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COVID-19 severity scale for claims data research.

Trudy Millard Krause1, Raymond Greenberg2, Lopita Ghosh3

  • 1Department of Management, Policy and Community Health, School of Public Health, The University of Texas Health Science Center at Houston, Houston, United States. Trudy.M.Krause@uth.tmc.edu.

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Summary
This summary is machine-generated.

A new method categorizes COVID-19 severity using claims data, revealing older individuals and those with more comorbidities face higher risks. This scale aids future research on COVID-19 interventions and outcomes.

Keywords:
Administrative Claims HealthcareCOVID-19Disease SeverityEpidemiological methodsHealthcare costSARS-CoV-2

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Area of Science:

  • Health Services Research
  • Epidemiology
  • Data Science

Background:

  • Retrospective analysis of COVID-19 (coronavirus disease 2019) in large-scale claims data is crucial for understanding disease burden.
  • Standardized methods are needed to accurately assess COVID-19 episode severity within these datasets.

Purpose of the Study:

  • To develop and validate a methodology for assigning COVID-19 severity levels using retrospective claims data.
  • To enable robust analysis of interventions, effectiveness, costs, and outcomes related to COVID-19.

Main Methods:

  • Utilized a national dataset of 19,761,754 individuals, including 692,094 with COVID-19 in 2020.
  • Adapted the World Health Organization (WHO) COVID-19 Progression Scale, identifying endpoints like symptoms, respiratory status, treatment, and mortality within claims.
  • Employed Centers for Disease Control and Prevention (CDC) guidance for case identification.

Main Results:

  • Developed a nine-level severity scale, classifying 709,846 individuals (3.6%).
  • Higher severity levels were significantly associated with older age groups (p < 0.001).
  • Increased severity correlated with higher mean and median healthcare costs. Demographic factors and comorbidity count also showed significant associations with severity.

Conclusions:

  • A standardized severity scale for COVID-19 in claims data is feasible and valuable.
  • This methodology facilitates research into the processes, effectiveness, efficiencies, costs, and outcomes of COVID-19 care.