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. 2021 Aug 17;9(12):1467–1478. doi: 10.1016/S2213-2600(21)00286-1

Table 1.

20 highest-ranked research ideas according to their overall RPS and AEA

Research idea Subtheme Answerability Feasibility Timeliness Burden Equity RPS AEA (%)
1 Investigation of the correlation between prognostic scores using the ISARIC 4C Mortality Score* at hospital admission and morbidity at 3 months and 12 months after hospital discharge in patients with and without pre-existing airways disease 1 1·00 1·00 0·98 0·56 0·78 0·864 83·8
2 Assessment of whether 3-month and 6-month post-COVID-19 fatigue, sarcopenia, anxiety, and depression scores are worse in patients with pre-existing airways disease than in those without pre-existing airways disease, and whether any difference is significant when adjusted for severity of in-patient disease 1 0·96 0·91 0·96 0·66 0·77 0·852 84·6
3 Investigation of whether patients treated for acute COVID-19 with pre-existing airways disease are at higher risk of future cardiovascular complications (eg, myocardial infarction or stroke at 6 months and 12 months after hospital discharge) than those without pre-existing airways disease 3 0·95 0·90 0·94 0·65 0·81 0·849 81·7
4 Identification of the predictors of hospital readmission after COVID-19 in patients with pre-existing airways disease compared with those without pre-existing airways disease 1 0·93 0·88 0·89 0·71 0·83 0·847 83·3
5 Development and validation of tools for remote monitoring of symptoms, and for self-monitoring of symptoms, especially in patients with pre-existing airways disease 5 0·89 0·88 0·90 0·76 0·78 0·841 82·1
6 Investigation of the incidence of and risk factors for new-onset symptomatic obstructive airways disease after COVID-19, defined clinically or with objective diagnostic tests (eg, spirometry and CT imaging at 3 months and 12 months after hospital discharge) 1 0·97 0·91 0·91 0·64 0·77 0·840 80·8
7 Assessment of whether recovery from severe COVID-19 pneumonia is worse for current smokers with COPD than for non-smokers with COPD 1 0·98 0·90 0·96 0·60 0·76 0·838 80·8
8 Comparison of the clinical efficacy and cost-effectiveness of exercise and education-based rehabilitation to improve health status with standard care in patients with pre-existing airways disease 2 0·90 0·81 0·89 0·74 0·81 0·828 82·1
9 Examination of the benefits of progressive or bespoke exercise rehabilitation delivered live or virtually for patients with airways disease and persistent symptoms or physical limitations after hospital discharge 2 0·92 0·87 0·86 0·74 0·74 0·826 81·3
10 Assessment of whether outcomes of patients admitted to hospital with acute COVID-19 and pre-existing airways disease treated with pre-COVID-19 long-term anticoagulants are better than for those not treated with long-term anticoagulants (eg, using in-patient length of stay, discharge rates, and long COVID-19 markers at 3 months, 6 months, and 12 months after hospital discharge) 3 0·90 0·88 0·90 0·63 0·81 0·825 77·5
11 Investigation of the effects of ethnicity on recovery of patients admitted to hospital with COVID-19 and pre-existing asthma or COPD 1 0·95 0·90 0·95 0·56 0·75 0·819 77·1
12 Examination of whether use of inhaled corticosteroids in the preceding 12 months by patients with pre-existing airways disease is associated with greater in-patient COVID-19 disease burden (eg, on the SOFA score, length of hospital stay, or ventilation status) or increased post-COVID-19 rates of fatigue or sarcopenia 1 0·94 0·88 0·88 0·67 0·71 0·817 77·5
13 Identification of the predictors of a new diagnosis of bronchiectasis after COVID-19 on CT scans at 6 months after hospital discharge (eg, disease severity, length of stay, clinical history of sputum production, or sputum microbiology at ≥3 months) 3 0·93 0·84 0·91 0·60 0·76 0·808 72·9
14 Assessment of the effects of nutritional status (nutritional depletion or obesity) on recovery from COVID-19 in patients with airways disease and whether this can be modified by nutritional interventions 1 0·87 0·79 0·80 0·78 0·78 0·804 77·9
15 Estimation of the incidence of pulmonary embolism up to 1 year after acute COVID-19 1 0·95 0·95 0·98 0·47 0·67 0·802 78·8
16 Comparison of rates of return to work at 6 months and 12 months between patients admitted to hospital with COVID-19 with and without pre-existing airways disease 4 0·96 0·93 0·95 0·51 0·66 0·802 78·3
17 Examination of whether changes on chest x-ray and CT scans in patients with COVID-19 correlate with subsequent long-term symptoms and outcomes 3 0·96 0·95 0·82 0·57 0·68 0·796 76·3
18 Examination of whether patients with asthma and COPD who have had severe COVID-19 pneumonia develop additional long-term restrictive lung function impairment after recovery 3 0·94 0·88 0·82 0·56 0·76 0·793 77·9
19 Identification of the characteristics of patients with pre-existing airways disease that predict the need for non-invasive ventilation 1 0·91 0·89 0·93 0·48 0·74 0·791 77·1
20 Investigation of the effects of type and duration of anticoagulation treatment given after venous thromboembolism or as prophylaxis in patients admitted to hospital with COVID-19 and pre-existing airways disease 2 0·92 0·82 0·82 0·59 0·75 0·780 72·5

See main text for definition of subthemes. Scores for the predefined priority-setting criteria are also presented. AEA=average expert agreement. COPD=chronic obstructive pulmonary disease. ISARIC=International Severe Acute Respiratory and emerging Infections Consortium.34 RPS=research priority score. SOFA=Sequential Organ Failure Assessment.

*

A risk stratification score used to predict in-hospital mortality for patients with COVID-19.