Open AccessCharacteristics of patients in platform C19, a COVID-19 research database combining primary care electronic health record and patient reported information
Author(s) -
Brooklyn Stanley,
Andrew Davis,
Rupert Jones,
Steven A. Julious,
Dermot Ryan,
David J. Jackson,
David Halpin,
Hilary Pinnock,
Jennifer Quint,
Kamlesh Khunti,
Liam G. Heaney,
Phillip Oliver,
Salman Siddiqui,
Anu Kemppinen,
Francis Appiagyei,
Emma-Jane Roberts,
Antony Hardjojo,
Victoria Carter,
Marije van Melle,
David Price
Publication year - 2021
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0258689
Subject(s) - medicine , family medicine , pandemic , observational study , descriptive statistics , mental health , telemedicine , medical record , health care , covid-19 , disease , psychiatry , infectious disease (medical specialty) , statistics , mathematics , economics , economic growth
Background 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. Methods 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 th 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 nd January 2021. Findings 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. Interpretation Platform C19 will enable research on key questions relating to COVID-19 pandemic not possible using EHR data alone.