Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context

Summary: Background: Characterizing Post-Acute Sequelae of COVID (SARS-CoV-2 Infection), or PASC has been challenging due to the multitude of sub-phenotypes, temporal attributes, and definitions. Scalable characterization of PASC sub-phenotypes can enhance screening capacities, disease management,...

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Main Authors: Arianna Dagliati, Zachary H. Strasser, Zahra Shakeri Hossein Abad, Jeffrey G. Klann, Kavishwar B. Wagholikar, Rebecca Mesa, Shyam Visweswaran, Michele Morris, Yuan Luo, Darren W. Henderson, Malarkodi Jebathilagam Samayamuthu, Bryce W.Q. Tan, Guillame Verdy, Gilbert S. Omenn, Zongqi Xia, Riccardo Bellazzi, Shawn N. Murphy, John H. Holmes, Hossein Estiri, James R. Aaron, Giuseppe Agapito, Adem Albayrak, Giuseppe Albi, Mario Alessiani, Anna Alloni, Danilo F. Amendola, François Angoulvant, Li L.L.J. Anthony, Bruce J. Aronow, Fatima Ashraf, Andrew Atz, Paul Avillach, Paula S. Azevedo, James Balshi, Brett K. Beaulieu-Jones, Douglas S. Bell, Antonio Bellasi, Vincent Benoit, Michele Beraghi, José Luis Bernal-Sobrino, Mélodie Bernaux, Romain Bey, Surbhi Bhatnagar, Alvar Blanco-Martínez, Clara-Lea Bonzel, John Booth, Silvano Bosari, Florence T. Bourgeois, Robert L. Bradford, Gabriel A. Brat, Stéphane Bréant, Nicholas W. Brown, Raffaele Bruno, William A. Bryant, Mauro Bucalo, Emily Bucholz, Anita Burgun, Tianxi Cai, Mario Cannataro, Aldo Carmona, Charlotte Caucheteux, Julien Champ, Jin Chen, Krista Y. Chen, Luca Chiovato, Lorenzo Chiudinelli, Kelly Cho, James J. Cimino, Tiago K. Colicchio, Sylvie Cormont, Sébastien Cossin, Jean B. Craig, Juan Luis Cruz-Bermúdez, Jaime Cruz-Rojo, Mohamad Daniar, Christel Daniel, Priyam Das, Batsal Devkota, Audrey Dionne, Rui Duan, Julien Dubiel, Scott L. DuVall, Loic Esteve, Shirley Fan, Robert W. Follett, Thomas Ganslandt, Noelia García- Barrio, Lana X. Garmire, Nils Gehlenborg, Emily J. Getzen, Alon Geva, Tobias Gradinger, Alexandre Gramfort, Romain Griffier, Nicolas Griffon, Olivier Grisel, Alba Gutiérrez-Sacristán, Larry Han, David A. Hanauer, Christian Haverkamp, Derek Y. Hazard, Bing He, Martin Hilka, Yuk-Lam Ho, Chuan Hong, Kenneth M. Huling, Meghan R. Hutch, Richard W. Issitt, Anne Sophie Jannot, Vianney Jouhet, Ramakanth Kavuluru, Mark S. Keller, Chris J. Kennedy, Daniel A. Key, Katie Kirchoff, Isaac S. Kohane, Ian D. Krantz, Detlef Kraska, Ashok K. Krishnamurthy, Sehi L'Yi, Trang T. Le, Judith Leblanc, Guillaume Lemaitre, Leslie Lenert, Damien Leprovost, Molei Liu, Ne Hooi Will Loh, Qi Long, Sara Lozano-Zahonero, Kristine E. Lynch, Sadiqa Mahmood, Sarah E. Maidlow, Adeline Makoudjou, Alberto Malovini, Kenneth D. Mandl, Chengsheng Mao, Anupama Maram, Patricia Martel, Marcelo R. Martins, Jayson S. Marwaha, Aaron J. Masino, Maria Mazzitelli, Arthur Mensch, Marianna Milano, Marcos F. Minicucci, Bertrand Moal, Taha Mohseni Ahooyi, Jason H. Moore, Cinta Moraleda, Jeffrey S. Morris, Karyn L. Moshal, Sajad Mousavi, Danielle L. Mowery, Douglas A. Murad, Thomas P. Naughton, Carlos Tadeu Breda Neto, Antoine Neuraz, Jane Newburger, Kee Yuan Ngiam, Wanjiku F.M. Njoroge, James B. Norman, Jihad Obeid, Marina P. Okoshi, Karen L. Olson, Nina Orlova, Brian D. Ostasiewski, Nathan P. Palmer, Nicolas Paris, Lav P. Patel, Miguel Pedrera-Jiménez, Emily R. Pfaff, Ashley C. Pfaff, Danielle Pillion, Sara Pizzimenti, Hans U. Prokosch, Robson A. Prudente, Andrea Prunotto, Víctor Quirós-González, Rachel B. Ramoni, Maryna Raskin, Siegbert Rieg, Gustavo Roig-Domínguez, Pablo Rojo, Paula Rubio-Mayo, Paolo Sacchi, Carlos Sáez, Elisa Salamanca, L. Nelson Sanchez-Pinto, Arnaud Sandrin, Nandhini Santhanam, Janaina C.C. Santos, Fernando J. Sanz Vidorreta, Maria Savino, Emily R. Schriver, Petra Schubert, Juergen Schuettler, Luigia Scudeller, Neil J. Sebire, Pablo Serrano-Balazote, Patricia Serre, Arnaud Serret-Larmande, Mohsin Shah, Domenick Silvio, Piotr Sliz, Jiyeon Son, Charles Sonday, Andrew M. South, Anastasia Spiridou, Amelia L.M. Tan, Byorn W.L. Tan, Suzana E. Tanni, Deanne M. Taylor, Ana I. Terriza-Torres, Valentina Tibollo, Patric Tippmann, Emma M.S. Toh, Carlo Torti, Enrico M. Trecarichi, Yi-Ju Tseng, Andrew K. Vallejos, Gael Varoquaux, Margaret E. Vella, Guillaume Verdy, Jill-Jênn Vie, Michele Vitacca, Lemuel R. Waitman, Xuan Wang, Demian Wassermann, Griffin M. Weber, Martin Wolkewitz, Scott Wong, Xin Xiong, Ye Ye, Nadir Yehya, William Yuan, Alberto Zambelli, Harrison G. Zhang, Daniela Zo¨ller, Valentina Zuccaro, Chiara Zucco
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:EClinicalMedicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589537023003875
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author Arianna Dagliati
Zachary H. Strasser
Zahra Shakeri Hossein Abad
Jeffrey G. Klann
Kavishwar B. Wagholikar
Rebecca Mesa
Shyam Visweswaran
Michele Morris
Yuan Luo
Darren W. Henderson
Malarkodi Jebathilagam Samayamuthu
Bryce W.Q. Tan
Guillame Verdy
Gilbert S. Omenn
Zongqi Xia
Riccardo Bellazzi
Shawn N. Murphy
John H. Holmes
Hossein Estiri
James R. Aaron
Giuseppe Agapito
Adem Albayrak
Giuseppe Albi
Mario Alessiani
Anna Alloni
Danilo F. Amendola
François Angoulvant
Li L.L.J. Anthony
Bruce J. Aronow
Fatima Ashraf
Andrew Atz
Paul Avillach
Paula S. Azevedo
James Balshi
Brett K. Beaulieu-Jones
Douglas S. Bell
Antonio Bellasi
Riccardo Bellazzi
Vincent Benoit
Michele Beraghi
José Luis Bernal-Sobrino
Mélodie Bernaux
Romain Bey
Surbhi Bhatnagar
Alvar Blanco-Martínez
Clara-Lea Bonzel
John Booth
Silvano Bosari
Florence T. Bourgeois
Robert L. Bradford
Gabriel A. Brat
Stéphane Bréant
Nicholas W. Brown
Raffaele Bruno
William A. Bryant
Mauro Bucalo
Emily Bucholz
Anita Burgun
Tianxi Cai
Mario Cannataro
Aldo Carmona
Charlotte Caucheteux
Julien Champ
Jin Chen
Krista Y. Chen
Luca Chiovato
Lorenzo Chiudinelli
Kelly Cho
James J. Cimino
Tiago K. Colicchio
Sylvie Cormont
Sébastien Cossin
Jean B. Craig
Juan Luis Cruz-Bermúdez
Jaime Cruz-Rojo
Arianna Dagliati
Mohamad Daniar
Christel Daniel
Priyam Das
Batsal Devkota
Audrey Dionne
Rui Duan
Julien Dubiel
Scott L. DuVall
Loic Esteve
Hossein Estiri
Shirley Fan
Robert W. Follett
Thomas Ganslandt
Noelia García- Barrio
Lana X. Garmire
Nils Gehlenborg
Emily J. Getzen
Alon Geva
Tobias Gradinger
Alexandre Gramfort
Romain Griffier
Nicolas Griffon
Olivier Grisel
Alba Gutiérrez-Sacristán
Larry Han
David A. Hanauer
Christian Haverkamp
Derek Y. Hazard
Bing He
Darren W. Henderson
Martin Hilka
Yuk-Lam Ho
John H. Holmes
Chuan Hong
Kenneth M. Huling
Meghan R. Hutch
Richard W. Issitt
Anne Sophie Jannot
Vianney Jouhet
Ramakanth Kavuluru
Mark S. Keller
Chris J. Kennedy
Daniel A. Key
Katie Kirchoff
Jeffrey G. Klann
Isaac S. Kohane
Ian D. Krantz
Detlef Kraska
Ashok K. Krishnamurthy
Sehi L'Yi
Trang T. Le
Judith Leblanc
Guillaume Lemaitre
Leslie Lenert
Damien Leprovost
Molei Liu
Ne Hooi Will Loh
Qi Long
Sara Lozano-Zahonero
Yuan Luo
Kristine E. Lynch
Sadiqa Mahmood
Sarah E. Maidlow
Adeline Makoudjou
Alberto Malovini
Kenneth D. Mandl
Chengsheng Mao
Anupama Maram
Patricia Martel
Marcelo R. Martins
Jayson S. Marwaha
Aaron J. Masino
Maria Mazzitelli
Arthur Mensch
Marianna Milano
Marcos F. Minicucci
Bertrand Moal
Taha Mohseni Ahooyi
Jason H. Moore
Cinta Moraleda
Jeffrey S. Morris
Michele Morris
Karyn L. Moshal
Sajad Mousavi
Danielle L. Mowery
Douglas A. Murad
Shawn N. Murphy
Thomas P. Naughton
Carlos Tadeu Breda Neto
Antoine Neuraz
Jane Newburger
Kee Yuan Ngiam
Wanjiku F.M. Njoroge
James B. Norman
Jihad Obeid
Marina P. Okoshi
Karen L. Olson
Gilbert S. Omenn
Nina Orlova
Brian D. Ostasiewski
Nathan P. Palmer
Nicolas Paris
Lav P. Patel
Miguel Pedrera-Jiménez
Emily R. Pfaff
Ashley C. Pfaff
Danielle Pillion
Sara Pizzimenti
Hans U. Prokosch
Robson A. Prudente
Andrea Prunotto
Víctor Quirós-González
Rachel B. Ramoni
Maryna Raskin
Siegbert Rieg
Gustavo Roig-Domínguez
Pablo Rojo
Paula Rubio-Mayo
Paolo Sacchi
Carlos Sáez
Elisa Salamanca
Malarkodi Jebathilagam Samayamuthu
L. Nelson Sanchez-Pinto
Arnaud Sandrin
Nandhini Santhanam
Janaina C.C. Santos
Fernando J. Sanz Vidorreta
Maria Savino
Emily R. Schriver
Petra Schubert
Juergen Schuettler
Luigia Scudeller
Neil J. Sebire
Pablo Serrano-Balazote
Patricia Serre
Arnaud Serret-Larmande
Mohsin Shah
Zahra Shakeri Hossein Abad
Domenick Silvio
Piotr Sliz
Jiyeon Son
Charles Sonday
Andrew M. South
Anastasia Spiridou
Zachary H. Strasser
Amelia L.M. Tan
Bryce W.Q. Tan
Byorn W.L. Tan
Suzana E. Tanni
Deanne M. Taylor
Ana I. Terriza-Torres
Valentina Tibollo
Patric Tippmann
Emma M.S. Toh
Carlo Torti
Enrico M. Trecarichi
Yi-Ju Tseng
Andrew K. Vallejos
Gael Varoquaux
Margaret E. Vella
Guillaume Verdy
Jill-Jênn Vie
Shyam Visweswaran
Michele Vitacca
Kavishwar B. Wagholikar
Lemuel R. Waitman
Xuan Wang
Demian Wassermann
Griffin M. Weber
Martin Wolkewitz
Scott Wong
Zongqi Xia
Xin Xiong
Ye Ye
Nadir Yehya
William Yuan
Alberto Zambelli
Harrison G. Zhang
Daniela Zo¨ller
Valentina Zuccaro
Chiara Zucco
author_facet Arianna Dagliati
Zachary H. Strasser
Zahra Shakeri Hossein Abad
Jeffrey G. Klann
Kavishwar B. Wagholikar
Rebecca Mesa
Shyam Visweswaran
Michele Morris
Yuan Luo
Darren W. Henderson
Malarkodi Jebathilagam Samayamuthu
Bryce W.Q. Tan
Guillame Verdy
Gilbert S. Omenn
Zongqi Xia
Riccardo Bellazzi
Shawn N. Murphy
John H. Holmes
Hossein Estiri
James R. Aaron
Giuseppe Agapito
Adem Albayrak
Giuseppe Albi
Mario Alessiani
Anna Alloni
Danilo F. Amendola
François Angoulvant
Li L.L.J. Anthony
Bruce J. Aronow
Fatima Ashraf
Andrew Atz
Paul Avillach
Paula S. Azevedo
James Balshi
Brett K. Beaulieu-Jones
Douglas S. Bell
Antonio Bellasi
Riccardo Bellazzi
Vincent Benoit
Michele Beraghi
José Luis Bernal-Sobrino
Mélodie Bernaux
Romain Bey
Surbhi Bhatnagar
Alvar Blanco-Martínez
Clara-Lea Bonzel
John Booth
Silvano Bosari
Florence T. Bourgeois
Robert L. Bradford
Gabriel A. Brat
Stéphane Bréant
Nicholas W. Brown
Raffaele Bruno
William A. Bryant
Mauro Bucalo
Emily Bucholz
Anita Burgun
Tianxi Cai
Mario Cannataro
Aldo Carmona
Charlotte Caucheteux
Julien Champ
Jin Chen
Krista Y. Chen
Luca Chiovato
Lorenzo Chiudinelli
Kelly Cho
James J. Cimino
Tiago K. Colicchio
Sylvie Cormont
Sébastien Cossin
Jean B. Craig
Juan Luis Cruz-Bermúdez
Jaime Cruz-Rojo
Arianna Dagliati
Mohamad Daniar
Christel Daniel
Priyam Das
Batsal Devkota
Audrey Dionne
Rui Duan
Julien Dubiel
Scott L. DuVall
Loic Esteve
Hossein Estiri
Shirley Fan
Robert W. Follett
Thomas Ganslandt
Noelia García- Barrio
Lana X. Garmire
Nils Gehlenborg
Emily J. Getzen
Alon Geva
Tobias Gradinger
Alexandre Gramfort
Romain Griffier
Nicolas Griffon
Olivier Grisel
Alba Gutiérrez-Sacristán
Larry Han
David A. Hanauer
Christian Haverkamp
Derek Y. Hazard
Bing He
Darren W. Henderson
Martin Hilka
Yuk-Lam Ho
John H. Holmes
Chuan Hong
Kenneth M. Huling
Meghan R. Hutch
Richard W. Issitt
Anne Sophie Jannot
Vianney Jouhet
Ramakanth Kavuluru
Mark S. Keller
Chris J. Kennedy
Daniel A. Key
Katie Kirchoff
Jeffrey G. Klann
Isaac S. Kohane
Ian D. Krantz
Detlef Kraska
Ashok K. Krishnamurthy
Sehi L'Yi
Trang T. Le
Judith Leblanc
Guillaume Lemaitre
Leslie Lenert
Damien Leprovost
Molei Liu
Ne Hooi Will Loh
Qi Long
Sara Lozano-Zahonero
Yuan Luo
Kristine E. Lynch
Sadiqa Mahmood
Sarah E. Maidlow
Adeline Makoudjou
Alberto Malovini
Kenneth D. Mandl
Chengsheng Mao
Anupama Maram
Patricia Martel
Marcelo R. Martins
Jayson S. Marwaha
Aaron J. Masino
Maria Mazzitelli
Arthur Mensch
Marianna Milano
Marcos F. Minicucci
Bertrand Moal
Taha Mohseni Ahooyi
Jason H. Moore
Cinta Moraleda
Jeffrey S. Morris
Michele Morris
Karyn L. Moshal
Sajad Mousavi
Danielle L. Mowery
Douglas A. Murad
Shawn N. Murphy
Thomas P. Naughton
Carlos Tadeu Breda Neto
Antoine Neuraz
Jane Newburger
Kee Yuan Ngiam
Wanjiku F.M. Njoroge
James B. Norman
Jihad Obeid
Marina P. Okoshi
Karen L. Olson
Gilbert S. Omenn
Nina Orlova
Brian D. Ostasiewski
Nathan P. Palmer
Nicolas Paris
Lav P. Patel
Miguel Pedrera-Jiménez
Emily R. Pfaff
Ashley C. Pfaff
Danielle Pillion
Sara Pizzimenti
Hans U. Prokosch
Robson A. Prudente
Andrea Prunotto
Víctor Quirós-González
Rachel B. Ramoni
Maryna Raskin
Siegbert Rieg
Gustavo Roig-Domínguez
Pablo Rojo
Paula Rubio-Mayo
Paolo Sacchi
Carlos Sáez
Elisa Salamanca
Malarkodi Jebathilagam Samayamuthu
L. Nelson Sanchez-Pinto
Arnaud Sandrin
Nandhini Santhanam
Janaina C.C. Santos
Fernando J. Sanz Vidorreta
Maria Savino
Emily R. Schriver
Petra Schubert
Juergen Schuettler
Luigia Scudeller
Neil J. Sebire
Pablo Serrano-Balazote
Patricia Serre
Arnaud Serret-Larmande
Mohsin Shah
Zahra Shakeri Hossein Abad
Domenick Silvio
Piotr Sliz
Jiyeon Son
Charles Sonday
Andrew M. South
Anastasia Spiridou
Zachary H. Strasser
Amelia L.M. Tan
Bryce W.Q. Tan
Byorn W.L. Tan
Suzana E. Tanni
Deanne M. Taylor
Ana I. Terriza-Torres
Valentina Tibollo
Patric Tippmann
Emma M.S. Toh
Carlo Torti
Enrico M. Trecarichi
Yi-Ju Tseng
Andrew K. Vallejos
Gael Varoquaux
Margaret E. Vella
Guillaume Verdy
Jill-Jênn Vie
Shyam Visweswaran
Michele Vitacca
Kavishwar B. Wagholikar
Lemuel R. Waitman
Xuan Wang
Demian Wassermann
Griffin M. Weber
Martin Wolkewitz
Scott Wong
Zongqi Xia
Xin Xiong
Ye Ye
Nadir Yehya
William Yuan
Alberto Zambelli
Harrison G. Zhang
Daniela Zo¨ller
Valentina Zuccaro
Chiara Zucco
author_sort Arianna Dagliati
collection DOAJ
description Summary: Background: Characterizing Post-Acute Sequelae of COVID (SARS-CoV-2 Infection), or PASC has been challenging due to the multitude of sub-phenotypes, temporal attributes, and definitions. Scalable characterization of PASC sub-phenotypes can enhance screening capacities, disease management, and treatment planning. Methods: We conducted a retrospective multi-centre observational cohort study, leveraging longitudinal electronic health record (EHR) data of 30,422 patients from three healthcare systems in the Consortium for the Clinical Characterization of COVID-19 by EHR (4CE). From the total cohort, we applied a deductive approach on 12,424 individuals with follow-up data and developed a distributed representation learning process for providing augmented definitions for PASC sub-phenotypes. Findings: Our framework characterized seven PASC sub-phenotypes. We estimated that on average 15.7% of the hospitalized COVID-19 patients were likely to suffer from at least one PASC symptom and almost 5.98%, on average, had multiple symptoms. Joint pain and dyspnea had the highest prevalence, with an average prevalence of 5.45% and 4.53%, respectively. Interpretation: We provided a scalable framework to every participating healthcare system for estimating PASC sub-phenotypes prevalence and temporal attributes, thus developing a unified model that characterizes augmented sub-phenotypes across the different systems. Funding: Authors are supported by National Institute of Allergy and Infectious Diseases, National Institute on Aging, National Center for Advancing Translational Sciences, National Medical Research Council, National Institute of Neurological Disorders and Stroke, European Union, National Institutes of Health, National Center for Advancing Translational Sciences.
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spelling doaj.art-321cd57501934d31aa3bfa3d467b519b2023-09-15T04:40:11ZengElsevierEClinicalMedicine2589-53702023-10-0164102210Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in ContextArianna Dagliati0Zachary H. Strasser1Zahra Shakeri Hossein Abad2Jeffrey G. Klann3Kavishwar B. Wagholikar4Rebecca Mesa5Shyam Visweswaran6Michele Morris7Yuan Luo8Darren W. Henderson9Malarkodi Jebathilagam Samayamuthu10Bryce W.Q. Tan11Guillame Verdy12Gilbert S. Omenn13Zongqi Xia14Riccardo Bellazzi15Shawn N. Murphy16John H. Holmes17Hossein Estiri18James R. AaronGiuseppe AgapitoAdem AlbayrakGiuseppe AlbiMario AlessianiAnna AlloniDanilo F. Amendola François AngoulvantLi L.L.J. AnthonyBruce J. AronowFatima AshrafAndrew AtzPaul AvillachPaula S. AzevedoJames BalshiBrett K. Beaulieu-JonesDouglas S. BellAntonio BellasiRiccardo BellazziVincent BenoitMichele BeraghiJosé Luis Bernal-SobrinoMélodie BernauxRomain BeySurbhi BhatnagarAlvar Blanco-MartínezClara-Lea BonzelJohn BoothSilvano BosariFlorence T. BourgeoisRobert L. BradfordGabriel A. BratStéphane BréantNicholas W. BrownRaffaele BrunoWilliam A. BryantMauro BucaloEmily BucholzAnita BurgunTianxi CaiMario CannataroAldo CarmonaCharlotte CaucheteuxJulien ChampJin ChenKrista Y. ChenLuca ChiovatoLorenzo ChiudinelliKelly ChoJames J. CiminoTiago K. ColicchioSylvie CormontSébastien CossinJean B. CraigJuan Luis Cruz-BermúdezJaime Cruz-RojoArianna DagliatiMohamad DaniarChristel DanielPriyam DasBatsal DevkotaAudrey DionneRui DuanJulien DubielScott L. DuVallLoic EsteveHossein EstiriShirley FanRobert W. FollettThomas GanslandtNoelia García- BarrioLana X. GarmireNils GehlenborgEmily J. GetzenAlon GevaTobias GradingerAlexandre GramfortRomain GriffierNicolas GriffonOlivier GriselAlba Gutiérrez-SacristánLarry HanDavid A. HanauerChristian HaverkampDerek Y. HazardBing HeDarren W. HendersonMartin HilkaYuk-Lam HoJohn H. HolmesChuan HongKenneth M. HulingMeghan R. HutchRichard W. IssittAnne Sophie JannotVianney JouhetRamakanth KavuluruMark S. KellerChris J. KennedyDaniel A. KeyKatie KirchoffJeffrey G. KlannIsaac S. KohaneIan D. KrantzDetlef KraskaAshok K. KrishnamurthySehi L'YiTrang T. LeJudith LeblancGuillaume LemaitreLeslie LenertDamien LeprovostMolei LiuNe Hooi Will LohQi LongSara Lozano-ZahoneroYuan LuoKristine E. LynchSadiqa MahmoodSarah E. MaidlowAdeline MakoudjouAlberto MaloviniKenneth D. MandlChengsheng MaoAnupama MaramPatricia MartelMarcelo R. MartinsJayson S. MarwahaAaron J. MasinoMaria MazzitelliArthur MenschMarianna MilanoMarcos F. MinicucciBertrand MoalTaha Mohseni AhooyiJason H. MooreCinta MoraledaJeffrey S. MorrisMichele MorrisKaryn L. MoshalSajad MousaviDanielle L. MoweryDouglas A. MuradShawn N. MurphyThomas P. NaughtonCarlos Tadeu Breda NetoAntoine NeurazJane NewburgerKee Yuan NgiamWanjiku F.M. NjorogeJames B. NormanJihad ObeidMarina P. OkoshiKaren L. OlsonGilbert S. OmennNina OrlovaBrian D. OstasiewskiNathan P. PalmerNicolas ParisLav P. PatelMiguel Pedrera-JiménezEmily R. PfaffAshley C. PfaffDanielle PillionSara PizzimentiHans U. ProkoschRobson A. PrudenteAndrea PrunottoVíctor Quirós-GonzálezRachel B. RamoniMaryna RaskinSiegbert RiegGustavo Roig-DomínguezPablo RojoPaula Rubio-MayoPaolo SacchiCarlos SáezElisa SalamancaMalarkodi Jebathilagam SamayamuthuL. Nelson Sanchez-PintoArnaud SandrinNandhini SanthanamJanaina C.C. SantosFernando J. Sanz VidorretaMaria SavinoEmily R. SchriverPetra SchubertJuergen SchuettlerLuigia ScudellerNeil J. SebirePablo Serrano-BalazotePatricia SerreArnaud Serret-LarmandeMohsin ShahZahra Shakeri Hossein AbadDomenick SilvioPiotr SlizJiyeon SonCharles SondayAndrew M. SouthAnastasia SpiridouZachary H. StrasserAmelia L.M. TanBryce W.Q. TanByorn W.L. TanSuzana E. TanniDeanne M. TaylorAna I. Terriza-TorresValentina TibolloPatric TippmannEmma M.S. TohCarlo TortiEnrico M. TrecarichiYi-Ju TsengAndrew K. VallejosGael VaroquauxMargaret E. VellaGuillaume VerdyJill-Jênn VieShyam VisweswaranMichele VitaccaKavishwar B. WagholikarLemuel R. WaitmanXuan WangDemian WassermannGriffin M. WeberMartin WolkewitzScott WongZongqi XiaXin XiongYe YeNadir YehyaWilliam YuanAlberto ZambelliHarrison G. ZhangDaniela Zo¨llerValentina ZuccaroChiara ZuccoDepartment of Electrical Computer and Biomedical Engineering, University of Pavia, Pavia, Italy; Corresponding author. Laboratory for Biomedical Informatics ''Mario Stefanelli'', Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Via Ferrata 1, 27100, Pavia, Italy.Department of Medicine, Massachusetts General Hospital, Boston, United StatesUniversity of Toronto, Dalla Lana School of Public Health, Toronto, CanadaDepartment of Medicine, Massachusetts General Hospital, Boston, United StatesDepartment of Medicine, Massachusetts General Hospital, Boston, United StatesDepartment of Electrical Computer and Biomedical Engineering, University of Pavia, Pavia, ItalyDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, United StatesDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, United StatesDepartment of Preventive Medicine, Northwestern University, Chicago, United StatesUniversity of Kentucky, Center for Clinical and Translational Science, Lexington, United StatesDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, United StatesNational University Hospital, Singapore Department of Medicine, SingaporeBordeaux University Hospital, IAM Unit, Bordeaux, FranceUniversity of Michigan, Department of Computational Medicine and Bioinformatics, Internal Medicine, Human Genetics, and School of Public Health, Ann Arbor, United StatesUniversity of Pittsburgh Department of Neurology, Pittsburgh, United StatesDepartment of Electrical Computer and Biomedical Engineering, University of Pavia, Pavia, ItalyDepartment of Neurology, Massachusetts General Hospital, Boston, United StatesUniversity of Pennsylvania Perelman School of Medicine, Department of Biostatistics, Epidemiology, and Informatics, Institute for Biomedical Informatics, Philadelphia, United StatesDepartment of Medicine, Massachusetts General Hospital, Boston, United StatesSummary: Background: Characterizing Post-Acute Sequelae of COVID (SARS-CoV-2 Infection), or PASC has been challenging due to the multitude of sub-phenotypes, temporal attributes, and definitions. Scalable characterization of PASC sub-phenotypes can enhance screening capacities, disease management, and treatment planning. Methods: We conducted a retrospective multi-centre observational cohort study, leveraging longitudinal electronic health record (EHR) data of 30,422 patients from three healthcare systems in the Consortium for the Clinical Characterization of COVID-19 by EHR (4CE). From the total cohort, we applied a deductive approach on 12,424 individuals with follow-up data and developed a distributed representation learning process for providing augmented definitions for PASC sub-phenotypes. Findings: Our framework characterized seven PASC sub-phenotypes. We estimated that on average 15.7% of the hospitalized COVID-19 patients were likely to suffer from at least one PASC symptom and almost 5.98%, on average, had multiple symptoms. Joint pain and dyspnea had the highest prevalence, with an average prevalence of 5.45% and 4.53%, respectively. Interpretation: We provided a scalable framework to every participating healthcare system for estimating PASC sub-phenotypes prevalence and temporal attributes, thus developing a unified model that characterizes augmented sub-phenotypes across the different systems. Funding: Authors are supported by National Institute of Allergy and Infectious Diseases, National Institute on Aging, National Center for Advancing Translational Sciences, National Medical Research Council, National Institute of Neurological Disorders and Stroke, European Union, National Institutes of Health, National Center for Advancing Translational Sciences.http://www.sciencedirect.com/science/article/pii/S2589537023003875Post-acute sequelae of SARS-CoV-2PASCCOVID-19SARS-CoV-2Electronic health records
spellingShingle Arianna Dagliati
Zachary H. Strasser
Zahra Shakeri Hossein Abad
Jeffrey G. Klann
Kavishwar B. Wagholikar
Rebecca Mesa
Shyam Visweswaran
Michele Morris
Yuan Luo
Darren W. Henderson
Malarkodi Jebathilagam Samayamuthu
Bryce W.Q. Tan
Guillame Verdy
Gilbert S. Omenn
Zongqi Xia
Riccardo Bellazzi
Shawn N. Murphy
John H. Holmes
Hossein Estiri
James R. Aaron
Giuseppe Agapito
Adem Albayrak
Giuseppe Albi
Mario Alessiani
Anna Alloni
Danilo F. Amendola
François Angoulvant
Li L.L.J. Anthony
Bruce J. Aronow
Fatima Ashraf
Andrew Atz
Paul Avillach
Paula S. Azevedo
James Balshi
Brett K. Beaulieu-Jones
Douglas S. Bell
Antonio Bellasi
Riccardo Bellazzi
Vincent Benoit
Michele Beraghi
José Luis Bernal-Sobrino
Mélodie Bernaux
Romain Bey
Surbhi Bhatnagar
Alvar Blanco-Martínez
Clara-Lea Bonzel
John Booth
Silvano Bosari
Florence T. Bourgeois
Robert L. Bradford
Gabriel A. Brat
Stéphane Bréant
Nicholas W. Brown
Raffaele Bruno
William A. Bryant
Mauro Bucalo
Emily Bucholz
Anita Burgun
Tianxi Cai
Mario Cannataro
Aldo Carmona
Charlotte Caucheteux
Julien Champ
Jin Chen
Krista Y. Chen
Luca Chiovato
Lorenzo Chiudinelli
Kelly Cho
James J. Cimino
Tiago K. Colicchio
Sylvie Cormont
Sébastien Cossin
Jean B. Craig
Juan Luis Cruz-Bermúdez
Jaime Cruz-Rojo
Arianna Dagliati
Mohamad Daniar
Christel Daniel
Priyam Das
Batsal Devkota
Audrey Dionne
Rui Duan
Julien Dubiel
Scott L. DuVall
Loic Esteve
Hossein Estiri
Shirley Fan
Robert W. Follett
Thomas Ganslandt
Noelia García- Barrio
Lana X. Garmire
Nils Gehlenborg
Emily J. Getzen
Alon Geva
Tobias Gradinger
Alexandre Gramfort
Romain Griffier
Nicolas Griffon
Olivier Grisel
Alba Gutiérrez-Sacristán
Larry Han
David A. Hanauer
Christian Haverkamp
Derek Y. Hazard
Bing He
Darren W. Henderson
Martin Hilka
Yuk-Lam Ho
John H. Holmes
Chuan Hong
Kenneth M. Huling
Meghan R. Hutch
Richard W. Issitt
Anne Sophie Jannot
Vianney Jouhet
Ramakanth Kavuluru
Mark S. Keller
Chris J. Kennedy
Daniel A. Key
Katie Kirchoff
Jeffrey G. Klann
Isaac S. Kohane
Ian D. Krantz
Detlef Kraska
Ashok K. Krishnamurthy
Sehi L'Yi
Trang T. Le
Judith Leblanc
Guillaume Lemaitre
Leslie Lenert
Damien Leprovost
Molei Liu
Ne Hooi Will Loh
Qi Long
Sara Lozano-Zahonero
Yuan Luo
Kristine E. Lynch
Sadiqa Mahmood
Sarah E. Maidlow
Adeline Makoudjou
Alberto Malovini
Kenneth D. Mandl
Chengsheng Mao
Anupama Maram
Patricia Martel
Marcelo R. Martins
Jayson S. Marwaha
Aaron J. Masino
Maria Mazzitelli
Arthur Mensch
Marianna Milano
Marcos F. Minicucci
Bertrand Moal
Taha Mohseni Ahooyi
Jason H. Moore
Cinta Moraleda
Jeffrey S. Morris
Michele Morris
Karyn L. Moshal
Sajad Mousavi
Danielle L. Mowery
Douglas A. Murad
Shawn N. Murphy
Thomas P. Naughton
Carlos Tadeu Breda Neto
Antoine Neuraz
Jane Newburger
Kee Yuan Ngiam
Wanjiku F.M. Njoroge
James B. Norman
Jihad Obeid
Marina P. Okoshi
Karen L. Olson
Gilbert S. Omenn
Nina Orlova
Brian D. Ostasiewski
Nathan P. Palmer
Nicolas Paris
Lav P. Patel
Miguel Pedrera-Jiménez
Emily R. Pfaff
Ashley C. Pfaff
Danielle Pillion
Sara Pizzimenti
Hans U. Prokosch
Robson A. Prudente
Andrea Prunotto
Víctor Quirós-González
Rachel B. Ramoni
Maryna Raskin
Siegbert Rieg
Gustavo Roig-Domínguez
Pablo Rojo
Paula Rubio-Mayo
Paolo Sacchi
Carlos Sáez
Elisa Salamanca
Malarkodi Jebathilagam Samayamuthu
L. Nelson Sanchez-Pinto
Arnaud Sandrin
Nandhini Santhanam
Janaina C.C. Santos
Fernando J. Sanz Vidorreta
Maria Savino
Emily R. Schriver
Petra Schubert
Juergen Schuettler
Luigia Scudeller
Neil J. Sebire
Pablo Serrano-Balazote
Patricia Serre
Arnaud Serret-Larmande
Mohsin Shah
Zahra Shakeri Hossein Abad
Domenick Silvio
Piotr Sliz
Jiyeon Son
Charles Sonday
Andrew M. South
Anastasia Spiridou
Zachary H. Strasser
Amelia L.M. Tan
Bryce W.Q. Tan
Byorn W.L. Tan
Suzana E. Tanni
Deanne M. Taylor
Ana I. Terriza-Torres
Valentina Tibollo
Patric Tippmann
Emma M.S. Toh
Carlo Torti
Enrico M. Trecarichi
Yi-Ju Tseng
Andrew K. Vallejos
Gael Varoquaux
Margaret E. Vella
Guillaume Verdy
Jill-Jênn Vie
Shyam Visweswaran
Michele Vitacca
Kavishwar B. Wagholikar
Lemuel R. Waitman
Xuan Wang
Demian Wassermann
Griffin M. Weber
Martin Wolkewitz
Scott Wong
Zongqi Xia
Xin Xiong
Ye Ye
Nadir Yehya
William Yuan
Alberto Zambelli
Harrison G. Zhang
Daniela Zo¨ller
Valentina Zuccaro
Chiara Zucco
Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
EClinicalMedicine
Post-acute sequelae of SARS-CoV-2
PASC
COVID-19
SARS-CoV-2
Electronic health records
title Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
title_full Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
title_fullStr Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
title_full_unstemmed Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
title_short Characterization of long COVID temporal sub-phenotypes by distributed representation learning from electronic health record data: a cohort studyResearch in Context
title_sort characterization of long covid temporal sub phenotypes by distributed representation learning from electronic health record data a cohort studyresearch in context
topic Post-acute sequelae of SARS-CoV-2
PASC
COVID-19
SARS-CoV-2
Electronic health records
url http://www.sciencedirect.com/science/article/pii/S2589537023003875
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AT albertomalovini characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT kennethdmandl characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT chengshengmao characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT anupamamaram characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT patriciamartel characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT marcelormartins characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jaysonsmarwaha characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT aaronjmasino characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT mariamazzitelli characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT arthurmensch characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT mariannamilano characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT marcosfminicucci characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT bertrandmoal characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT tahamohseniahooyi characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jasonhmoore characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT cintamoraleda characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jeffreysmorris characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT michelemorris characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT karynlmoshal characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT sajadmousavi characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT daniellelmowery characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT douglasamurad characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT shawnnmurphy characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT thomaspnaughton characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT carlostadeubredaneto characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT antoineneuraz characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT janenewburger characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT keeyuanngiam characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT wanjikufmnjoroge characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jamesbnorman characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jihadobeid characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT marinapokoshi characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT karenlolson characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT gilbertsomenn characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT ninaorlova characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT briandostasiewski characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT nathanppalmer characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT nicolasparis characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT lavppatel characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT miguelpedrerajimenez characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT emilyrpfaff characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT ashleycpfaff characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT daniellepillion characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT sarapizzimenti characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT hansuprokosch characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT robsonaprudente characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT andreaprunotto characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT victorquirosgonzalez characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT rachelbramoni characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT marynaraskin characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT siegbertrieg characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT gustavoroigdominguez characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT pablorojo characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT paularubiomayo characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT paolosacchi characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT carlossaez characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT elisasalamanca characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT malarkodijebathilagamsamayamuthu characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT lnelsonsanchezpinto characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT arnaudsandrin characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT nandhinisanthanam characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT janainaccsantos characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT fernandojsanzvidorreta characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT mariasavino characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT emilyrschriver characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT petraschubert characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT juergenschuettler characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT luigiascudeller characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT neiljsebire characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT pabloserranobalazote characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT patriciaserre characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT arnaudserretlarmande characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT mohsinshah characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT zahrashakerihosseinabad characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT domenicksilvio characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT piotrsliz characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jiyeonson characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT charlessonday characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT andrewmsouth characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT anastasiaspiridou characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT zacharyhstrasser characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT amelialmtan characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT brycewqtan characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT byornwltan characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT suzanaetanni characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT deannemtaylor characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT anaiterrizatorres characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT valentinatibollo characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT patrictippmann characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT emmamstoh characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT carlotorti characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT enricomtrecarichi characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT yijutseng characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT andrewkvallejos characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT gaelvaroquaux characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT margaretevella characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT guillaumeverdy characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT jilljennvie characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT shyamvisweswaran characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT michelevitacca characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT kavishwarbwagholikar characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT lemuelrwaitman characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT xuanwang characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT demianwassermann characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT griffinmweber characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT martinwolkewitz characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT scottwong characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT zongqixia characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT xinxiong characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT yeye characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT nadiryehya characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT williamyuan characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT albertozambelli characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT harrisongzhang characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT danielazoller characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT valentinazuccaro characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext
AT chiarazucco characterizationoflongcovidtemporalsubphenotypesbydistributedrepresentationlearningfromelectronichealthrecorddataacohortstudyresearchincontext