Evidence map›Paper›PMID 39884720›Full record

SynthesisBMJ open respiratory research2025

Risk of long covid in patients with pre-existing chronic respiratory diseases: a systematic review and meta-analysis.

Paul Terry, R Eric Heidel, Alexandria Q Wilson, Rajiv Dhand

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Japanese nationwide survey to track the impact of long COVID over 3 years.Environmental health and preventive medicine · 2025
    Article
  17. Article
  18. Review
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

4 authors.

Paul TerryDepartment of Medicine, The University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA.ORCID http://orcid.org/0000-0002-0353-9197
R Eric HeidelSurgery, The University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA.ORCID http://orcid.org/0000-0002-1518-8072
Alexandria Q WilsonPreston Medical Library, Graduate School of Medicine, University of Tennessee Medical Center, Knoxville, Tennessee, USA.ORCID http://orcid.org/0000-0002-2649-8252
Rajiv DhandDepartment of Medicine, The University of Tennessee Graduate School of Medicine, Knoxville, Tennessee, USA rdhand@utmck.edu.ORCID http://orcid.org/0000-0002-3621-2422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn estimated 10-30% of people with COVID-19 experience debilitating long-term symptoms or long covid. Underlying health conditions associated with chronic inflammation may increase the risk of long covid.

methodsWe conducted a systematic review and meta-analysis to examine whether long covid risk was altered by pre-existing asthma or chronic obstructive pulmonary disease (COPD) in adults. We identified studies by searching the PubMed and Embase databases from inception to 13 September 2024. We excluded studies that focused on children or defined long covid only in terms of respiratory symptoms. We used random-effects, restricted maximum likelihood models to analyse data pooled from 51 studies, which included 43 analyses of asthma and 30 analyses of COPD. The risk of bias was assessed using a ROBINS-E table.

resultsWe found 41% increased odds of long covid with pre-existing asthma (95% CI 1.29 to 1.54); pre-existing COPD was associated with 32% increased odds (95% CI 1.16 to 1.51). Pre-existing asthma, but not COPD, was associated with increased odds of long covid-associated fatigue. We observed heterogeneity in the results of studies of asthma related to hospitalisation status. Potential confounding and inconsistent measurement of exposure and outcome variables were among the identified limitations.

conclusionsOur findings support the hypothesis that pre-existing asthma and COPD increase the risk of long covid, including chronic fatigue outcomes in patients with asthma. Because COVID-19 targets the respiratory tract, these inflammatory conditions of the lower respiratory tract could provide mechanistic clues to a common pathway for the development of long-term sequelae in patients with long covid.

Indexed as

AsthmaCOVID-19Pulmonary Disease, Chronic ObstructiveChronic DiseaseHumansRisk FactorsSARS-CoV-2Asthma EpidemiologyCOPD epidemiologyCOVID-19

Identifiers

PMID39884720
PMCPMC11784193

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

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.