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A prospective natural history study of post acute sequalae of COVID-19 using digital wearables: Study protocol.
El-Toukhy, Sherine; Hegeman, Phillip; Zuckerman, Gabrielle; Anirban, Roy Das; Moses, Nia; Troendle, James F; Powell-Wiley, Tiffany M.
Afiliação
  • El-Toukhy S; National Institute on Minority Health and Health Disparities.
  • Hegeman P; National Institute on Minority Health and Health Disparities.
  • Zuckerman G; National Institute on Minority Health and Health Disparities.
  • Anirban RD; Biostrap USA, LLC.
  • Moses N; National Institute on Minority Health and Health Disparities.
  • Troendle JF; National Heart Lung and Blood Institute.
  • Powell-Wiley TM; National Heart Lung and Blood Institute.
Res Sq ; 2023 Dec 07.
Article em En | MEDLINE | ID: mdl-38105936
ABSTRACT

Background:

Post-acute sequelae of COVID-19 (PASC) is characterized by having 1 + persistent, recurrent, or emergent symptoms post the infection's acute phase. The duration and symptom manifestation of PASC remain understudied in nonhospitalized patients. Literature on PASC is primarily based on data from hospitalized patients where clinical indicators such as respiratory rate, heart rate, and oxygen saturation have been predictive of disease trajectories. Digital wearables allow for a continuous collection of such physiological parameters. This protocol outlines the design, aim, and procedures of a natural history study of PASC using digital wearables.

Methods:

This is a single-arm, prospective, natural history study of a cohort of 550 patients, ages 18 to 65 years old, males or females who own a smartphone and/or a tablet that meets pre-determined Bluetooth version and operating system requirements, speak English, and provide documentation of a positive COVID-19 test issued by a healthcare professional or organization within 5 days before enrollment. The study aims to identify wearables collected physiological parameters that are associated with PASC in patients with a positive diagnosis. The primary endpoint is long COVID-19, defined as ≥ 1 symptom at 3 weeks beyond first symptom onset or positive diagnosis, whichever comes first. The secondary endpoint is chronic COVID-19, defined as ≥ 1 symptom at 12 weeks beyond first symptom onset or positive diagnosis. We hypothesize that physiological parameters collected via wearables are associated with self-reported PASC. Participants must be willing and able to consent to participate in the study and adhere to study procedures for six months.

Discussion:

This is a fully decentralized study investigating PASC using wearable devices to collect physiological parameters and patient-reported outcomes. Given evidence on key demographics and risk profiles associated with PASC, the study will shed light on the duration and symptom manifestation of PASC in nonhospitalized patient subgroups and is an exemplar of use of wearables as population-level monitoring health tools for communicable diseases. Trial registration ClinicalTrials.gov NCT04927442.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Res Sq Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Res Sq Ano de publicação: 2023 Tipo de documento: Article