Characteristics of patients in platform C19, a COVID-19 research database combining primary care electronic health record and patient reported information

B Stanley, A Davis, R Jones, S Julious, D Ryan, D Jackson, D Halpin, H Pinnock, J Quint, K Khunti, L Heaney, P Oliver, S Siddiqui, A Kemppinen, F Appiagyei, E-J Roberts, A Hardjojo, V Carter, MV Melle, D Price

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:sec id="sec001"> <jats:title>Background</jats:title> <jats:p>Data to better understand and manage the COVID-19 pandemic is urgently needed. However, there are gaps in information stored within even the best routinely-collected electronic health records (EHR) including test results, remote consultations for suspected COVID-19, shielding, physical activity, mental health, and undiagnosed or untested COVID-19 patients. Observational and Pragmatic Research Institute (OPRI) Singapore and Optimum Patient Care (OPC) UK established Platform C19, a research database combining EHR data and bespoke patient questionnaire. We describe the demographics, clinical characteristics, patient behavior, and impact of the COVID-19 pandemic using data within Platform C19.</jats:p> </jats:sec> <jats:sec id="sec002"> <jats:title>Methods</jats:title> <jats:p>EHR data from Platform C19 were extracted from 14 practices across UK participating in the OPC COVID-19 Quality Improvement program on a continuous, monthly basis. Starting 7<jats:sup>th</jats:sup> August 2020, consenting patients aged 18–85 years were invited in waves to fill an online questionnaire. Descriptive statistics were summarized using all data available up to 22<jats:sup>nd</jats:sup> January 2021.</jats:p> </jats:sec> <jats:sec id="sec003"> <jats:title>Findings</jats:title> <jats:p>From 129,978 invitees, 31,033 responded. Respondents were predominantly female (59.6%), white (93.5%), and current or ex-smokers (52.6%). Testing for COVID-19 was received by 23.8% of respondents, of which 7.9% received positive results. COVID-19 symptoms lasted ≥4 weeks in 19.5% of COVID-19 positive respondents. Up to 39% respondents reported a negative impact on questions regarding their mental health. Most (67%-76%) respondents with asthma, Chronic Obstructive Pulmonary Disease (COPD), diabetes, heart, or kidney disease reported no change in the condition of their diseases.</jats:p> </jats:sec> <jats:sec id="sec004"> <jats:title>Interpretation</jats:title> <jats:p>Platform C19 will enable research on key questions relating to COVID-19 pandemic not possible using EHR data alone.</jats:p> </jats:sec>
Original languageEnglish
Pages (from-to)e0258689-e0258689
Number of pages0
JournalPLoS ONE
Volume16
Issue number10
DOIs
Publication statusE-pub ahead of print - 19 Oct 2021

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