Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf

Introduction<p>Post-acute sequelae of COVID-19 (PASC) encompass several clinical outcomes, from new-onset symptoms to both acute and chronic diagnoses, including pulmonary and extrapulmonary manifestations. Health administrative data (HAD) from health information systems allow population-level...

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Main Author: Cristina Mazzali (22090328) (author)
Other Authors: Pietro Magnoni (22090331) (author), Alberto Zucchi (75853) (author), Giovanni Maifredi (18787936) (author), Luca Cavalieri d’Oro (12237519) (author), Maria Letizia Gambino (22090334) (author), Anna Clara Fanetti (16030418) (author), Pietro Giovanni Perotti (22090337) (author), Marco Villa (4534591) (author), Maria Grazia Valsecchi (8422263) (author), Daria Vigani (22090343) (author), Claudio Lucifora (14676057) (author), Antonio Giampiero Russo (12966419) (author)
Published: 2025
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_version_ 1852017460543225856
author Cristina Mazzali (22090328)
author2 Pietro Magnoni (22090331)
Alberto Zucchi (75853)
Giovanni Maifredi (18787936)
Luca Cavalieri d’Oro (12237519)
Maria Letizia Gambino (22090334)
Anna Clara Fanetti (16030418)
Pietro Giovanni Perotti (22090337)
Marco Villa (4534591)
Maria Grazia Valsecchi (8422263)
Daria Vigani (22090343)
Claudio Lucifora (14676057)
Antonio Giampiero Russo (12966419)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author_facet Cristina Mazzali (22090328)
Pietro Magnoni (22090331)
Alberto Zucchi (75853)
Giovanni Maifredi (18787936)
Luca Cavalieri d’Oro (12237519)
Maria Letizia Gambino (22090334)
Anna Clara Fanetti (16030418)
Pietro Giovanni Perotti (22090337)
Marco Villa (4534591)
Maria Grazia Valsecchi (8422263)
Daria Vigani (22090343)
Claudio Lucifora (14676057)
Antonio Giampiero Russo (12966419)
author_role author
dc.creator.none.fl_str_mv Cristina Mazzali (22090328)
Pietro Magnoni (22090331)
Alberto Zucchi (75853)
Giovanni Maifredi (18787936)
Luca Cavalieri d’Oro (12237519)
Maria Letizia Gambino (22090334)
Anna Clara Fanetti (16030418)
Pietro Giovanni Perotti (22090337)
Marco Villa (4534591)
Maria Grazia Valsecchi (8422263)
Daria Vigani (22090343)
Claudio Lucifora (14676057)
Antonio Giampiero Russo (12966419)
dc.date.none.fl_str_mv 2025-08-20T05:32:13Z
dc.identifier.none.fl_str_mv 10.3389/fpubh.2025.1637112.s001
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Data_Sheet_1_Strategies_for_population-level_identification_of_post-acute_sequelae_of_COVID-19_through_health_administrative_data_pdf/29947487
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Public Health and Health Services not elsewhere classified
COVID-19
PASC
long COVID
health administrative data
routinely collected data
case-detection algorithm
dc.title.none.fl_str_mv Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Introduction<p>Post-acute sequelae of COVID-19 (PASC) encompass several clinical outcomes, from new-onset symptoms to both acute and chronic diagnoses, including pulmonary and extrapulmonary manifestations. Health administrative data (HAD) from health information systems allow population-level analyses of such outcomes. Our primary aim was to identify clinical conditions potentially attributable to SARS-CoV-2 infection, and the types of HAD and “diagnostic criteria” used for their detection.</p>Methods<p>We performed a literature review to identify HAD-based cohort studies assessing the association between SARS-CoV-2 infection and medium−/long-term outcomes in the general population. From each included study, we extracted data on design, algorithms used for outcome identification (sources, coding systems, codes, time criteria/thresholds), and whether significant associations with SARS-CoV-2 infection were reported.</p>Results<p>We identified six studies investigating acute and chronic conditions grouped by clinical domain (cardiovascular, respiratory, neurologic, mental health, endocrine/metabolic, pediatric, miscellaneous). Two studies also addressed the onset of specific symptoms. Cardio/cerebrovascular conditions were most studied, with significant associations reported for deep vein thrombosis, heart failure, atrial fibrillation, and coronary artery disease. Conditions in other domains were less investigated, with inconsistent findings. Only three studies were designed as test-positive vs. test-negative comparisons.</p>Discussion<p>Heterogeneity in data sources, study design, and outcome definitions hinder the comparability of studies and explain the inconsistencies in findings about associations with SARS-CoV-2 infection. Rigorously designed studies on large populations with wide availability of data from health information systems are needed for population-level analyses on PASC, and especially on its impact on chronic diseases and their future burden on healthcare systems.</p>
eu_rights_str_mv openAccess
id Manara_72cffbdbfbe0d50de425468b7fb102fe
identifier_str_mv 10.3389/fpubh.2025.1637112.s001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/29947487
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdfCristina Mazzali (22090328)Pietro Magnoni (22090331)Alberto Zucchi (75853)Giovanni Maifredi (18787936)Luca Cavalieri d’Oro (12237519)Maria Letizia Gambino (22090334)Anna Clara Fanetti (16030418)Pietro Giovanni Perotti (22090337)Marco Villa (4534591)Maria Grazia Valsecchi (8422263)Daria Vigani (22090343)Claudio Lucifora (14676057)Antonio Giampiero Russo (12966419)Public Health and Health Services not elsewhere classifiedCOVID-19PASClong COVIDhealth administrative dataroutinely collected datacase-detection algorithmIntroduction<p>Post-acute sequelae of COVID-19 (PASC) encompass several clinical outcomes, from new-onset symptoms to both acute and chronic diagnoses, including pulmonary and extrapulmonary manifestations. Health administrative data (HAD) from health information systems allow population-level analyses of such outcomes. Our primary aim was to identify clinical conditions potentially attributable to SARS-CoV-2 infection, and the types of HAD and “diagnostic criteria” used for their detection.</p>Methods<p>We performed a literature review to identify HAD-based cohort studies assessing the association between SARS-CoV-2 infection and medium−/long-term outcomes in the general population. From each included study, we extracted data on design, algorithms used for outcome identification (sources, coding systems, codes, time criteria/thresholds), and whether significant associations with SARS-CoV-2 infection were reported.</p>Results<p>We identified six studies investigating acute and chronic conditions grouped by clinical domain (cardiovascular, respiratory, neurologic, mental health, endocrine/metabolic, pediatric, miscellaneous). Two studies also addressed the onset of specific symptoms. Cardio/cerebrovascular conditions were most studied, with significant associations reported for deep vein thrombosis, heart failure, atrial fibrillation, and coronary artery disease. Conditions in other domains were less investigated, with inconsistent findings. Only three studies were designed as test-positive vs. test-negative comparisons.</p>Discussion<p>Heterogeneity in data sources, study design, and outcome definitions hinder the comparability of studies and explain the inconsistencies in findings about associations with SARS-CoV-2 infection. Rigorously designed studies on large populations with wide availability of data from health information systems are needed for population-level analyses on PASC, and especially on its impact on chronic diseases and their future burden on healthcare systems.</p>2025-08-20T05:32:13ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fpubh.2025.1637112.s001https://figshare.com/articles/dataset/Data_Sheet_1_Strategies_for_population-level_identification_of_post-acute_sequelae_of_COVID-19_through_health_administrative_data_pdf/29947487CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299474872025-08-20T05:32:13Z
spellingShingle Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
Cristina Mazzali (22090328)
Public Health and Health Services not elsewhere classified
COVID-19
PASC
long COVID
health administrative data
routinely collected data
case-detection algorithm
status_str publishedVersion
title Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
title_full Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
title_fullStr Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
title_full_unstemmed Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
title_short Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
title_sort Data Sheet 1_Strategies for population-level identification of post-acute sequelae of COVID-19 through health administrative data.pdf
topic Public Health and Health Services not elsewhere classified
COVID-19
PASC
long COVID
health administrative data
routinely collected data
case-detection algorithm