{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T21:26:02Z","timestamp":1792877162013,"version":"4.5.0"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"UK Research and Innovation Medical Research Council","doi-asserted-by":"publisher","award":["MR\/X020258\/1"],"award-info":[{"award-number":["MR\/X020258\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["220900\/Z\/20\/Z"],"award-info":[{"award-number":["220900\/Z\/20\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["eClinicalMedicine"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.eclinm.2026.103878","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T17:22:18Z","timestamp":1775755338000},"page":"103878","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["Post-acute sequelae after Nipah virus infection: a systematic review and meta-analysis"],"prefix":"10.1016","volume":"94","author":[{"given":"Tiantian","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingshuang","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9840-0878","authenticated-orcid":false,"given":"Nora","family":"Schmit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.it.2025.10.010","article-title":"The lingering shadow of epidemics: post-acute sequelae across history","volume":"47","author":"Miller","year":"2025","journal-title":"Trends Immunol"},{"issue":"6","key":"10.1016\/j.eclinm.2026.103878_bib2","doi-asserted-by":"crossref","DOI":"10.1002\/jmv.70429","article-title":"Long-term sequelae of COVID-19: a systematic review and meta-analysis of symptoms 3 years Post-SARS-CoV-2 infection","volume":"97","author":"Rahmati","year":"2025","journal-title":"J Med Virol"},{"issue":"5","key":"10.1016\/j.eclinm.2026.103878_bib3","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1038\/s41591-022-01810-6","article-title":"Unexplained post-acute infection syndromes","volume":"28","author":"Choutka","year":"2022","journal-title":"Nat Med"},{"key":"10.1016\/j.eclinm.2026.103878_bib4","series-title":"Pathogens prioritization: a scientific framework for epidemic and pandemic research preparedness","year":"2024"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib5","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S1386-6532(02)00268-8","article-title":"Nipah virus outbreak in Malaysia","volume":"26","author":"Chua","year":"2003","journal-title":"J Clin Virol"},{"key":"10.1016\/j.eclinm.2026.103878_bib6","doi-asserted-by":"crossref","DOI":"10.1017\/S0950268819000086","article-title":"Nipah virus infection: a review","volume":"147","author":"Aditi","year":"2019","journal-title":"Epidemiol Infect"},{"key":"10.1016\/j.eclinm.2026.103878_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.micpath.2022.105693","article-title":"The pathogenesis of Nipah virus: a review","volume":"170","author":"Devnath","year":"2022","journal-title":"Microb Pathog"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib8","doi-asserted-by":"crossref","DOI":"10.3390\/microorganisms13010124","article-title":"Nipah virus: a zoonotic threat re-emerging in the wake of global public health challenges","volume":"13","author":"Branda","year":"2025","journal-title":"Microorganisms"},{"issue":"11","key":"10.1016\/j.eclinm.2026.103878_bib9","doi-asserted-by":"crossref","first-page":"e707","DOI":"10.1016\/S1473-3099(24)00262-7","article-title":"Measures to prevent and treat Nipah virus disease: research priorities for 2024-29","volume":"24","author":"Moore","year":"2024","journal-title":"Lancet Infect Dis"},{"issue":"5","key":"10.1016\/j.eclinm.2026.103878_bib10","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1086\/315457","article-title":"Case-control study of risk factors for human infection with a new zoonotic paramyxovirus, Nipah virus, during a 1998-1999 outbreak of severe encephalitis in Malaysia","volume":"181","author":"Parashar","year":"2000","journal-title":"J Infect Dis"},{"issue":"5","key":"10.1016\/j.eclinm.2026.103878_bib11","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.3201\/eid2505.181352","article-title":"Infections among contacts of patients with Nipah virus, India","volume":"25","author":"Kumar","year":"2019","journal-title":"Emerg Infect Dis"},{"issue":"7","key":"10.1016\/j.eclinm.2026.103878_bib12","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1086\/529147","article-title":"Clinical presentation of nipah virus infection in Bangladesh","volume":"46","author":"Hossain","year":"2008","journal-title":"Clin Infect Dis"},{"issue":"7","key":"10.1016\/j.eclinm.2026.103878_bib13","doi-asserted-by":"crossref","first-page":"e463","DOI":"10.1016\/S2542-5196(24)00119-0","article-title":"Mapping the distribution of Nipah virus infections: a geospatial modelling analysis","volume":"8","author":"Sun","year":"2024","journal-title":"Lancet Planet Health"},{"key":"10.1016\/j.eclinm.2026.103878_bib14","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jcv.2019.05.009","article-title":"Case fatality rate and risk factors for Nipah virus encephalitis: a systematic review and meta-analysis","volume":"117","author":"Kenmoe","year":"2019","journal-title":"J Clin Virol"},{"issue":"17","key":"10.1016\/j.eclinm.2026.103878_bib15","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1056\/NEJM200004273421701","article-title":"Clinical features of Nipah virus encephalitis among pig farmers in Malaysia","volume":"342","author":"Goh","year":"2000","journal-title":"N Engl J Med"},{"issue":"12","key":"10.1016\/j.eclinm.2026.103878_bib16","doi-asserted-by":"crossref","first-page":"e1962","DOI":"10.1016\/S2214-109X(24)00379-6","article-title":"Lassa fever outbreaks, mathematical models, and disease parameters: a systematic review and meta-analysis","volume":"12","author":"Doohan","year":"2024","journal-title":"Lancet Glob Health"},{"issue":"5","key":"10.1016\/j.eclinm.2026.103878_bib17","doi-asserted-by":"crossref","first-page":"e307","DOI":"10.1016\/S1473-3099(23)00515-7","article-title":"Marburg virus disease outbreaks, mathematical models, and disease parameters: a systematic review","volume":"24","author":"Cuomo-Dannenburg","year":"2024","journal-title":"Lancet Infect Dis"},{"issue":"12","key":"10.1016\/j.eclinm.2026.103878_bib18","doi-asserted-by":"crossref","first-page":"e762","DOI":"10.1016\/S1473-3099(24)00374-8","article-title":"Ebola virus disease mathematical models and epidemiological parameters: a systematic review","volume":"24","author":"Nash","year":"2024","journal-title":"Lancet Infect Dis"},{"issue":"9","key":"10.1016\/j.eclinm.2026.103878_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.lanmic.2025.101144","article-title":"Severe acute respiratory syndrome (SARS) mathematical models and disease parameters: a systematic review","volume":"6","author":"Morgenstern","year":"2025","journal-title":"Lancet Microbe"},{"key":"10.1016\/j.eclinm.2026.103878_bib20","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.eclinm.2026.103878_bib21","series-title":"Systematic review software","year":"2025"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib22","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1097\/XEB.0000000000000054","article-title":"Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data","volume":"13","author":"Munn","year":"2015","journal-title":"Int J Evid Based Healthc"},{"key":"10.1016\/j.eclinm.2026.103878_bib23","series-title":"JBI Manual for Evidence Synthesis","article-title":"Systematic reviews of etiology and risk","author":"Moola","year":"2024"},{"key":"10.1016\/j.eclinm.2026.103878_bib24","series-title":"R: a language and environment for statistical computing","year":"2025"},{"issue":"4","key":"10.1016\/j.eclinm.2026.103878_bib25","first-page":"153","article-title":"How to perform a meta-analysis with R: a practical tutorial","volume":"22","author":"Balduzzi","year":"2019","journal-title":"BMJ Mental Health"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib26","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1890\/10-0340.1","article-title":"The arcsine is asinine: the analysis of proportions in ecology","volume":"92","author":"Warton","year":"2011","journal-title":"Ecology"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib27","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1002\/jrsm.1348","article-title":"Seriously misleading results using inverse of freeman-tukey double arcsine transformation in meta-analysis of single proportions","volume":"10","author":"Schwarzer","year":"2019","journal-title":"Res Synth Methods"},{"key":"10.1016\/j.eclinm.2026.103878_bib28","series-title":"Meta-research: Methods and protocols","first-page":"91","article-title":"Performing meta-analyses with very few studies","author":"Schulz","year":"2022"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib29","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/jrsm.1319","article-title":"Methods to calculate uncertainty in the estimated overall effect size from a random-effects meta-analysis","volume":"10","author":"Veroniki","year":"2019","journal-title":"Res Synth Methods"},{"issue":"2","key":"10.1016\/j.eclinm.2026.103878_bib30","doi-asserted-by":"crossref","first-page":"328","DOI":"10.3201\/eid2102.141433","article-title":"Outbreak of henipavirus infection, Philippines, 2014","volume":"21","author":"Ching","year":"2015","journal-title":"Emerg Infect Dis"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib31","doi-asserted-by":"crossref","DOI":"10.1002\/jmv.29559","article-title":"Clinico-epidemiological presentations and management of Nipah virus infection during the outbreak in Kozhikode district, Kerala state, India 2023","volume":"96","author":"As","year":"2024","journal-title":"J Med Virol"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib32","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1017\/S0317167100001785","article-title":"Nipah encephalitis outbreak in Malaysia, clinical features in patients from Seremban","volume":"29","author":"Chong","year":"2002","journal-title":"Can J Neurol Sci"},{"issue":"6","key":"10.1016\/j.eclinm.2026.103878_bib33","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1002\/ana.10212","article-title":"Relapsed and late-onset Nipah encephalitis","volume":"51","author":"Tan","year":"2002","journal-title":"Ann Neurol"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib34","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1136\/jnnp.74.1.131","article-title":"Late clinical and magnetic resonance imaging follow up of Nipah virus infection","volume":"74","author":"Lim","year":"2003","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"4","key":"10.1016\/j.eclinm.2026.103878_bib35","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1176\/jnp.16.4.500","article-title":"Neuropsychiatric sequelae of Nipah virus encephalitis","volume":"16","author":"Ng","year":"2004","journal-title":"J Neuropsychiatry Clin Neurosci"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib36","article-title":"Ten year clinical and serological outcomes of Nipah virus infection","volume":"14","author":"Siva","year":"2009","journal-title":"Neurol Asia"},{"issue":"2","key":"10.1016\/j.eclinm.2026.103878_bib37","doi-asserted-by":"crossref","DOI":"10.1016\/j.jinf.2024.106398","article-title":"Malaysia outbreak survivors retain detectable Nipah antibodies and memory B cells after 25 years","volume":"90","author":"Ong","year":"2025","journal-title":"J Infect"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib38","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1002\/ana.21178","article-title":"Long-term neurological and functional outcome in Nipah virus infection","volume":"62","author":"Sejvar","year":"2007","journal-title":"Ann Neurol"},{"issue":"10","key":"10.1016\/j.eclinm.2026.103878_bib39","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1093\/cid\/cis226","article-title":"Long-term outcome of patients presenting with acute infectious encephalitis of various causes in France","volume":"54","author":"Mailles","year":"2012","journal-title":"Clin Infect Dis"},{"issue":"5","key":"10.1016\/j.eclinm.2026.103878_bib40","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0010361","article-title":"Estimates of Japanese encephalitis mortality and morbidity: a systematic review and modeling analysis","volume":"16","author":"Cheng","year":"2022","journal-title":"PLoS Negl Trop Dis"},{"issue":"9859","key":"10.1016\/j.eclinm.2026.103878_bib41","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1016\/S0140-6736(12)61680-8","article-title":"Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010","volume":"380","author":"Salomon","year":"2012","journal-title":"Lancet"},{"issue":"6","key":"10.1016\/j.eclinm.2026.103878_bib42","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1038\/s41591-024-02987-8","article-title":"Three-year outcomes of post-acute sequelae of COVID-19","volume":"30","author":"Cai","year":"2024","journal-title":"Nat Med"},{"issue":"2","key":"10.1016\/j.eclinm.2026.103878_bib43","first-page":"109","article-title":"Relapsed and late-onset Nipah encephalitis, a report of three cases","volume":"8","author":"Chong","year":"2003","journal-title":"Neurol J Southeast Asia"},{"issue":"1","key":"10.1016\/j.eclinm.2026.103878_bib44","article-title":"Late-onset Nipah virus encephalitis 11 years after the initial outbreak: a case report","volume":"17","author":"Abdullah","year":"2012","journal-title":"Neurol Asia"},{"issue":"3","key":"10.1016\/j.eclinm.2026.103878_bib45","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1365-2990.2008.00991.x","article-title":"Human hendra virus infection causes acute and relapsing encephalitis","volume":"35","author":"Wong","year":"2009","journal-title":"Neuropathol Appl Neurobiol"},{"issue":"12","key":"10.1016\/j.eclinm.2026.103878_bib46","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1007\/s00415-008-0032-6","article-title":"Subacute sclerosing panencephalitis","volume":"255","author":"Garg","year":"2008","journal-title":"J Neurol"},{"issue":"14","key":"10.1016\/j.eclinm.2026.103878_bib47","doi-asserted-by":"crossref","DOI":"10.1172\/jci.insight.129629","article-title":"Nipah virus persists in the brains of nonhuman primate survivors","volume":"4","author":"Liu","year":"2019","journal-title":"JCI Insight"},{"key":"10.1016\/j.eclinm.2026.103878_bib48","article-title":"Twenty-five years of Nipah outbreaks in Southeast Asia: a persistent threat to global health","volume":"13","author":"Khan","year":"2024","journal-title":"IJID Reg"}],"container-title":["eClinicalMedicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589537026001252?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589537026001252?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T04:09:47Z","timestamp":1778904587000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589537026001252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":48,"alternative-id":["S2589537026001252"],"URL":"https:\/\/doi.org\/10.1016\/j.eclinm.2026.103878","relation":{},"ISSN":["2589-5370"],"issn-type":[{"value":"2589-5370","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Post-acute sequelae after Nipah virus infection: a systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"eClinicalMedicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eclinm.2026.103878","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"103878"}}