Study protocol for the Innovative Support for Patients with SARS-COV-2 Infections Registry (INSPIRE): A longitudinal study of the medium and long-term sequelae of SARS-CoV-2 infection

  • Kelli N. O'Laughlin
  • , Matthew Thompson
  • , Bala Hota
  • , Michael Gottlieb
  • , Ian D. Plumb
  • , Anna Marie Chang
  • , Lauren E. Wisk
  • , Aron J. Hall
  • , Ralph C. Wang
  • , Erica S. Spatz
  • , Kari A. Stephens
  • , Ryan M. Huebinger
  • , Samuel A. McDonald
  • , Arjun Venkatesh
  • , Nikki Gentile
  • , Benjamin H. Slovis
  • , Mandy Hill
  • , Sharon Saydah
  • , Ahamed H. Idris
  • , Robert Rodriguez
  • Harlan M. Krumholz, Joann G. Elmore, Robert A. Weinstein, Graham Nichol

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Background Reports on medium and long-term sequelae of SARS-CoV-2 infections largely lack quantification of incidence and relative risk. We describe the rationale and methods of the Innovative Support for Patients with SARS-CoV-2 Registry (INSPIRE) that combines patientreported outcomes with data from digital health records to understand predictors and impacts of SARS-CoV-2 infection. Methods INSPIRE is a prospective, multicenter, longitudinal study of individuals with symptoms of SARS-CoV-2 infection in eight regions across the US. Adults are eligible for enrollment if they are fluent in English or Spanish, reported symptoms suggestive of acute SARS-CoV-2 infection, and if they are within 42 days of having a SARS-CoV-2 viral test (i.e., nucleic acid amplification test or antigen test), regardless of test results. Recruitment occurs in-person, by phone or email, and through online advertisement. A secure online platform is used to facilitate the collation of consent-related materials, digital health records, and responses to self-administered surveys. Participants are followed for up to 18 months, with patientreported outcomes collected every three months via survey and linked to concurrent digital health data; follow-up includes no in-person involvement. Our planned enrollment is 4,800 participants, including 2,400 SARS-CoV-2 positive and 2,400 SARS-CoV-2 negative participants (as a concurrent comparison group). These data will allow assessment of longitudinal outcomes from SARS-CoV-2 infection and comparison of the relative risk of outcomes in individuals with and without infection. Patient-reported outcomes include self-reported health function and status, as well as clinical outcomes including health system encounters and new diagnoses. Results Participating sites obtained institutional review board approval. Enrollment and follow-up are ongoing. Conclusions This study will characterize medium and long-term sequelae of SARS-CoV-2 infection among a diverse population, predictors of sequelae, and their relative risk compared to persons with similar symptomatology but without SARS-CoV-2 infection. These data may inform clinical interventions for individuals with sequelae of SARS-CoV-2 infection.

Original languageEnglish (US)
Article numbere0264260
JournalPloS one
Volume17
Issue number3 March
DOIs
StatePublished - Mar 2022
Externally publishedYes

ASJC Scopus subject areas

  • General

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