Evidence map›Paper›PMID 37200350›Full record

Observational studyPloS one2023

An external validation of the QCOVID3 risk prediction algorithm for risk of hospitalisation and death from COVID-19: An observational, prospective cohort study of 1.66m vaccinated adults in Wales, UK.

Jane Lyons, Vahé Nafilyan, Ashley Akbari, Stuart Bedston, Ewen Harrison, Andrew Hayward, Julia Hippisley-Cox, Frank Kee, Kamlesh Khunti, Shamim Rahman and 3 more

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Jane LyonsFaculty of Medicine, Health & Life Science, Population Data Science, Swansea University Medical School, Swansea University, Swansea, United Kingdom.ORCID 0000-0002-4407-770X
Vahé NafilyanOffice of National Statistics, Newport, United Kingdom.
Ashley AkbariFaculty of Medicine, Health & Life Science, Population Data Science, Swansea University Medical School, Swansea University, Swansea, United Kingdom.
Stuart BedstonFaculty of Medicine, Health & Life Science, Population Data Science, Swansea University Medical School, Swansea University, Swansea, United Kingdom.
Ewen HarrisonUsher Institute, Centre for Medical Informatics, University of Edinburgh, Edinburgh, United Kingdom.
Andrew HaywardDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Julia Hippisley-CoxNuffield Department, Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Frank KeeSchool of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, United Kingdom.
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, United Kingdom.ORCID 0000-0003-2343-7099
Shamim RahmanDepartment of Health and Social Care, Mental Health and Disabilities Analysis, London, United Kingdom.
Aziz SheikhUsher Institute, University of Edinburgh, Edinburgh, United Kingdom.
Fatemeh TorabiFaculty of Medicine, Health & Life Science, Population Data Science, Swansea University Medical School, Swansea University, Swansea, United Kingdom.ORCID 0000-0002-5853-4625
Ronan A LyonsFaculty of Medicine, Health & Life Science, Population Data Science, Swansea University Medical School, Swansea University, Swansea, United Kingdom.

Funding

Medical Research Council MR/K023241/1Medical Research Council MR/V028367/1
6 · The paper itself

Abstract

introductionAt the start of the COVID-19 pandemic there was an urgent need to identify individuals at highest risk of severe outcomes, such as hospitalisation and death following infection. The QCOVID risk prediction algorithms emerged as key tools in facilitating this which were further developed during the second wave of the COVID-19 pandemic to identify groups of people at highest risk of severe COVID-19 related outcomes following one or two doses of vaccine.

objectivesTo externally validate the QCOVID3 algorithm based on primary and secondary care records for Wales, UK.

methodsWe conducted an observational, prospective cohort based on electronic health care records for 1.66m vaccinated adults living in Wales on 8th December 2020, with follow-up until 15th June 2021. Follow-up started from day 14 post vaccination to allow the full effect of the vaccine.

resultsThe scores produced by the QCOVID3 risk algorithm showed high levels of discrimination for both COVID-19 related deaths and hospital admissions and good calibration (Harrell C statistic: ≥ 0.828).

conclusionThis validation of the updated QCOVID3 risk algorithms in the adult vaccinated Welsh population has shown that the algorithms are valid for use in the Welsh population, and applicable on a population independent of the original study, which has not been previously reported. This study provides further evidence that the QCOVID algorithms can help inform public health risk management on the ongoing surveillance and intervention to manage COVID-19 related risks.

Indexed as

COVID-19AdultAlgorithmsHospitalizationHumansPandemicsProspective StudiesWales

Identifiers

PMID37200350
PMCPMC10194890

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LicenceCC BY
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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.