Evidence map›Paper›PMID 38017426›Full record

SynthesisBMC medicine2023

Identifying patterns of reported findings on long-term cardiac complications of COVID-19: a systematic review and meta-analysis.

Boya Guo, Chenya Zhao, Mike Z He, Camilla Senter, Zhenwei Zhou, Jin Peng, Song Li, Annette L Fitzpatrick, Sara Lindström, Rebecca C Stebbins and 2 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Boya Guo *Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Chenya Zhao *Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Mike Z HeDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Camilla SenterDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Zhenwei ZhouDepartment of Biostatistics, School of Public Health, Boston University, Boston, MA, USA.
Jin PengDepartment of Biostatistics, School of Global Public Health, New York University, New York, NY, USA.
Song LiDivision of Cardiology, University of Washington Medical Center, Seattle, WA, USA.
Annette L FitzpatrickDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Sara LindströmDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Rebecca C StebbinsSocial, Genetic, & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Grace A NoppertInstitute for Social Research, University of Michigan, Ann Arbor, MI, 48104, USA. gnoppert@umich.edu.
Chihua LiInstitute for Social Research, University of Michigan, Ann Arbor, MI, 48104, USA. chihuali@umich.edu.ORCID 0000-0002-0933-8425

Funding

Research Training Program in Pediatric ExposomicsT32HD049311 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2007 to 2026
$7.4M
Immunosenescence, socioeconomic disadvantage and dementia in the US aging populationR01AG075719 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Allison E Aiello, Grace A Noppert · 2022 to 2026
$3.6M
Social Disadvantage and Its Impact on Pathogen Burden and Immune Dysfunction Across the Life CourseR00AG062749 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NOPPERT, GRACE A · 2021 to 2023
$747k
NIA NIH HHS R00 AG062749NIA NIH HHS R01 AG075719NICHD NIH HHS T32 HD049311NIH HHS R00AG062749NIH HHS R01AG075719
6 · The paper itself

Abstract

introductionPrior reviews synthesized findings of studies on long-term cardiac complications of COVID-19. However, the reporting and methodological quality of these studies has not been systematically evaluated. Here, we conducted a systematic review and meta-analysis on long-term cardiac complications of COVID-19 and examined patterns of reported findings by study quality and characteristics.

methodsWe searched for studies examining long-term cardiac complications of COVID-19 that persisted for 4 weeks and over. A customized Newcastle-Ottawa scale (NOS) was used to evaluate the quality of included studies. Meta-analysis was performed to generate prevalence estimates of long-term cardiac complications across studies. Stratified analyses were further conducted to examine the prevalence of each complication by study quality and characteristics. The GRADE approach was used to determine the level of evidence for complications included in the meta-analysis.

resultsA total number of 150 studies describing 57 long-term cardiac complications were included in this review, and 137 studies reporting 17 complications were included in the meta-analysis. Only 25.3% (n = 38) of studies were of high quality based on the NOS quality assessment. Chest pain and arrhythmia were the most widely examined long-term complications. When disregarding study quality and characteristics, summary prevalence estimates for chest and arrhythmia were 9.79% (95% CI 7.24-13.11) and 8.22% (95% CI 6.46-10.40), respectively. However, stratified analyses showed that studies with low-quality scores, small sample sizes, unsystematic sampling methods, and cross-sectional design were more likely to report a higher prevalence of complications. For example, the prevalence of chest pain was 22.17% (95% CI 14.40-32.55), 11.08% (95% CI 8.65-14.09), and 3.89% (95% CI 2.49-6.03) in studies of low, medium, and high quality, respectively. Similar patterns were observed for arrhythmia and other less examined long-term cardiac complications.

conclusionThere is a wide spectrum of long-term cardiac complications of COVID-19. Reported findings from previous studies are strongly related to study quality, sample sizes, sampling methods, and designs, underscoring the need for high-quality epidemiologic studies to characterize these complications and understand their etiology.

Indexed as

COVID-19Arrhythmias, CardiacChest PainCross-Sectional StudiesHumansCardiac complicationsCOVID-19 sequelaeLong-COVIDMeta-analysisSystematic review

Identifiers

PMID38017426
PMCPMC10685580

What Socratic holds

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LicenceCC BY
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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 Socratic graph.