BREAKING! COVID-19 Symptoms: King’s College London and Massachusetts General Hospital Identify Six Specific Symptom Cluster ‘Types’ Of COVID-19 Infections.

COVID-19 Symptoms: Researchers from King’s College London and Massachusetts General Hospital by detailed analysis of data from the COVID Symptom Study have identified six distinct ‘types’ of COVID-19, each distinguished by a particular cluster of symptoms.



The research team found that these types differed in the severity of the disease and the need for respiratory support during hospitalization.

The study findings have major implications for clinical management of COVID-19, and could help physicians predict who is most at risk and likely to need hospital care in a second wave of coronavirus infections.
 
The study findings were published on a preprint server and are currently being peer-reviewed. https://www.medrxiv.org/content/10.1101/2020.06.12.20129056v1

While continuous cough, fever and loss of smell (anosmia) are usually highlighted as the three key symptoms of COVID-19, data gathered from app users shows that individuals can experience a wide range of different symptoms including headaches, muscle pains, fatigue, diarrhea, confusion, loss of appetite, shortness of breath and more. The progression and outcomes also vary significantly between people, ranging from mild flu-like symptoms or a simple rash to severe or fatal disease.

In order to find out whether particular symptoms tend to appear together and how this related to the progression of the disease, the study team used a machine learning algorithm to analyse data from a subset of around 1,600 users in the UK and US with confirmed COVID-19 who had regularly logged their symptoms using the app in March and April.

The detailed analysis revealed six specific groupings of symptoms emerging at characteristic time points in the progression of the illness, representing six distinct ‘types’ of COVID-19. The algorithm was then tested by running it on a second independent dataset of 1,000 users in the UK, US and Sweden, who had logged their symptoms during May.

It was found that all individuals reporting symptoms experienced headache and loss of smell, with varying combinations of additional symptoms at various times. Some of these, such as confusion, abdominal pain and shortness of breath, are not widely known as COVID-19 symptoms, yet are hallmarks of the most severe forms of the disease.
 
The identified six clusters are as follows:
 
First- (‘flu-like’ with no fever): Headache, loss of smell, muscle pains, cough, sore throat, chest pain, no fever.
 
Second- (‘flu-like’ with fever): Headache, loss of smell, cough, sore throat, hoarseness, fever, loss of appetite.
 
Third- (gastrointestinal): Headache, loss of smell, loss of appetite, diarrhea, sore throat, chest pain, no cough.
 
Fourth- ( lor:#800080">severe level one, fatigue): Headache, loss of smell, cough, fever, hoarseness, chest pain, fatigue.
 
Fifth- (severe level two, confusion): Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain.
 
Sixth- (severe level three, abdominal and respiratory): Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain, shortness of breath, diarrhea, abdominal pain.
 
The study team next investigated whether individuals experiencing particular symptom clusters were more likely to require breathing support in the form of ventilation or additional oxygen.

The researchers discovered that only 1.5% of people with cluster 1, 4.4% of people with cluster 2 and 3.3% of people with cluster 3 COVID-19 required breathing support. These figures were 8.6%, 9.9% and 19.8% for clusters 4,5 and 6 respectively. Furthermore, nearly half of the patients in cluster 6 ended up in hospital, compared with just 16% of those in cluster 1.

Interestingly, individuals with cluster 4,5 or 6 COVID-19 symptoms tended to be older and frailer, and were more likely to be overweight and have pre-existing conditions such as diabetes or lung disease than those with type 1,2 or 3.

The study team then developed a model combining information about age, sex, BMI and pre-existing conditions together with symptoms gathered over just five days from the onset of the illness.
 
This new model was able to predict which cluster a patient falls into and their risk of requiring hospitalization and breathing support with a higher likelihood of being correct than an existing risk model based purely on age, sex, BMI and pre-existing conditions alone.

As most individuals who require breathing support come to hospital around 13 days after their first symptoms, this extra eight days represents a significant ‘early warning’ as to who is most likely to need more intensive care.

Dr Claire Steves from King’s College London told Thailand Medical News, “These findings have important implications for care and monitoring of people who are most vulnerable to severe COVID-19. If you can predict who these people are at day five, you have time to give them support and early interventions such as monitoring blood oxygen and sugar levels, and ensuring they are properly hydrated - simple care that could be given at home, preventing hospitalizations and saving lives.”

Dr Carole Sudre, lead researcher from King’s College London said,”Our study illustrates the importance of monitoring symptoms over time to make our predictions about individual risk and outcomes more sophisticated and accurate. This approach is helping us to understand the unfolding story of this disease in each patient so they can get the best care.”

Dr Sebastien Ourselin, Professor of healthcare engineering at King’s College London and senior author of the study added,  “Being able to gather big datasets through the app and apply machine learning to them is having a profound impact on our understanding of the extent and impact of COVID-19, and human health more widely.,”

The researchers added,”Data is our most powerful tool in the fight against COVID-19. We urge everyone to get in the habit of using the app daily to log their health over the coming months, helping us to stay ahead of any local hotspots or a second wave of infections.”
 
It should also be noted that skin rash has also now been identified as a key symptom of COVID-19 in up to one in ten cases. However, it was not recognized as a symptom during the time when the data was gathered for this analysis so it is currently unknown how skin rashes map on to these six clusters.
 
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