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Venkatakrishnan, A J

0000-0003-2819-3214

A5076471785 | I4210160303

Mayo Clinic

Nference (United States)

Citations 12

Author response: Augmented curation of clinical notes from a massive EHR system reveals symptoms of impending COVID-19 diagnosis

No container title available | August 6, 2020 | Volume: No volume available | Issue: No issue available | Pages: No page available

10.7554/elife.58227.sa2

Augmented curation of clinical notes from a massive EHR system reveals symptoms of impending COVID-19 diagnosis

eLife | July 7, 2020 | Volume: 9 | Issue: No issue available | Pages: No page available

10.7554/elife.58227 | PMID 32633720

Understanding temporal dynamics of COVID-19 symptoms could provide fine-grained resolution to guide clinical decision-making. Here, we use deep neural networks over an institution-wide platform for the augmented curation of clinical notes from 77,167 patients subjected to COVID-19 PCR testing. By contrasting Electronic Health Record (EHR)-derived symptoms of COVID-19-positive (COVID pos ; n = 2,317) versus COVID-19-negative (COVID neg ; n = 74,850) patients for the week preceding the PCR testing date, we identify anosmia/dysgeusia (27.1-fold), fever/chills (2.6-fold), respiratory difficulty (2.2-fold), cough (2.2-fold), myalgia/arthralgia (2-fold), and diarrhea (1.4-fold) as significantly amplified in COVID pos over COVID neg patients. The combination of cough and fever/chills has 4.2-fold amplification in COVID pos patients during the week prior to PCR testing, in addition to anosmia/dysgeusia, constitutes the earliest EHR-derived signature of COVID-19. This study introduces an Augmented Intelligence platform for the real-time synthesis of institutional biomedical knowledge. The platform holds tremendous potential for scaling up curation throughput, thus enabling EHR-powered early disease diagnosis.