Chest pain Cough Depression Diahrrea Dyspnea Fever Headache Myalgia Red eyes Sore throat |
5.7 weeks (mean) after disease onset | No | No | No funding |
Van den Borst, 2020 47 | Netherlands | Prospective cohort |
COVID‐19 participants Participants recovered from COVID‐19, requiring or not hospitalisation during the acute phase n = 124 |
No |
Anxiety/Depression Dyspnea Cognitive impairment Physical dysfunction Pulmonary dysfunction |
9.1 (1.6) weeks (mean/SD) after hospital discharge | No | COVID‐19 severity status in the acute phase | No funding |
Xiong, 2021 48 | China | Retrospective cohort |
COVID‐19 participants Participants recovered from non‐critical COVID‐19, requiring hospitalisation during the acute phase n = 538 |
No |
Cardiovascular‐related symptoms General symptoms (arthralgia, chills, dizziness, fatigue, limb oedema, myalgia, sweating) Hair loss Psychosocial symptoms Pulmonary dysfunction |
More than 12 weeks after hospital discharge | No |
Age COVID‐19 severity status in the acute phase Sex Signs and symptoms at the acute phase |
Not reported |
Zhao, 2020 49 | China | Retrospective cohort |
COVID‐19 participants Participants recovered from non‐critical COVID‐19, requiring hospitalisation during the acute phase n = 55 |
No |
Ageusia Anosmia Cough and sputum Dyspnea Gastrointestinal symptoms Fatigue Headache Pulmonary dysfunction |
12 weeks after hospital discharge | No |
Age Comorbidities Hospital length of stay Sex Signs and symptoms at the acute phase |
Key Scientific Research Projects of Henan Higher Education Institutions (under grant 20B320032) |
Abbreviations: COPD, chronic obstructive pulmonary disease; CT, computerised tomography; Dlco, diffusing lung capacity for carbon monoxide; HFNC, high‐flow nasal cannula; ICU, intensive care unit; IMV, invasive mechanical ventilation; NIV, non‐invasive mechanical ventilation; MRI, magnetic resonance imaging; SD, standard deviation; SPPB, short physical performance battery; US, ultrasonography; VHA, veteran health administration.
Frequency of long COVID‐19, or post‐acute COVID‐19 or persistence of clinical manifestations after the acute phase (as defined by the authors of primary studies).