Evidence mapPaperPMID 40329907Full record

ArticleEuropean journal of neurology2025

Impact of COVID-19 on long-term outcomes in Parkinson's disease.

Roham Hadidchi, Yousef Al-Ani, Hannah Piskun, Rachel Pakan, Katie S Duong, Hasan Jamil, Stephen H Wang, Sonya Henry, Carine W Maurer, Tim Q Duong

Abstract read
In one paragraph

Article in European journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. COVID-19 and Radiological Progression of Multiple Sclerosis.Diagnostics (Basel, Switzerland) · 2026
    Article
  3. Observational
  4. Five-year cardiovascular outcomes following COVID-19-associated carditis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

10 authors.

Roham HadidchiDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Yousef Al-AniDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Hannah PiskunDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Rachel PakanDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Katie S DuongDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Hasan JamilDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Stephen H WangDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Sonya HenryDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Carine W MaurerDepartment of Neurology, Stony Brook University Renaissance School of Medicine, Stony Brook, New York, USA.
Tim Q DuongDepartment of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.ORCID 0000-0001-6403-2827

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients with pre-existing Parkinson's disease (PD) face higher risks of severe acute COVID-19 outcomes than matched controls, but long-term post-COVID-19 outcomes remain largely unknown. This study investigated clinical outcomes up to 3.5 years post-infection in a Bronx inner-city PD population.

methodsThis retrospective study evaluated 3512 patients with PD in the Montefiore Health System (January 2016-July 2023), which serves a large diverse population and was an epicenter of the early COVID-19 pandemic and subsequent infection surges. Comparisons were made with PD patients without a positive SARS-CoV-2 test (defined by polymerase chain reaction test). Outcomes were post-index date all-cause mortality, major adverse cardiovascular events (MACE), altered mental status, fatigue, dyspnea, headache, psychosis, dementia, depression, anxiety, dysphagia, falls, and orthostatic hypotension. Changes in Levodopa prescriptions were also tabulated. Adjusted hazard ratios (aHR) were computed accounting for competing risks.

resultsPD patients with COVID-19 had similar demographics but a higher prevalence of pre-existing comorbidities compared to PD patients without COVID-19. PD patients with COVID-19 had greater risk of mortality (aHR = 1.58 [95% CI: 1.03, 2.41]), MACE (aHR = 1.57 [1.19, 2.07]), dyspnea, fatigue, and fall compared to PD patients without COVID-19. Levodopa dose adjustment was higher post-infection in the COVID-19 cohort.

conclusionsAmong PD patients, COVID-19 was associated with a higher risk of adverse long-term outcomes. PD patients who survive COVID-19 may benefit from heightened clinical awareness and close follow-up. Findings highlight the need to improve post-COVID care for PD patients to mitigate disease progression and maintain quality of life.

Indexed as

COVID-19Parkinson DiseaseAgedAged, 80 and overComorbidityFemaleHumansMaleMiddle AgedRetrospective Studieslong COVIDParkinson's disease

Identifiers

PMID40329907
PMCPMC12056498

What Socratic holds

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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.