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. 2022 Dec 8;8(12):e38158. doi: 10.2196/38158

Table 2.

Topic modeling for 2020 hospital admissions comparing 10 topics for 2 COVID-19 patient encounter subcohorts: those with unhealthy opioid use and those with no unhealthy opioid use (N=4110). Subcohorts were identified using the Substance Misuse and Referral to Treatment Artificial Intelligence (SMART-AI) digital classifier for opioid misuse [26]. The topic numbers are labels and do not reflect a ranking of topics.

Topic Concepts
Unhealthy opioid use (n=102)

1 Cardiopulmonary illnesses and social determinants of health

2 Opioid misuse comorbidities

3 Renal and cardiac pathologies, HIV-related terms

4 Neurological comorbidities with altered mental status

5 Neurological workups with cardiac disturbances

6 Critically ill/intensive care unit patients

7 Risk for overdose with cardiopulmonary and respiratory distress

8 Chronic opioid misuse with respiratory distress

9 Opioid overdose patients

10 Chronic illness and traumatic injury
No unhealthy opioid use (n=4008)

1 Classic COVID-19 hospitalization with severity

2 Sepsis-related, less clearly COVID-19 related

3 COVID-19 orders/procedures, moderate to severe neurological orders

4 Long-term intensive care unit patients

5 Chronic obstructive pulmonary disease

6 Interventions for acute respiratory failure

7 Very neurologically focused, less COVID-19 related

8 Chronic conditions associated with severe COVID-19

9 Less severe COVID-19 symptoms and measures

10 Chronic disease highly susceptible to COVID-19