Impact of the COVID-19 Pandemic on the Epidemiological Situation of Pulmonary Tuberculosis–Using Natural Language Processing

Author:

Morena Diego12,Campos Carolina1,Castillo María1,Alonso Miguel1,Benavent María3ORCID,Izquierdo José Luis14ORCID

Affiliation:

1. Servicio de Neumología, Hospital Universitario de Guadalajara, 19002 Guadalajara, Spain

2. Programa de Doctorado en Ciencias de la Salud, Universidad de Alcalá, 28801 Madrid, Spain

3. SAVANA, Medsavana S.L., 28013 Madrid, Spain

4. Departamento de Medicina y Especialidades Médicas, Universidad de Alcalá, 28801 Madrid, Spain

Abstract

Background: We aimed to analyze the impact of the COVID-19 pandemic on pulmonary tuberculosis (TB) using artificial intelligence. To do so, we compared the real-life situation during the pandemic with the pre-2020 situation. Methods: This non-interventional, retrospective, observational study applied natural language processing to the electronic health records of the Castilla-La Mancha region of Spain. The analysis was conducted from January 2015 to December 2020. Results: A total of 2592 patients were diagnosed with pulmonary tuberculosis; 64.6% were males, and the mean age was 53.5 years (95%CI 53.0–54.0). In 2020, pulmonary tuberculosis diagnoses dropped by 28% compared to 2019. In total, 62 (14.2%) patients were diagnosed with COVID-19 and pulmonary tuberculosis coinfection in 2020, with a mean age of 52.3 years (95%CI 48.3–56.2). The main symptoms in these patients were dyspnea (27.4%) and cough (35.5%), although their comorbidities were no greater than patients with isolated TB. The female sex was more frequently affected, representing 53.4% of this patient subgroup. Conclusions: During the first year of the COVID-19 pandemic, a decrease was observed in the incidence of pulmonary tuberculosis. Women presented a significantly higher risk for pulmonary tuberculosis and COVID-19 coinfection, although the symptoms were not more severe than patients diagnosed with pulmonary tuberculosis alone.

Funder

Chair of inflamatory Diseases of Airways, University of Alcalá

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference28 articles.

1. World Health Organization (2023, October 25). Pulse Survey on Continuity of Essential Health Services During the Covid-19 Pandemic. Available online: https://www.who.int/teams/integrated-health-services/monitoring-health-services/global-pulse-survey-on-continuity-of-essential-health-services-during-the-covid-19-pandemic.

2. World Health Organization (2023, October 25). Global Tuberculosis Report 2022. Available online: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022.

3. Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services January–April 2020;Migliori;Emerg. Infect. Dis.,2020

4. World Health Organization (2023, October 25). Impact of the COVID-19 Pandemic on TB Detection and Mortality in 2020. Available online: https://www.who.int/publications/m/item/impact-of-the-covid-19-pandemic-on-tb-detection-and-mortality-in-2020.

5. Decline of Tuberculosis Rates and COVID-19 Pandemic. Fact or Fiction?;Bastida;Arch. Bronconeumol.,2022

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