Cargando…
App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data
BACKGROUND: COVID-19 is an infectious disease characterized by various clinical presentations. Knowledge of possible symptoms and their distribution allows for the early identification of infected patients. OBJECTIVE: To determine the distribution pattern of COVID-19 symptoms as well as possible unr...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7480999/ https://www.ncbi.nlm.nih.gov/pubmed/32791493 http://dx.doi.org/10.2196/21956 |
_version_ | 1783580513007566848 |
---|---|
author | Zens, Martin Brammertz, Arne Herpich, Juliane Südkamp, Norbert Hinterseer, Martin |
author_facet | Zens, Martin Brammertz, Arne Herpich, Juliane Südkamp, Norbert Hinterseer, Martin |
author_sort | Zens, Martin |
collection | PubMed |
description | BACKGROUND: COVID-19 is an infectious disease characterized by various clinical presentations. Knowledge of possible symptoms and their distribution allows for the early identification of infected patients. OBJECTIVE: To determine the distribution pattern of COVID-19 symptoms as well as possible unreported symptoms, we created an app-based self-reporting tool. METHODS: The COVID-19 Symptom Tracker is an app-based daily self-reporting tool. Between April 8 and May 15, 2020, a total of 22,327 individuals installed this app on their mobile device. An initial questionnaire asked for demographic information (age, gender, postal code) and past medical history comprising relevant chronic diseases. The participants were reminded daily to report whether they were experiencing any symptoms and if they had been tested for SARS-CoV-2 infection. Participants who sought health care services were asked additional questions regarding diagnostics and treatment. Participation was open to all adults (≥18 years). The study was completely anonymous. RESULTS: In total, 11,829 (52.98%) participants completed the symptom questionnaire at least once. Of these, 291 (2.46%) participants stated that they had undergone an RT-PCR (reverse transcription-polymerase chain reaction) test for SARS-CoV-2; 65 (0.55%) reported a positive test result and 226 (1.91%) a negative one. The mean number of reported symptoms among untested participants was 0.81 (SD 1.85). Participants with a positive test result had, on average, 5.63 symptoms (SD 2.82). The most significant risk factors were diabetes (odds ratio [OR] 8.95, 95% CI 3.30-22.37) and chronic heart disease (OR 2.85, 95% CI 1.43-5.69). We identified chills, fever, loss of smell, nausea and vomiting, and shortness of breath as the top five strongest predictors for a COVID-19 infection. The odds ratio for loss of smell was 3.13 (95% CI 1.76-5.58). Nausea and vomiting (OR 2.84, 95% CI 1.61-5.00) had been reported as an uncommon symptom previously; however, our data suggest a significant predictive value. CONCLUSIONS: Self-reported symptom tracking helps to identify novel symptoms of COVID-19 and to estimate the predictive value of certain symptoms. This aids in the development of reliable screening tools. Clinical screening with a high pretest probability allows for the rapid identification of infections and the cost-effective use of testing resources. Based on our results, we suggest that loss of smell and taste be considered cardinal symptoms; we also stress that diabetes is a risk factor for a highly symptomatic course of COVID-19 infection. |
format | Online Article Text |
id | pubmed-7480999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-74809992020-10-02 App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data Zens, Martin Brammertz, Arne Herpich, Juliane Südkamp, Norbert Hinterseer, Martin J Med Internet Res Short Paper BACKGROUND: COVID-19 is an infectious disease characterized by various clinical presentations. Knowledge of possible symptoms and their distribution allows for the early identification of infected patients. OBJECTIVE: To determine the distribution pattern of COVID-19 symptoms as well as possible unreported symptoms, we created an app-based self-reporting tool. METHODS: The COVID-19 Symptom Tracker is an app-based daily self-reporting tool. Between April 8 and May 15, 2020, a total of 22,327 individuals installed this app on their mobile device. An initial questionnaire asked for demographic information (age, gender, postal code) and past medical history comprising relevant chronic diseases. The participants were reminded daily to report whether they were experiencing any symptoms and if they had been tested for SARS-CoV-2 infection. Participants who sought health care services were asked additional questions regarding diagnostics and treatment. Participation was open to all adults (≥18 years). The study was completely anonymous. RESULTS: In total, 11,829 (52.98%) participants completed the symptom questionnaire at least once. Of these, 291 (2.46%) participants stated that they had undergone an RT-PCR (reverse transcription-polymerase chain reaction) test for SARS-CoV-2; 65 (0.55%) reported a positive test result and 226 (1.91%) a negative one. The mean number of reported symptoms among untested participants was 0.81 (SD 1.85). Participants with a positive test result had, on average, 5.63 symptoms (SD 2.82). The most significant risk factors were diabetes (odds ratio [OR] 8.95, 95% CI 3.30-22.37) and chronic heart disease (OR 2.85, 95% CI 1.43-5.69). We identified chills, fever, loss of smell, nausea and vomiting, and shortness of breath as the top five strongest predictors for a COVID-19 infection. The odds ratio for loss of smell was 3.13 (95% CI 1.76-5.58). Nausea and vomiting (OR 2.84, 95% CI 1.61-5.00) had been reported as an uncommon symptom previously; however, our data suggest a significant predictive value. CONCLUSIONS: Self-reported symptom tracking helps to identify novel symptoms of COVID-19 and to estimate the predictive value of certain symptoms. This aids in the development of reliable screening tools. Clinical screening with a high pretest probability allows for the rapid identification of infections and the cost-effective use of testing resources. Based on our results, we suggest that loss of smell and taste be considered cardinal symptoms; we also stress that diabetes is a risk factor for a highly symptomatic course of COVID-19 infection. JMIR Publications 2020-09-09 /pmc/articles/PMC7480999/ /pubmed/32791493 http://dx.doi.org/10.2196/21956 Text en ©Martin Zens, Arne Brammertz, Juliane Herpich, Norbert Südkamp, Martin Hinterseer. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.09.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Short Paper Zens, Martin Brammertz, Arne Herpich, Juliane Südkamp, Norbert Hinterseer, Martin App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title | App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title_full | App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title_fullStr | App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title_full_unstemmed | App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title_short | App-Based Tracking of Self-Reported COVID-19 Symptoms: Analysis of Questionnaire Data |
title_sort | app-based tracking of self-reported covid-19 symptoms: analysis of questionnaire data |
topic | Short Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7480999/ https://www.ncbi.nlm.nih.gov/pubmed/32791493 http://dx.doi.org/10.2196/21956 |
work_keys_str_mv | AT zensmartin appbasedtrackingofselfreportedcovid19symptomsanalysisofquestionnairedata AT brammertzarne appbasedtrackingofselfreportedcovid19symptomsanalysisofquestionnairedata AT herpichjuliane appbasedtrackingofselfreportedcovid19symptomsanalysisofquestionnairedata AT sudkampnorbert appbasedtrackingofselfreportedcovid19symptomsanalysisofquestionnairedata AT hinterseermartin appbasedtrackingofselfreportedcovid19symptomsanalysisofquestionnairedata |