Evidence map›Paper›PMID 33741586›Full record

ArticleScience advances2021

Symptom clusters in COVID-19: A potential clinical prediction tool from the COVID Symptom Study app.

Carole H Sudre, Karla A Lee, Mary Ni Lochlainn, Thomas Varsavsky, Benjamin Murray, Mark S Graham, Cristina Menni, Marc Modat, Ruth C E Bowyer, Long H Nguyen and 23 more

Abstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
–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

98 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  7. Development and validation of an instrument for tracking and analyzing recovery from symptoms associated with COVID-19.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
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38 more citing papers are in PubMed but not listed here.

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

33 authors.

Carole H SudreSchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK. carole.sudre@kcl.ac.uk sebastien.ourselin@kcl.ac.uk.ORCID 0000-0001-5753-428X
Karla A LeeDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.
Mary Ni LochlainnDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0001-5702-1759
Thomas VarsavskySchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK.
Benjamin MurraySchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-2413-923X
Mark S GrahamSchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-4170-1095
Cristina MenniDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0001-9790-0571
Marc ModatSchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK.
Ruth C E BowyerDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.
Long H NguyenClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0002-5436-4219
David A DrewClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0002-8813-0816
Amit D JoshiClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.
Wenjie MaClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0001-9894-7072
Chuan-Guo GuoClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0002-0657-473X
Chun-Han LoClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0001-8202-4513
Sajaysurya GaneshZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.ORCID 0000-0002-3720-4176
Abubakar BuweZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.ORCID 0000-0003-4086-8616
Joan Capdevila PujolZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.
Julien Lavigne du CadetZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.ORCID 0000-0001-8034-7167
Alessia ViscontiDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0003-4144-2019
Maxim B FreidinDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-1439-6259
Julia S El-Sayed MoustafaDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0001-6963-6654
Mario FalchiDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-5646-1004
Richard DaviesZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.ORCID 0000-0003-2050-3994
Maria F GomezDepartment of Clinical Sciences, Lund University Diabetes Centre, Malmö, Sweden.ORCID 0000-0001-6210-3142
Tove FallDepartment of Clinical Sciences, Lund University Diabetes Centre, Malmö, Sweden.ORCID 0000-0003-2071-5866
M Jorge CardosoSchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0003-1284-2558
Jonathan WolfZoe Global Limited, 164 Westminster Bridge Road, London SE1 7RW, UK.ORCID 0000-0002-0530-2257
Paul W FranksDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-0520-7604
Andrew T ChanClinical and Translational Epidemiology Unit, Massachusetts General Hospital, MA, USA.ORCID 0000-0001-7284-6767
Tim D SpectorDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-9795-0365
Claire J StevesDepartment of Twin Research and Genetic Epidemiology King's College London, Westminster Bridge Road, London SE17EH, UK.ORCID 0000-0002-4910-0489
Sébastien OurselinSchool of Biomedical Engineering & Imaging Sciences, King's College London, Westminster Bridge Road, London SE17EH, UK. carole.sudre@kcl.ac.uk sebastien.ourselin@kcl.ac.uk.ORCID 0000-0002-5694-5340

Funding

Dietary strategies for rational manipulation of the gut microbiome in inflammatory bowel diseaseK23DK125838 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI NGUYEN, LONG H · 2020 to 2024
$1.0M
EPA EP-W-17-011Wellcome Trust
6 · The paper itself

Abstract

As no one symptom can predict disease severity or the need for dedicated medical support in coronavirus disease 2019 (COVID-19), we asked whether documenting symptom time series over the first few days informs outcome. Unsupervised time series clustering over symptom presentation was performed on data collected from a training dataset of completed cases enlisted early from the COVID Symptom Study Smartphone application, yielding six distinct symptom presentations. Clustering was validated on an independent replication dataset between 1 and 28 May 2020. Using the first 5 days of symptom logging, the ROC-AUC (receiver operating characteristic - area under the curve) of need for respiratory support was 78.8%, substantially outperforming personal characteristics alone (ROC-AUC 69.5%). Such an approach could be used to monitor at-risk patients and predict medical resource requirements days before they are required.

Indexed as

Diagnosis, Computer-AssistedMobile ApplicationsSARS-CoV-2AdultCOVID-19FemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesRisk Factors

Identifiers

PMID33741586
PMCPMC7978420

What OpenQuestion holds

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LicenceCC BY-NC
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 OpenQuestion graph.