DECOVID V1 [COVID-19]

  • Research type

    Research Database

  • IRAS ID

    282225

  • Contact name

    Elizabeth Sapey

  • Contact email

    e.sapey@bham.ac.uk

  • Research summary

    De-coding COVID-19 [COVID-19]

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    20/HRA/1689

  • Date of REC Opinion

    3 Apr 2020

  • REC opinion

    Favourable Opinion

  • Data collection arrangements

    The DECOVID database will collect in-depth, health data from patients admitted to hospital during the COVID-19 pandemic. \n\nThe health data collected will come from electronic health records and will include care processes (when people came into hospital, who they saw, what tests were ordered, and which wards people went to) acuity data ( a measure of how unwell people are which looks at how the bodies organs are working) investigations (what tests were sent and what were the results), treatments and outcomes. \n\nUniquely, this will include serial data, taking all the health data from each day of each admission, making the most complete record of COVID-19 care globally.\n\nThe health data will be pseudonymised, meaning you need to a code to the link the health data to an individual patient. This pseudonymised data will be held in a secure, private and limited access cloud system run by \nIMicrosoft Azure \n\nFor non-UHB trusts, either the data controller will pseudonymise data at the local site and provide this to UHB (who will become the data controller); or if the non-UHB trust is unable to perform pseudonymisation, identifiable data will be sent in a selected and staged manner to the private and limited access Microsoft Azure UHB cloud. At this point, UHB becomes the data controller and will perform pseudonymisation. \n\nHere the data remains until an approved request is received. The pseudonymised data will be refreshed with data up-dates to gather more longitudinal data and an increased number of patients’ data, but only data which cannot be linked to the patient will be shared with researchers to help answer critical questions about COVID-19.

  • Research programme

    The very scale of the COVID-19 pandemic could also provide the means to quickly understand the effects of this viral illness across the population. By understanding both the acute care experience and long term health needs of patients during the COVID-19 pandemic, there is an opportunity to identify critical points in delivery pathways where new approaches, treatments and devices might revolutionise care. \n\nThis would offer significant benefits to the care of individuals, especially those admitted to hospital during the COVID-19 pandemic, when hospitals are struggling to meet the clinical needs of patients. This is especially true of patients with complex care needs and multiple health conditions, where disease outcome and course are harder to predict and outcomes following ventilation generally poor.\n\nThe potential utility of the DECOVID dataset is vast, with potential benefits including:\n1.\tBetter prognostication markers for patients on first presentation and during the course of illness while an in patient\n2.\tPathway innovation to tackle diagnostic delay \n3.\tModelling of the impact of age, multi-morbidity and poly-pharmacy within the ethnically diverse UK population \n4.\tIdentifying specific populations of risk of poorer outcomes and those most likely to respond to new therapies\n5.\tAccess outcomes of various treatment strategies employed in a new disease providing knowledge gained from a natural ‘experiment’ outside the confines of a formal clinical trial\n\nAnd to the wider community\n1.\tUp skill the workforce in health data\n2.\tEnable NHS data to solve our own healthcare challenges\n3.\tHave first access to health innovation across providers\n

  • Research database title

    De-coding COVID-19 [COVID-19]

  • Establishment organisation

    University Hospitals Birmingham NHS Foundation Trust

  • Establishment organisation address

    Mindelsohn Way

    Edgbaston

    Birmingham, West Midlands, UK

    B15 2TH