Mapping each pre-existing condition’s association to short-term and long-term COVID-19 complications

March 26,2021

Dec. 04, 2020

Abstract: Understanding the relationships between pre-existing conditions and complications of COVID-19 infection is critical to identifying which patients will develop severe disease. Here, we leverage 1.1 million clinical notes from 1,903 hospitalized COVID-19 patients and deep neural network models to characterize associations between 21 pre-existing conditions and the development of 20 complications (e.g. respiratory, cardiovascular, renal, and hematologic) of COVID-19 infection throughout the course of infection (i.e. 0-30 days, 31-60 days, and 61-90 days). Pleural effusion was the most frequent complication of early COVID-19 infection (23% of 383 complications) followed by cardiac arrhythmia (12% of 383 complications). Notably, hypertension was the most significant risk factor associated with 10 different complications including acute respiratory distress syndrome, cardiac arrhythmia and anemia. Furthermore, novel associations between cancer (risk ratio: 3, p=0.02) or immunosuppression (risk ratio: 4.3, p=0.04) with early-onset heart failure have also been identified. Onset of new complications after 30 days is rare and most commonly involves pleural effusion (31-60 days: 24% of 45 patients, 61-90 days: 25% of 36 patients). Overall, the associations between pre-COVID conditions and COVID-associated complications presented here may form the basis for the development of risk assessment scores to guide clinical care pathways.

AJ Venkatakrishnan1+Colin Pawlowski1+David Zemmour1Travis Hughes1Akash Anand2Gabriela Berner1Nikhil Kayal1Arjun Puranik1Ian Conrad1Sairam Bade2Rakesh Barve2, Purushottam Sinha2J, John C. O’Horo1, Andrew D. Badley3, Venky Soundararajan1
1nference, Cambridge, MA 02142, USA
2nference Labs, Bengaluru, KA 560047, India
3Mayo Clinic, Rochester, MN 55905, USA
Correspondence: Venky Soundararajan (
Correspondence: Andrew D Badley (
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