Evidence map›Paper›PMID 40206293›Full record

ArticleFrontiers in neurology2025

Changes in cerebrovascular reactivity within functional networks in older adults with long-COVID.

Jessica M Pommy, Alexander Cohen, Amarpreet Mahil, Laura Glass Umfleet, Sara J Swanson, Malgorzata Franczak, Shawn Obarski, Kelly Ristow, Yang Wang

Abstract read
In one paragraph

Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Jessica M PommyDivision of Neuropsychology, Department of Neurology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.
Alexander CohenDepartment of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States.
Amarpreet MahilDepartment of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States.
Laura Glass UmfleetDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States.
Sara J SwansonDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States.
Malgorzata FranczakDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States.
Shawn ObarskiDepartment of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States.
Kelly RistowDepartment of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States.
Yang WangDepartment of Radiology, Medical College of Wisconsin, Milwaukee, WI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cognitive symptoms are reported in the vast majority of individuals with long-COVID and there is growing support to suggest neurovascular mechanisms may play a role. Older adults are at increased risk for developing complications associated with COVID-19, including heightened risk for cognitive decline. Cerebrovascular Reactivity (CVR), a marker of neurovascular health, has been linked to age related cognitive decline and may play a role in long-COVID, however, this has not yet been explored. Methods: The present study examined group differences in CVR in 31 older adults with long-COVID compared to 31 cognitively unimpaired older adults without long-COVID symptoms. Follow up analyses were conducted to examine how CVR was associated with both subjective cognitive symptoms and neuropsychological (NP) test performance. A subject-specific approach, Distribution-Corrected Z-scores (DisCo-Z), was used. Results: Analyses revealed the long-COVID group demonstrated significantly greater incidence of extreme CVR clusters within the brain (>100 voxels) and within functional networks thought to drive attention and executive function. Extreme positive CVR clusters were positively associated with greater number of subjective cognitive symptoms and negatively correlated with NP performance. Discussion: These findings are among the first to provide a link between cognitive functioning in long-COVID and neurovascular changes relevant for aging and mechanistic studies of long-COVID.

Indexed as

agingbrain networkcerebrovascular reactivitycognitionfunctional MRIindividuallong-COVIDneurovascular

Identifiers

PMID40206293
PMCPMC11981175

What Socratic holds

Textmetadata
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.