Table 1.
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.