Predicting Myalgic Encephalomyelitis/Chronic Fatigue Syndrome from Early Symptoms of COVID-19 Infection , 2023, Hua et al

Discussion in 'ME/CFS research' started by Sly Saint, Oct 14, 2023.

  1. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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    Abstract
    It is still unclear why certain individuals after viral infections continue to have severe symptoms. We investigated if predicting myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) development after contracting COVID-19 is possible by analyzing symptoms from the first two weeks of COVID-19 infection. Using participant responses to the 54-item DePaul Symptom Questionnaire, we built predictive models based on a random forest algorithm using the participants’ symptoms from the initial weeks of COVID-19 infection to predict if the participants would go on to meet the criteria for ME/CFS approximately 6 months later. Early symptoms, particularly those assessing post-exertional malaise, did predict the development of ME/CFS, reaching an accuracy of 94.6%. We then investigated a minimal set of eight symptom features that could accurately predict ME/CFS. The feature reduced models reached an accuracy of 93.5%. Our findings indicated that several IOM diagnostic criteria for ME/CFS occurring during the initial weeks after COVID-19 infection predicted Long COVID and the diagnosis of ME/CFS after 6 months.

    https://www.mdpi.com/2624-8611/5/4/73
     
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  2. Trish

    Trish Moderator Staff Member

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    Questionniares were filled in online by about 300 people at about 6 months of self identified Long Covid. The data for their symptoms at 2 weeks after infection were based on recall filled in at the same time point as the 6 months data, not done at the time, so liable to a high degree of recall bias. This was basically a data analysis exercise, no medical examinations were done.

    And it used the DePaul questionnaire with its flawed questions on PEM that focus on fatigue immediately after exercise, not delayed malaise.

    I doubt anything useful can be concluded from this.
     
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  3. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

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    Agree. Direct quote from the article:

    "Participants were asked to complete two symptom questionnaires, one of which detailed “present” symptoms and the other “recalled” symptoms from the first two weeks after COVID-19 diagnosis, an average of 21.7 weeks prior."
    It would be interesting data if it came from a longitudinal cohort.
     
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  4. Simon M

    Simon M Senior Member (Voting Rights)

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    How is that not a straightforward reason for the journal to reject the paper?

    Added: journal information


    Psych
    Psych is an international, peer-reviewed, open access journal on psychiatric sciences and psychology, published quarterly online by MDPI.
     
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  5. Andy

    Andy Committee Member

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