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Wastewater surveillance provides 10-days forecasting of COVID-19 hospitalizations superior to cases and test positivity:A prediction study
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作者 Dustin T.Hill Mohammed A.Alazawi +12 位作者 E.Joe Moran Lydia J.Bennett ian bradley Mary B.Collins Christopher J.Gobler Hyatt Green Tabassum Z.Insaf Brittany Kmush Dana Neigel Shailla Raymond Mian Wang Yinyin Ye David A.Larsen 《Infectious Disease Modelling》 CSCD 2023年第4期1138-1150,共13页
Background:The public health response to COVID-19 has shifted to reducing deaths and hospitalizations to prevent overwhelming health systems.The amount of SARS-CoV-2 RNA fragments in wastewater are known to correlate ... Background:The public health response to COVID-19 has shifted to reducing deaths and hospitalizations to prevent overwhelming health systems.The amount of SARS-CoV-2 RNA fragments in wastewater are known to correlate with clinical data including cases and hospital admissions for COVID-19.We developed and tested a predictive model for incident COVID-19 hospital admissions in New York State using wastewater data.Methods:Using county-level COVID-19 hospital admissions and wastewater surveillance covering 13.8 million people across 56 counties,we fit a generalized linear mixed model predicting new hospital admissions from wastewater concentrations of SARS-CoV-2 RNA from April 29,2020 to June 30,2022.We included covariates such as COVID-19 vaccine coverage in the county,comorbidities,demographic variables,and holiday gatherings.Findings:Wastewater concentrations of SARS-CoV-2 RNA correlated with new hospital admissions per 100,000 up to ten days prior to admission.Models that included wastewater had higher predictive power than models that included clinical cases only,increasing the accuracy of the model by 15%.Predicted hospital admissions correlated highly with observed admissions(r¼0.77)with an average difference of 0.013 hospitalizations per 100,000(95%CI¼[0.002,0.025])Interpretation:Using wastewater to predict future hospital admissions from COVID-19 is accurate and effective with superior results to using case data alone.The lead time of ten days could alert the public to take precautions and improve resource allocation for seasonal surges. 展开更多
关键词 COVID-19 hospitalizations Wastewater-based epidemiology Forecasting PREDICTION SARS-CoV-2
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