App-based COVID-19 syndromic surveillance and prediction of hospital admissions in COVID Symptom Study Sweden.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
21 04 2022
Historique:
received: 20 08 2021
accepted: 24 03 2022
entrez: 22 4 2022
pubmed: 23 4 2022
medline: 26 4 2022
Statut: epublish

Résumé

The app-based COVID Symptom Study was launched in Sweden in April 2020 to contribute to real-time COVID-19 surveillance. We enrolled 143,531 study participants (≥18 years) who contributed 10.6 million daily symptom reports between April 29, 2020 and February 10, 2021. Here, we include data from 19,161 self-reported PCR tests to create a symptom-based model to estimate the individual probability of symptomatic COVID-19, with an AUC of 0.78 (95% CI 0.74-0.83) in an external dataset. These individual probabilities are employed to estimate daily regional COVID-19 prevalence, which are in turn used together with current hospital data to predict next week COVID-19 hospital admissions. We show that this hospital prediction model demonstrates a lower median absolute percentage error (MdAPE: 25.9%) across the five most populated regions in Sweden during the first pandemic wave than a model based on case notifications (MdAPE: 30.3%). During the second wave, the error rates are similar. When we apply the same model to an English dataset, not including local COVID-19 test data, we observe MdAPEs of 22.3% and 19.0% during the first and second pandemic waves, respectively, highlighting the transferability of the prediction model.

Identifiants

pubmed: 35449172
doi: 10.1038/s41467-022-29608-7
pii: 10.1038/s41467-022-29608-7
pmc: PMC9023535
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2110

Subventions

Organisme : Department of Health
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
Pays : United Kingdom
Organisme : British Heart Foundation
Pays : United Kingdom

Informations de copyright

© 2022. The Author(s).

Références

Nat Med. 2020 May;26(5):634-638
pubmed: 32273611
Sci Total Environ. 2022 Jan 15;804:150151
pubmed: 34623953
Cancer Epidemiol Biomarkers Prev. 2020 Jul;29(7):1283-1289
pubmed: 32371551
Nat Commun. 2020 Oct 9;11(1):5097
pubmed: 33037218
Emerg Infect Dis. 2022 Mar;28(3):564-571
pubmed: 35201737
Science. 2020 Jun 19;368(6497):1362-1367
pubmed: 32371477
Lancet Public Health. 2021 Jan;6(1):e21-e29
pubmed: 33278917
Water Res. 2021 Feb 1;189:116620
pubmed: 33212338
Nat Med. 2020 Jul;26(7):1037-1040
pubmed: 32393804
Nat Med. 2021 Apr;27(4):626-631
pubmed: 33692530
J Epidemiol. 2020 Aug 5;30(8):362-370
pubmed: 32475884
Am J Epidemiol. 2021 Aug 1;190(8):1510-1518
pubmed: 33710317
N Engl J Med. 2020 Aug 6;383(6):e38
pubmed: 32502334
Sci Rep. 2021 Dec 17;11(1):24171
pubmed: 34921175
Acta Paediatr. 2020 Dec;109(12):2459-2471
pubmed: 32951258
Stat Med. 1997 Apr 15;16(7):791-801
pubmed: 9131766
Nat Commun. 2022 Apr 21;13(1):2110
pubmed: 35449172
JMIR Mhealth Uhealth. 2020 Jun 23;8(6):e19822
pubmed: 32516750
Biometrics. 1988 Sep;44(3):837-45
pubmed: 3203132
J Med Internet Res. 2020 Jun 11;22(6):e19855
pubmed: 32496206
J Biomed Inform. 2008 Apr;41(2):327-39
pubmed: 17981514
J Urban Health. 2006 Nov;83(6):1041-62
pubmed: 17031568

Auteurs

Beatrice Kennedy (B)

Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Hugo Fitipaldi (H)

Genetic and Molecular Epidemiology Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Lund, Sweden.

Ulf Hammar (U)

Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Marlena Maziarz (M)

Diabetic Complications Unit, Department of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund, Sweden.

Neli Tsereteli (N)

Genetic and Molecular Epidemiology Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Lund, Sweden.

Nikolay Oskolkov (N)

Department of Biology, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory, Lund University, Lund, Sweden.

Georgios Varotsis (G)

Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Camilla A Franks (CA)

Diabetic Complications Unit, Department of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund, Sweden.

Diem Nguyen (D)

Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.

Lampros Spiliopoulos (L)

Diabetic Complications Unit, Department of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund, Sweden.
Skåne University Hospital, Malmö, Sweden.

Hans-Olov Adami (HO)

Clinical Effectiveness Group, Institute of Health and Society, University of Oslo, Oslo, Norway.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Jonas Björk (J)

Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Clinical Studies Sweden, Forum South, Skåne University Hospital, Lund, Sweden.

Stefan Engblom (S)

Division of Scientific Computing, Department of Information Technology, Uppsala University, Uppsala, Sweden.

Katja Fall (K)

Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Anna Grimby-Ekman (A)

Biostatistics, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Jan-Eric Litton (JE)

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.

Mats Martinell (M)

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Primary Care and Health, Region Uppsala, Uppsala, Sweden.

Anna Oudin (A)

Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Department of Public Health and Clinical Medicine, Section of Sustainable Health, Umeå University, Umeå, Sweden.

Torbjörn Sjöström (T)

Novus Group International AB, Stockholm, Sweden.

Toomas Timpka (T)

Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Carole H Sudre (CH)

MRC Unit for Lifelong Health and Ageing at UCL, University College London, London, UK.
Centre for Medical Image Computing, University College London, London, UK.
School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Mark S Graham (MS)

School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Julien Lavigne du Cadet (JL)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Andrew T Chan (AT)

Clinical and Translational Epidemiology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Richard Davies (R)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Sajaysurya Ganesh (S)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Anna May (A)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Sébastien Ourselin (S)

School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Joan Capdevila Pujol (JC)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Somesh Selvachandran (S)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Jonathan Wolf (J)

ZOE Limited, 164 Westminster Bridge Road, London, SE1 7RW, UK.

Tim D Spector (TD)

Department of Twin Research and Genetic Epidemiology, King's College London, London, UK.

Claire J Steves (CJ)

Department of Twin Research and Genetic Epidemiology, King's College London, London, UK.

Maria F Gomez (MF)

Diabetic Complications Unit, Department of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund, Sweden.

Paul W Franks (PW)

Genetic and Molecular Epidemiology Unit, Department of Clinical Sciences, Lund University Diabetes Centre, Lund University, Lund, Sweden.

Tove Fall (T)

Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden. tove.fall@medsci.uu.se.

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