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Related Experiment Video

Updated: Oct 26, 2025

Author Spotlight: Advancements in Multiplex Detection of Respiratory Viruses
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Long COVID, a comprehensive systematic scoping review.

Hossein Akbarialiabad1, Mohammad Hossein Taghrir1, Ashkan Abdollahi2

  • 1Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Infection
|July 28, 2021
PubMed
Summary
This summary is machine-generated.

Long COVID literature shows varied definitions impacting care. Common symptoms include fatigue and breathlessness, with potential long-term organ involvement requiring further study.

Keywords:
COVID-19Corona virusLong COVID-19Long haulers COVIDNovel Corona Virus 2019PASC post-acute sequela SARS-COV-2Post COVID-19 SyndromePost-acute COVID-19Post-acute SARS-CoV-2SARS-Cov-2

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Medical Literature Review

Background:

  • Long COVID, a post-viral syndrome following SARS-CoV-2 infection, presents a significant global health challenge.
  • Understanding the existing body of literature is crucial for developing effective diagnostic and management strategies.

Purpose of the Study:

  • To conduct a comprehensive scoping review of published literature on Long COVID up to January 30, 2021.
  • To identify key themes including definition, pathophysiology, symptoms, and management of Long COVID.

Main Methods:

  • A systematic, four-step literature search was performed across multiple electronic databases with no language restrictions.
  • Forward and backward citation searching identified additional relevant publications.
  • PRISMA-ScR guidelines were followed for this scoping review, including translation of non-English articles.

Main Results:

  • The review analyzed 120 publications, predominantly observational studies (22 cohort, 28 cross-sectional), with only one randomized clinical trial.
  • Key research areas included signs and symptoms (49.1%), management (23.3%), and pathophysiology (10.8%).
  • Narrative synthesis covered nomenclature, diagnosis, pathophysiology, risk factors, signs/symptoms, and management.

Conclusions:

  • Ambiguity in Long COVID definitions hinders recognition and clinical management.
  • Predominant symptoms reported are fatigue, dyspnea, arthralgia, sleep disturbances, and chest pain.
  • Emerging evidence suggests potential long-term sequelae affecting multiple organ systems (cutaneous, respiratory, cardiovascular, musculoskeletal, neurological, renal, mental health).