Evidence map›Paper›PMID 41484172›Full record

ArticleCommunications medicine2026

Machine learning models predict long COVID outcomes based on baseline clinical and immunologic factors.

Naresh Doni Jayavelu, Hady Samaha, Sonia Tandon Wimalasena, Annmarie Hoch, Jeremy P Gygi, Gisela Gabernet, Al Ozonoff, Shanshan Liu, Carly E Milliren, Ofer Levy and 42 more

Erratum issuedAbstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

52 authors.

Naresh Doni Jayavelu *Benaroya Research Institute, University of Washington, Seattle, WA, USA. ndonijayavelu@benaroyaresearch.org.ORCID http://orcid.org/0000-0001-5613-0830
Hady Samaha *Emory School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-9124-7820
Sonia Tandon WimalasenaEmory School of Medicine, Atlanta, GA, USA.
Annmarie HochClinical and Data Coordinating Center (CDCC) Precision Vaccines Program, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0836-2164
Jeremy P GygiYale School of Medicine, New Haven, CT, USA.
Gisela GabernetYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-7049-9474
Al OzonoffClinical and Data Coordinating Center (CDCC) Precision Vaccines Program, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4233-5899
Shanshan LiuClinical and Data Coordinating Center (CDCC) Precision Vaccines Program, Boston Children's Hospital, Boston, MA, USA.
Carly E MillirenClinical and Data Coordinating Center (CDCC) Precision Vaccines Program, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-6280-8417
Ofer LevyPrecision Vaccines Program, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5859-1945
Lindsey R BadenBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0004-1752-1926
Esther MelamedUniversity of Texas, Austin, TX, USA.ORCID http://orcid.org/0000-0001-5571-3591
Lauren I R EhrlichUniversity of Texas, Austin, TX, USA.ORCID http://orcid.org/0000-0002-1697-1755
Grace A McComseyCase Western Reserve University and University Hospitals of Cleveland, Cleveland, OH, USA.ORCID http://orcid.org/0000-0003-2690-8888
Rafick P SekalyCase Western Reserve University and University Hospitals of Cleveland, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-7816-4828
Charles B CairnsDrexel University, Tower Health Hospital, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2291-5415
Elias K HaddadDrexel University, Tower Health Hospital, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6924-4300
Joanna SchaenmanDavid Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, USA.
Albert C ShawYale School of Medicine, New Haven, CT, USA.
David A HaflerYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-4664-535X
Ruth R MontgomeryYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8661-4454
David B CorryBaylor College of Medicine and the Center for Translational Research on Inflammatory Diseases, Houston, TX, USA.ORCID http://orcid.org/0000-0001-9729-1016
Farrah KheradmandBaylor College of Medicine and the Center for Translational Research on Inflammatory Diseases, Houston, TX, USA.ORCID http://orcid.org/0000-0001-5343-103X
Mark A AtkinsonUniversity of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-8489-4782
Scott C BrakenridgeUniversity of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-7327-3718
Nelson I Agudelo HiguitOklahoma University Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-9363-6280
Jordan P MetcalfOklahoma University Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0003-4359-5270
Catherine L HoughOregon Health Sciences University, Portland, OR, USA.
William B MesserOregon Health Sciences University, Portland, OR, USA.ORCID http://orcid.org/0000-0002-4381-6347
Bali PulendranStanford University School of Medicine, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-6517-4333
Kari C NadeauStanford University School of Medicine, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0002-2146-2955
Mark M DavisStanford University School of Medicine, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0001-6868-657X
Linda N GengStanford University School of Medicine, Palo Alto, CA, USA.
Ana Fernandez SesmaIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-3405-6702
Viviana SimonIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-6416-5096
Florian KrammerIcahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0003-4121-776X
Monica KraftUniversity of Arizona, Tucson, AZ, USA.
Chris BimeUniversity of Arizona, Tucson, AZ, USA.
Carolyn S CalfeeUniversity of California San Francisco, San Francisco, CA, USA.
David J ErleUniversity of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-2171-0648
Charles R LangelierUniversity of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-6708-4646
IMPACC Network
Leying GuanYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-0609-1073
Holden T MaeckerStanford University School of Medicine, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-0795-9946
Bjoern PetersLa Jolla Institute for Immunology, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-8457-6693
Steven H KleinsteinYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-4957-1544
Elaine F ReedDavid Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, USA.
Alison D AugustineNational Institute of Allergy and Infectious Diseases, National Institute of Health, Bethesda, MD, USA.
Joann Diray-ArceClinical and Data Coordinating Center (CDCC) Precision Vaccines Program, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2183-4269
Patrice M BeckerNational Institute of Allergy and Infectious Diseases, National Institute of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-1170-8587
Nadine RouphaelEmory School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-2512-7919
Matthew C AltmanBenaroya Research Institute, University of Washington, Seattle, WA, USA. maltman@benaroyaresearch.org.ORCID http://orcid.org/0000-0002-1784-8505

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
Using a tonsil organoid system to probe conditions for the induction of protective antibody and T cell responses to influenza.U19AI057229 · NIAID · STANFORD UNIVERSITY · PI Mark Morris Davis · 2003 to 2026
$88.5M
Translation of immunologic technologies from basic research into pre-clinical nonU19AI062629 · NIAID · OKLAHOMA MEDICAL RESEARCH FOUNDATION · PI COGGESHALL, KENNETH MARK · 2004 to 2023
$56.2M
Systems investigation of vaccine responses in B cell depleted autoimmune patientsU19AI089992 · NIAID · YALE UNIVERSITY · PI Albert C Shaw · 2010 to 2026
$50.4M
Project 3 - Ex vivo immune profiling of dengue viruses and vaccinesU19AI118610 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HARRIS, EVA · 2015 to 2021
$46.6M
Systems Biological Analysis of Innate and Adaptive Responses to VaccinationU19AI090023 · NIAID · EMORY UNIVERSITY · PI AHMED, RAFI, LI, SHUZHAO · 2010 to 2021
$45.0M
Understanding Asthma EndotypesU19AI077439 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRESCOTT G WOODRUFF · 2008 to 2026
$41.1M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Transcriptomics to define biomarkers of neonatal vaccine immunogenicityU19AI118608 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI LEVY, OFER · 2017 to 2021
$24.7M
Tollip inhibits IL-33 signaling during airway influenza virus infectionU19AI125357 · NIAID · UNIVERSITY OF ARIZONA · PI KRAFT, MONICA, VERCELLI, DONATA · 2016 to 2025
$14.7M
Project 3: Mapping the Evolution of Chronic Transplant Injury in the Context of CMV InfectionU19AI128913 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REED, ELAINE F, SARWAL, MINNIE M · 2017 to 2021
$11.2M
The contribution of GPCRs to thymocyte medullary entry and central toleranceR01AI104870 · NIAID · UNIVERSITY OF TEXAS AT AUSTIN · PI Lauren Ilyse Richie EHRLICH · 2014 to 2026
$7.6M
NCATS NIH HHS UM1 TR004528NIAID NIH HHS R01 AI104870NIAID NIH HHS R01 AI132774NIAID NIH HHS R01 AI135803NIAID NIH HHS R01 AI145835NIAID NIH HHS U19 AI057229NIAID NIH HHS U19 AI062629NIAID NIH HHS U19 AI077439NIAID NIH HHS U19 AI089992NIAID NIH HHS U19 AI090023NIAID NIH HHS U19 AI118608NIAID NIH HHS U19 AI118610NIAID NIH HHS U19 AI125357NIAID NIH HHS U19 AI128910NIAID NIH HHS U19 AI128913NIAID NIH HHS U54 AI142766NIH HHS P51 OD011132NIH HHS S10 OD026799
6 · The paper itself

Abstract

backgroundThe post-acute sequelae of SARS-CoV-2 (PASC), also known as long COVID, remain a significant health issue that is incompletely understood. Predicting which acutely infected individuals will develop long COVID is challenging due to the absence of established biomarkers, clear disease mechanisms, or well-defined sub-phenotypes. Machine learning (ML) models may address this gap by leveraging clinical data to enhance diagnostic precision.

methodsClinical data, including antibody titers and viral load measurements collected at the time of hospital admission, are used to predict the likelihood of acute COVID-19 progressing to long COVID. Machine learning models are trained and evaluated for predictive performance. Feature importance analysis is performed to identify the most influential predictors.

resultsThe machine learning models achieve median AUROC values ranging from 0.64 to 0.66 and AUPRC values between 0.51 and 0.54, demonstrating predictive capabilities. Low antibody titers and high viral loads at hospital admission emerge as the strongest predictors of long COVID outcomes. Comorbidities-such as chronic respiratory, cardiac, and neurologic diseases-and female sex are also identified as significant risk factors.

conclusionsMachine learning models identify patients at risk for developing long COVID based on baseline clinical characteristics. These models guide early interventions, improve patient outcomes, and mitigate the long-term public health impacts of SARS-CoV-2.

Identifiers

PMID41484172
PMCPMC12764860

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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.