Evidence map›Paper›PMID 40721474›Full record

ArticleNature communications2025

SARS-CoV-2 rebound and post-acute mortality and hospitalization among patients admitted with COVID-19: cohort study.

Ka Chun Chong, Yuchen Wei, Katherine Min Jia, Christopher Boyer, Guozhang Lin, Huwen Wang, Conglu Li, Chi Tim Hung, Xiaoting Jiang, Carrie Ho Kwan Yam and 9 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

19 authors.

Ka Chun ChongSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0001-5610-1298
Yuchen WeiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Katherine Min JiaCenter for Communicable Disease Dynamics, Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Christopher BoyerCenter for Communicable Disease Dynamics, Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1101-2045
Guozhang LinSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Huwen WangSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Conglu LiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Chi Tim HungSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-2103-8377
Xiaoting JiangSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Carrie Ho Kwan YamSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Tsz Yu ChowSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Yawen WangDivision of Landscape Architecture, Department of Architecture, Faculty of Architecture, The University of Hong Kong, Hong Kong, China.
Shi ZhaoSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0001-8722-6149
Kehang LiSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-3778-7068
Aimin YangDepartment of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Chris Ka Pun MokLi Ka Shing Institute of Health Sciences, Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0002-0525-6772
David Sc HuiS.H. Ho Research Centre for Infectious Diseases, Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-4382-2445
Eng Kiong YeohSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. yeoh_ek@cuhk.edu.hk.ORCID http://orcid.org/0000-0002-1721-9450
Zihao GuoSchool of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China. zihaoguo@cuhk.edu.hk.ORCID http://orcid.org/0000-0001-9002-0483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent investigations have demonstrated a relationship between the persistence of SARS-CoV-2 and post-COVID-19 conditions. Building upon a potential connection between SARS-CoV-2 persistence and early virologic rebound, we examine the association of early virologic rebound with post-acute mortality and hospitalization due to post-acute sequelae among hospitalized patients with COVID-19 in Hong Kong. Our study includes 13,859, 3959, and 4502 patients in the all-patient, nirmatrelvir/ritonavir, and molnupiravir group, respectively. Results show that patients who experienced virologic rebound exhibited a significantly higher risk of post-acute mortality (hazard ratio [HR], 1.52; 95% confidence interval [CI], 1.36-1.70) with a risk difference [RD] of 7.19%, compared with patients without virologic rebound. A similar increase in the risk of post-acute mortality is also observed in nirmatrelvir/ritonavir-treated patients (HR, 1.78; 95% CI, 1.41-2.25; RD, 12.55%) and molnupiravir-treated patients (HR, 1.47; 95% CI, 1.18-1.82; RD, 4.90%). The virologic rebound may thus serve as an early marker for post-COVID-19 condition, enabling healthcare officials to monitor and provide timely intervention for long COVID.

Indexed as

COVID-19HospitalizationSARS-CoV-2AdultAgedAntiviral AgentsCohort StudiesCOVID-19 Drug TreatmentCytidineFemaleHong KongHumansHydroxylaminesLeucineMaleMiddle AgedAntiviral AgentsCytidineHydroxylaminesLeucinemolnupiravirMorpholinesRitonavir

Identifiers

PMID40721474
PMCPMC12304394

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.