Document Type
Article
Publication Date
6-8-2024
Original Citation
Coleman B,
Casiraghi E,
Callahan T,
Blau H,
Chan L,
Laraway B,
Clark K,
Re'em Y,
Gersing K,
Wilkins K,
Harris N,
Valentini G,
Haendel M,
Reese J,
Robinson P.
Association of post-COVID phenotypic manifestations with new-onset psychiatric disease. Transl Psychiatry. 2024;14(1):246.
Keywords
JGM, Humans, COVID-19, Male, Female, Mental Disorders, Middle Aged, Adult, Retrospective Studies, SARS-CoV-2, Aged, Phenotype, Post-Acute COVID-19 Syndrome, Comorbidity, Electronic Health Records, Young Adult, Risk Factors, Adolescent
JAX Source
Transl Psychiatry. 2024;14(1):246.
ISSN
2158-3188
PMID
38851761
DOI
https://doi.org/10.1038/s41398-024-02967-z
Grant
NCATS U24 TR002306, DE-AC02-05CH11231., the Office of Science, Office of Basic Energy Sciences of the U.S. Department of Energy Contract No. DE-AC02-05CH11231 and NIH-NHGRI 5U24HG011449.
Abstract
Acute COVID-19 infection can be followed by diverse clinical manifestations referred to as Post Acute Sequelae of SARS-CoV2 Infection (PASC). Studies have shown an increased risk of being diagnosed with new-onset psychiatric disease following a diagnosis of acute COVID-19. However, it was unclear whether non-psychiatric PASC-associated manifestations (PASC-AMs) are associated with an increased risk of new-onset psychiatric disease following COVID-19. A retrospective electronic health record (EHR) cohort study of 2,391,006 individuals with acute COVID-19 was performed to evaluate whether non-psychiatric PASC-AMs are associated with new-onset psychiatric disease. Data were obtained from the National COVID Cohort Collaborative (N3C), which has EHR data from 76 clinical organizations. EHR codes were mapped to 151 non-psychiatric PASC-AMs recorded 28-120 days following SARS-CoV-2 diagnosis and before diagnosis of new-onset psychiatric disease. Association of newly diagnosed psychiatric disease with age, sex, race, pre-existing comorbidities, and PASC-AMs in seven categories was assessed by logistic regression. There were significant associations between a diagnosis of any psychiatric disease and five categories of PASC-AMs with odds ratios highest for neurological, cardiovascular, and constitutional PASC-AMs with odds ratios of 1.31, 1.29, and 1.23 respectively. Secondary analysis revealed that the proportions of 50 individual clinical features significantly differed between patients diagnosed with different psychiatric diseases. Our study provides evidence for association between non-psychiatric PASC-AMs and the incidence of newly diagnosed psychiatric disease. Significant associations were found for features related to multiple organ systems. This information could prove useful in understanding risk stratification for new-onset psychiatric disease following COVID-19. Prospective studies are needed to corroborate these findings.
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