Evidence map›Paper›PMID 36223959›Full record

ArticleBMJ open2022

COVID-19 susceptibility and severity risks in a cross-sectional survey of over 500 000 US adults.

Spencer C Knight, Shannon R McCurdy, Brooke Rhead, Marie V Coignet, Danny S Park, Genevieve H L Roberts, Nathan D Berkowitz, Miao Zhang, David Turissini, Karen Delgado and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

18 authors at 2 institutions in 1 country.

Spencer C Knight *Ancestry.com, San Francisco, California, USA.
Shannon R McCurdy *Ancestry.com, San Francisco, California, USA.
Brooke Rhead *Ancestry.com, San Francisco, California, USA.
Marie V CoignetAncestry.com, San Francisco, California, USA.
Danny S ParkAncestry.com, San Francisco, California, USA.
Genevieve H L RobertsAncestry.com, Lehi, Utah, USA.
Nathan D BerkowitzAncestry.com, San Francisco, California, USA.
Miao ZhangAncestry.com, San Francisco, California, USA.
David TurissiniAncestry.com, San Francisco, California, USA.
Karen DelgadoAncestry.com, Lehi, Utah, USA.
Milos PavlovicAncestry.com, Lehi, Utah, USA.
AncestryDNA Science Team
Asher K Haug BaltzellAncestry.com, Lehi, Utah, USA.
Harendra GuturuAncestry.com, San Francisco, California, USA.
Kristin A RandAncestry.com, San Francisco, California, USA.ORCID 0000-0002-1739-3520
Ahna R GirshickAncestry.com, San Francisco, California, USA ahna.girshick@gmail.com.
Eurie L HongAncestry.com, San Francisco, California, USA.
Catherine A BallAncestry.com, San Francisco, California, USA.
Utah College of Applied Technology · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe enormous toll of the COVID-19 pandemic has heightened the urgency of collecting and analysing population-scale datasets in real time to monitor and better understand the evolving pandemic. The objectives of this study were to examine the relationship of risk factors to COVID-19 susceptibility and severity and to develop risk models to accurately predict COVID-19 outcomes using rapidly obtained self-reported data.

designA cross-sectional study.

settingAncestryDNA customers in the USA who consented to research.

participantsThe AncestryDNA COVID-19 Study collected self-reported survey data on symptoms, outcomes, risk factors and exposures for over 563 000 adult individuals in the USA in just under 4 months, including over 4700 COVID-19 cases as measured by a self-reported positive test.

resultsWe replicated previously reported associations between several risk factors and COVID-19 susceptibility and severity outcomes, and additionally found that differences in known exposures accounted for many of the susceptibility associations. A notable exception was elevated susceptibility for men even after adjusting for known exposures and age (adjusted OR=1.36, 95% CI=1.19 to 1.55). We also demonstrated that self-reported data can be used to build accurate risk models to predict individualised COVID-19 susceptibility (area under the curve (AUC)=0.84) and severity outcomes including hospitalisation and critical illness (AUC=0.87 and 0.90, respectively). The risk models achieved robust discriminative performance across different age, sex and genetic ancestry groups within the study.

conclusionsThe results highlight the value of self-reported epidemiological data to rapidly provide public health insights into the evolving COVID-19 pandemic.

Indexed as

COVID-19AdultCross-Sectional StudiesHumansMalePandemicsRisk FactorsSARS-CoV-2COVID-19EpidemiologyPublic health

Identifiers

PMID36223959
PMCPMC9561492
OpenAlexW4304695548

What OpenQuestion holds

Textmetadata
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.