Evidence map›Paper›PMID 34875183›Full record

ArticleBiology letters2021

Early warning signal reliability varies with COVID-19 waves.

Duncan A O'Brien, Christopher F Clements

Abstract read
In one paragraph

Article in Biology letters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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  4. Do early warning signals of tipping points lead to better decisions?Journal of the Royal Society, Interface · 2025
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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

2 authors.

Duncan A O'BrienSchool of Biological Sciences, University of Bristol, Bristol BS8 1TQ, UK.ORCID 0000-0002-3420-5210
Christopher F ClementsSchool of Biological Sciences, University of Bristol, Bristol BS8 1TQ, UK.ORCID 0000-0001-5677-5401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early warning signals (EWSs) aim to predict changes in complex systems from phenomenological signals in time series data. These signals have recently been shown to precede the emergence of disease outbreaks, offering hope that policymakers can make predictive rather than reactive management decisions. Here, using a novel, sequential analysis in combination with daily COVID-19 case data across 24 countries, we suggest that composite EWSs consisting of variance, autocorrelation and skewness can predict nonlinear case increases, but that the predictive ability of these tools varies between waves based upon the degree of critical slowing down present. Our work suggests that in highly monitored disease time series such as COVID-19, EWSs offer the opportunity for policymakers to improve the accuracy of urgent intervention decisions but best characterize hypothesized critical transitions.

Indexed as

COVID-19Disease OutbreaksHumansReproducibility of ResultsSARS-CoV-2Time Factorsbifurcationcoronaviruscritical transitionforecastingmonitoringpandemic

Identifiers

PMID34875183
PMCPMC8651412

What OpenQuestion 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 OpenQuestion graph.