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. 2021 Jun 2;75(10):e14357. doi: 10.1111/ijcp.14357

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.

a

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).