Evidence map›Paper›PMID 36570972›Full record

ArticleOpen forum infectious diseases2022

An Elastic Net Regression Model for Identifying Long COVID Patients Using Health Administrative Data: A Population-Based Study.

Mawuena Binka, Braeden Klaver, Georgine Cua, Alyson W Wong, Chad Fibke, Héctor A Velásquez García, Prince Adu, Adeera Levin, Sharmistha Mishra, Beate Sander and 2 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

12 authors.

Mawuena BinkaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Braeden KlaverData and Analytic Services, British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Georgine CuaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Alyson W WongDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Chad FibkeData and Analytic Services, British Columbia Centre for Disease Control, Vancouver, British Columbia, Canada.
Héctor A Velásquez GarcíaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Prince AduSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Adeera LevinDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Sharmistha MishraMAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada.
Beate SanderToronto Health Economics and Technology Assessment (THETA) Collaborative, University Health Network, Toronto, Ontario, Canada.
Hind SbihiSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-4288-7258
Naveed Z JanjuaSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Long coronavirus disease (COVID) patients experience persistent symptoms after acute severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Healthcare utilization data could provide critical information on the disease burden of long COVID for service planning; however, not all patients are diagnosed or assigned long COVID diagnostic codes. We developed an algorithm to identify individuals with long COVID using population-level health administrative data from British Columbia (BC), Canada. Methods: An elastic net penalized logistic regression model was developed to identify long COVID patients based on demographic characteristics, pre-existing conditions, COVID-19-related data, and all symptoms/conditions recorded >28-183 days after the COVID-19 symptom onset/reported (index) date of known long COVID patients (n = 2430) and a control group (n = 24 300), selected from all adult COVID-19 cases in BC with an index date on/before October 31, 2021 (n = 168 111). Known long COVID cases were diagnosed in a clinic and/or had the International Classification of Diseases, Tenth Revision, Canada (ICD-10-CA) code for "post COVID-19 condition" in their records. Results: The algorithm retained known symptoms/conditions associated with long COVID, demonstrating high sensitivity (86%), specificity (86%), and area under the receiver operator curve (93%). It identified 25 220 (18%) long COVID patients among the remaining 141 381 adult COVID-19 cases, >10 times the number of known cases. Known and predicted long COVID patients had comparable demographic and health-related characteristics. Conclusions: Our algorithm identified long COVID patients with a high level of accuracy. This large cohort of long COVID patients will serve as a platform for robust assessments on the clinical course of long COVID, and provide much needed concrete information for decision-making.

Indexed as

long COVIDpost-acute COVID-19 syndromepost-acute sequelae of COVID-19post-COVID-19 condition

Identifiers

PMID36570972
PMCPMC9780702

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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.