Sharing our progress toward recovery

RECOVER researchers looked at the use of a code to diagnose Long COVID in electronic health records (EHRs). They used EHR data from over 8,000 people and compared people who had the ICD-10 code for Long COVID (which is U09.9) in their EHR on or after October 1, 2021. They also looked at other codes in their EHR for health conditions, symptoms, tests, and treatments within 60 days after their Long COVID diagnosis.

Researchers found that many doctors use the Long COVID code along with other codes. People with Long COVID had a mix of symptoms and other health conditions, tests, and treatments. This suggests there may be different types of Long COVID. The researchers concluded that for now, doctors should look at a person’s mix of symptoms and other health conditions to diagnose Long COVID.

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RECOVER researchers wanted to learn more about racial and ethnic differences in Long COVID. Researchers used patients’ electronic health records (EHRs) to compare people who had COVID based on their race or ethnicity, whether they were hospitalized due to COVID, and whether they had any health problems related to Long COVID. They looked at data from over 60,000 adults from 5 healthcare systems.

The researchers found that Black and Hispanic adults were more likely to have symptoms of Long COVID compared to White adults — this was true for adults who were and were not hospitalized. The reason for these differences is unclear.

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RECOVER researchers wanted to learn if there are different types of Long COVID based on symptoms and health problems that often happen together. Researchers used data from electronic health records (EHRs) of about 35,000 people diagnosed with COVID. The EHRs were from 2 healthcare systems in PCORnet, the National Patient-Centered Clinical Research Network. They used a computer program to look for patterns in people’s new symptoms and health problems that started 30 to 180 days after having COVID.

The researchers found 4 main types of Long COVID based on symptoms and health problems that happen together. The 4 types of Long COVID are related to the 1) heart and kidneys, 2) breathing, sleep, and anxiety, 3) muscles and nerves, and 4) digestive tract and breathing. This research could help define types of Long COVID to give people more specific diagnoses and treatment plans.

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RECOVER researchers used data in electronic health records (EHRs) from children’s hospitals that were a part of the National Pediatric Learning Health System Network (PEDSnet). Researchers looked for symptoms, health conditions, and medicines children had about 1 to 6 months after a COVID test. They compared children who did and didn’t have COVID to learn how many children who had COVID got Long COVID, and symptoms and health problems Long COVID causes in children.

The researchers learned that Long COVID is uncommon in children and happens in about 4% of children with COVID compared to in about 5% - 21% of adults with COVID. They also learned the Long COVID symptoms and health conditions that happen most often in children include changes in smell or taste hair loss, trouble breathing, and inflammation (swelling) in the heart or muscles.

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In this study, RECOVER researchers used a computer program to identify possible types of Long COVID based on electronic health records (EHRs). They used the computer program to review EHRs of people diagnosed with Long COVID and group them based on patterns in their symptoms and health conditions.

The computer program found 6 different types of Long COVID, which were related to 1) many symptoms and health conditions with unusual lab test results, 2) the lungs, 3) the brain, 4) the heart, 5) pain and feeling weak and tired (fatigue), and 6) many symptoms and conditions with pain. Each type of Long COVID also differed based on health conditions people had before COVID and how severe their COVID infection was. This research could help identify people with different types of Long COVID to better diagnose and treat them, and invite them to join research studies.

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RECOVER researchers wanted to learn if a computer program could identify if people have Long COVID based on electronic health records (EHRs). They used EHRs from the National COVID Cohort Collaborative (N3C). Researchers created and used a computer program to compare people with Long COVID to those who didn’t have Long COVID (based on whether or not people had a visit to a Long COVID clinic in their EHR). The computer program looked for patterns in people’s symptoms, health conditions, and other data.

The researchers concluded their computer program could be used to identify people with possible Long COVID. The computer program found that people with Long COVID have patterns in their health care visits, age groups, symptoms and health conditions, and the medicines they take. This could help connect people with Long COVID to health care or invite them to join research studies.

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RECOVER researchers wanted to learn more about the chance of getting a mental health condition after having COVID. Researchers reviewed electronic health records (EHRs) of people who had COVID and people who had other types of respiratory tract infections (RTIs). They looked at how many people were diagnosed with a mental health condition shortly (21 days to 4 months) after having COVID compared to other RTIs. They also looked at how many people were diagnosed later (more than 4 months to 1 year) after having COVID compared to other RTIs.

The researchers found that people who had COVID were about a quarter (25%) more likely to be diagnosed with a mental health condition shortly after having COVID (21 days to 4 months afterwards) compared to people who had other RTIs. The researchers concluded that health care systems should do mental health screenings shortly after a person has COVID to better diagnose and treat mental health conditions.

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RECOVER researchers used data from over 15 million people’s electronic health records (EHR) to compare how many people have heart problems after having COVID or getting an mRNA COVID vaccine. They used EHR data from 40 healthcare systems in PCORnet, the National Patient-Centered Clinical Research Network.

Researchers found that the chance of having heart problems is higher after having COVID than after getting an mRNA COVID vaccine for men and women in all age groups. The overall chance of having heart problems after having COVID or getting an mRNA COVID vaccine was very low across all ages and genders. These results support the continued use of mRNA COVID vaccines for all people who meet the vaccine criteria. Watch a video about this study featuring lead author Dr. Jason Block.

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RECOVER researchers reviewed electronic health records (EHRs) of about 12 million adults and children who had a COVID test to look for new symptoms and health conditions that happened 1 to 5 months after the COVID test. They used EHR data from 40 healthcare systems in PCORnet, the National Patient-Centered Clinical Research Network. Researchers compared new symptoms and health conditions in adults and children who did and didn’t have COVID (tested positive or negative) and whether they were hospitalized with COVID.

Researchers found that having COVID raised the chance of adults and children getting new symptoms and health conditions, especially trouble breathing, unusual heart rates, and type 2 diabetes. The chance of getting some new symptoms and conditions went up if they were hospitalized with COVID.

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