SEARCH · Search NASA

Results for “Logistic Regression”

Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

SourceResearch connectionFrom yearThrough year

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 109 records · Page 6

All sources NASA NTRS DOE OSTI

DOE OSTI2023

Machine learning assisted phase and size-controlled synthesis of iron oxide particles

Synthesis of iron oxides with specific phases and particle sizes is a crucial challenge in various fields, including materials science, energy storage, biomedical applications, environmental science, and earth science. However, despite significant advances in this area, much of the current palette of particle outcomes has been based on time-consuming trial-and-error exploration of synthesis conditions. The present study was designed to explore a very different approach to 1) predict the outcome of synthesis from specified reaction parameters based on using machine learning (ML) techniques, and 2) correlate sets of parameters to obtain products with desired outcomes by a newly designed recommendation algorithm. To achieve this, four ML algorithms were tested, namely random forest, logistic regression, support vector machine, and k-nearest neighbor. Among the models, random forest outperformed the others, attaining 96% and 81% accuracy when predicting the phase and size of iron oxide particles in the test dataset. Surprisingly, the permutation feature importance analysis revealed that volume, which may strongly relate to pressure, was one of the important features, along with precursor concentration, pH, temperature, and time, influencing the phase and size of iron oxide particles during synthesis. To verify the robustness of the random forest models, prediction and experimental results were compared based on 24 randomly generated methods in additive and non-additive systems not included in the datasets. The predictions of product phase and particle size from the models agreed well with the experimental results. Furthermore, a searching and ranking algorithm was developed to recommend potential synthesis parameters for obtaining iron oxide products with the desired phase and particle size from previous studies in the dataset. Furthermore, this study lays the foundation for a closed-loop approach in materials synthesis and preparation, beginning with suggesting potential reaction parameters from the dataset and predicting potential outcomes, followed by conducting experiments and analyses, and ultimately enriching the dataset.

37 INORGANIC, ORGANIC, PHYSICAL, AND ANALYTICAL CH↗

DOE OSTI2026

Lethality is Local, but Survival is Systemic: Temporal and Multi-Organ Responses to Chlorine Gas Exposure in a Murine Model

Chlorine gas (Cl2) is a highly toxic chemical associated with both localized lung injury and systemic health effects. While pulmonary damage has been well characterized, the systemic inflammatory and metabolic responses remain poorly understood. We aimed to define the temporal and multi-organ responses to Cl2 exposure in a murine model, with a focus on identifying spatiotemporal inflammation and its impact on survival and lethality. SKH1 mice were exposed for 10 min to varying concentrations of Cl2 (94.4–810 ppm, representative of non-lethal, LD10, and LD50 doses) and monitored for respiratory function, perfusion, and acidosis using organ-specific imaging. At multiple time points (40 min, 6 h, 24 h, and 7 d), we measured phosphoproteins, cytokines, chemokines, growth factors, and metabolic hormones in the lungs, heart, cortex, and plasma. Statistical modeling and logistic regression were used to identify biomarkers associated with lethality and survival. We found that lung injury was the primary cause of potential lethality, particularly via early phosphoprotein signaling disruptions. However, survival correlated with early systemic coordination of inflammatory and metabolic signals across organs. Perfusion and acidosis imaging were strongly associated with chemokine and hormone responses. Key survival-associated plasma biomarkers included decreased insulin, increased ghrelin, and decreased eotaxin. While potential lethality from Cl2 exposure is locally driven by pulmonary injury, survival depends on systemic, multi-organ responses that occur rapidly post-exposure. Within this model, our findings identify a potential therapeutic window to enhance survival and suggest candidate biomarkers that may be explored translationally for both triage and treatment of chlorine-related incidents.

chlorine gas↗

DOE OSTI2023

Predictive models of long COVID

Background: The cause and symptoms of long COVID are poorly understood. It is challenging to predict whether a given COVID-19 patient will develop long COVID in the future. Methods: We used electronic health record (EHR) data from the National COVID Cohort Collaborative to predict the incidence of long COVID. We trained two machine learning (ML) models — logistic regression (LR) and random forest (RF). Features used to train predictors included symptoms and drugs ordered during acute infection, measures of COVID-19 treatment, pre-COVID comorbidities, and demographic information. We assigned the ‘long COVID’ label to patients diagnosed with the U09.9 ICD10-CM code. The cohorts included patients with (a) EHRs reported from data partners using U09.9 ICD10-CM code and (b) at least one EHR in each feature category. We analysed three cohorts: all patients (n = 2,190,579; diagnosed with long COVID = 17,036), inpatients (149,319; 3,295), and outpatients (2,041,260; 13,741). Findings: LR and RF models yielded median AUROC of 0.76 and 0.75, respectively. Ablation study revealed that drugs had the highest influence on the prediction task. The SHAP method identified age, gender, cough, fatigue, albuterol, obesity, diabetes, and chronic lung disease as explanatory features. Models trained on data from one N3C partner and tested on data from the other partners had average AUROC of 0.75. Interpretation: ML-based classification using EHR information from the acute infection period is effective in predicting long COVID. SHAP methods identified important features for prediction. Cross-site analysis demonstrated the generalizability of the proposed methodology.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2026

Independent and interactive effects of wet bulb globe temperature and air pollution exposures on suicide mortality

Background: Individual components of the ambient environment, such as temperature and air pollution, exist as part of a complex mixture and have been associated with suicide; however, their interactive effects remain poorly understood. This study examined the independent and interactive effects of wet bulb globe temperature (WBGT), nitrogen dioxide (NO 2 ), and fine particulate matter (PM 2.5 ) on suicide mortality. Methods: We identified 7,551 suicide cases in Utah, USA, from 2000 to 2016 and assigned exposure to daily maximum WBGT (sourced from the European Center for Medium-Range Weather Forecasts) and PM 2.5 and NO 2 concentrations (sourced from a national spatiotemporal ensemble model) using decedent’s residential address at the time of death. A case-crossover design with conditional logistic regression was used to estimate the independent and interactive effects of WBGT max , PM 2.5 , and NO 2 on suicide. For exposure windows, we considered single days preceding suicide (lag 0 to 6) and their averages across preceding days (lag 0–1, 0–3, and 0–6). Analyses were stratified by season. Results: We identified a significant association between WBGT max and suicide across all seasons (odds ratio [OR] = 1.05, 95% confidence interval [CI]: 1.01, 1.10; per 5 °C increase on lag 0–3 days). The associations were stronger in the warm season (March 22 to September 21), with ORs and 95% CIs ranging from 1.08 (1.02, 1.15) to 1.20 (1.10, 1.30) per 5 °C increase depending on the lag periods. We observed synergistic interactions between WBGT max and PM 2.5 and NO 2 in the warm season, associated with higher odds of suicide. The associations of WBGT max with suicide were most pronounced at high NO 2 levels. Conclusions: We found evidence of synergistic interactions between WBGT max and PM 2.5 and NO 2 on suicide in the warm season, emphasizing the need for considering the combined effects of heat stress and air pollution in suicide prevention strategies.

Fine particulate matter↗

DOE OSTI2023

Spatiotemporal features of traffic help reduce automatic accident detection time

Quick and reliable automatic detection of traffic accidents is of paramount importance to save human lives in transportation systems. However, automatically detecting when accidents occur has proven challenging, and minimizing the time to detect accidents (TTDA) by using traditional features in machine learning (ML) classifiers has plateaued. We hypothesize that accidents affect traffic farther from the accident location than previously reported. Therefore, leveraging traffic signatures from neighboring sensors that are adjacent to accidents should help improve their detection. We confirm this hypothesis by using verified ground-truth accident data, traffic data from radar detection system sensors, and light and weather conditions and show that we can minimize the TTDA while maximizing classification performance by considering spatiotemporal features of traffic. Specifically, we compare the performance of different ML classifiers (i.e, logistic regression, random forest, and XGBoost) when controlling for different numbers of neighboring sensors and TTDA horizons. We use data from interstates 75 and 24 in the metropolitan area that surrounds Chattanooga, TN. Our results show that the XGBoost classifier produces the best results by detecting accidents as quickly as 1.0 min after their occurrence with an area under the receiver operating characteristic curve of up to 83% and an average precision of up to 49%. We describe limitations, open challenges, and how the proposed framework can be used for quicker operational accident detection.

33 ADVANCED PROPULSION SYSTEMS↗

DOE OSTI2025

Parallel sorting algorithm classification: is manual instrumentation necessary?

Understanding parallel algorithms is crucial for accelerating scientific simulations on complex, distributed memory, high-performance computers. Modern algorithm classification approaches learn semantics directly from source code to differentiate between algorithms, however, accessing source code is not always possible. We can learn about parallel algorithms from observing their performance, as programs running the same algorithms and using the same hardware should exhibit similar performance characteristics. We present an approach to learn algorithm classes from parallel performance data directly in order to classify algorithms without access to the source code. We extend previous work to enable classifying parallel sorting algorithms using automatic instrumentation instead of requiring manual region annotations in the source code. In this work, we design and demonstrate a study for classification of parallel sorting algorithms using parallel performance data collected from automatic instrumentation, and evaluate the performance of our new methodology on classification. We leverage Caliper to collect the performance data, Thicket for our exploratory data analysis (EDA), and PyTorch and Scikit-learn to evaluate the effectiveness of random forests, support vector machines (SVMs), decision trees, neural networks, and logistic regressions on parallel performance data. Additionally, we study noise in parallel performance data, whether the removal of noise and pre-processing of the data is necessary to accurately classify parallel sorting algorithms, and determine the effectiveness of features created from performance data. In conclusion, we demonstrate classification accuracy for these five different models of up to 97.7% across four different parallel algorithm classes.

Algorithm Classification↗

DOE OSTI2026

Investigating the Determinants of Household Capabilities Burden During Power Outages: The Case of Winter Storm Uri

Existing research primarily uses census data to identify the vulnerability of communities to hazards. These vulnerability indices provide aggregated data and are not hazard-specific nor well-validated with post-event data. In contrast, our study uses household survey data (n=1065) to understand which Texan households suffered the greatest loss of their capabilities due to power outages and other utility service disruptions during Winter Storm Uri. Inspired by the Capabilities Approach, our measures of burden include the number of household capability types disrupted during the outages (e.g., cooking, heating, refrigeration), the severity of impact for each disrupted capability, and the additional time and financial costs of coping with these disruptions. We perform a clustering analysis, and find two distinct groups in our data, consisting of ‘lesser burden' and ‘heavier burden' households. Results indicate that the households experiencing the heaviest capabilities burden were most likely to experience longer power outages and the loss of water services. They were also more likely to have a Hispanic-Latino household member, lack access to a generator, live in a rented home, have larger households with more young children, fewer adults over 65, lower household incomes, been impacted by the COVID-19 pandemic, and more family characteristics that made life harder. We also fit a logistic regression model to assess the role of outage, household, and community characteristics in predicting differences in capabilities burden. Our results offer insights into enumerating the consequences of utility service disruptions on households, which can inform more targeted and equitable resilience strategies.

24 POWER TRANSMISSION AND DISTRIBUTION↗

DOE OSTI2021

Ride-hailing and taxi versus walking: Long term forecasts and implications from large-scale behavioral data

Introduction: Although ride-hailing and taxi trips can potentially reduce single-occupant vehicle trips and auto ownership, they can also replace pedestrian trips. Because physical activity is associated with improved health outcomes, the extent to which ride-hailing and taxi travel captures walking's mode share is of interest to policymakers. Methods: Based on large-scale behavioral data from the 2017 U.S. National Household Travel Survey, this paper reports on the development of a full Bayesian logistic regression model for determining the mode split between (1) ride-hailing and taxi and (2) walk while accounting for unobserved heterogeneity. The results from the stand-alone model inform two longer-term travel forecasting scenarios: a) higher risk of walk trips converting to ride-hailing and taxi, specifically in the future with high prevalence of automated vehicles, b) higher probability of such trips remaining as walking. Results: The results revealed that some of the important characteristics that increase the likelihood of a traveler using the ride-hailing and taxi mode versus walking include having a longer trip, using a smartphone to access the internet, having an interest in technologies, having a medical condition, and living in a metropolitan area with rail access. Further, the results from the first scenario suggest that an overall increase of up to 2.9% in the ride-hailing and taxi mode share may be expected. The second scenario shows that between 68% and 76% of ride-hailing and taxi trips could be diverted to walking if supportive pedestrian infrastructure were provided in the case study locations. The planning process can be adapted to consider not only congestion, crash, and emissions impacts of such shifts but also the effects of a loss of physical activity. Conclusions: The study findings show how the ride-hailing and taxi mode competes with walking. Further, the findings enable planners to update their regional travel forecasting models; policy makers can thus encourage active travel by prioritizing pedestrian infrastructure investments that may divert ride-hailing and taxi trips to walking. However, equity should be a key consideration to ensure that addressing the competition between these two modal choices does not hinder the provision of pedestrian facilities in communities that depend on walking.

99 GENERAL AND MISCELLANEOUS↗

DOE OSTI2025

Unlocking nighttime mobility: Land use and accessibility in public transit for night commuters

Night commuters are integral to urban transportation systems. Essential services such as healthcare and manufacturing rely on workers who travel at night, and reliable mobility options are crucial for them. A gap exists in understanding how land use and accessibility influence public transportation use among night commuters. This study addresses this gap by using public data to explore land use and accessibility factors that affect night commuters' public transportation use in New York State. We investigated (1) the demographic characteristics of night commuters; (2) the influence of land use and accessibility on nighttime public transportation use; and (3) potential improvements to increase public transportation use and their impact. We combined data from the National Household Travel Survey with the Smart Location Database to link home locations with land use characteristics. Using logistic regression, we found that although females are generally less likely to be night commuters, they are more likely to use public transportation. Longer commute distances are associated with higher use of public transportation. Increasing job density along fixed-guideway transit routes and improving overall job accessibility via public transportation significantly enhances public transportation use among night commuters. In conclusion, this research provides actionable insights for public transportation agencies and urban planners to support night commuters, improving access and encouraging nighttime employment.

Job accessibility↗

DOE OSTI2020

Evaluating 239 Pu(n,f) cross sections via machine learning using experimental data, covariances, and measurement features

In this paper, the neutron-induced 239 Pu fission cross section, 239 Pu(n,f), is evaluated from 1–20 MeV using experimental data and associated covariances while also considering information on the measurement, termed features here. For instance, methods to determine the background, sample backing material, or impurities in the sample, are explicitly taken into account in the evaluation process. To this end, outliers in the experimental data are identified with a modified version of the Hybrid Robust Support Vector Machine. In a second step, two machine learning methods (logistic regression with elastic net regularization and random forest regression with SHAP feature importance metric) are used to highlight measurement features that are common among many of the outlying data points. Based on this analysis, penalty uncertainties are added to the experimental covariances of outlying data points that have outlier measurement features and are put through the generalized-least-squares evaluation. The resulting evaluated mean values and covariances differ distinctly from those data evaluated without the penalty uncertainties. These results highlight that certain measurement features should be more closely examined.

46 INSTRUMENTATION RELATED TO NUCLEAR SCIENCE AND ↗

DOE OSTI2023

Public perceptions of wave energy development on the west coast of North America: Risks, benefits, and coastal attachment

While solar and wind energy continue to grow as significant sources of renewable energy, a global energy transition away from fossil fuels will require an expanding portfolio of generating resources. Marine renewable energy has the potential to contribute greatly in the coming decades, as the more predictable nature of wave energy can support the resiliency of the power grid and complement solar and inland wind generation. Yet, the broad deployment of marine energy technologies like wave energy will depend on public support, making it critical to identify the relevant factors associated with public attitudes and risk/benefit perceptions. This paper draws on social representations theory to specifically examine perceptions of wave energy on the west coast of North America, a site chosen because of the high suitability for wave energy generation and the fact that one of only three wave energy test sites in the world is under development off the coast of Oregon. Using an online survey in June 2020, we recruited a sample of 2000 respondents from California, Oregon, Washington, and British Columbia. We found a majority of respondents held positive attitudes to wave energy, but respondents also had low familiarity – with a quarter of respondents lacking sufficient information to form an opinion. We used logistic regression to identify factors correlated with wave energy attitudes, finding that respondents who were more supportive of wind and solar energy, more optimistic about new technology, and reported more familiarity with wave energy were significantly more likely to have a positive impression of wave energy. Respondents with higher levels of place attachment to coastal areas were more split, as they perceived higher benefits of wave energy – but also higher risks. Our results indicate broad appeal of wave energy on the west coast, but we caution policymakers and developers to not take initial siting processes for granted. As experience has shown for offshore wind, broad appeal does not guarantee a smooth siting process in a local context. Furthermore, the role of place attachment to coastal areas must be taken seriously or risk alienating local communities.

16 TIDAL AND WAVE POWER↗

DOE OSTI2025

Confidence-weighted integration of human and machine judgments for superior decision-making

Large language models (LLMs) can surpass humans in certain forecasting tasks. What role does this leave for humans in the overall decision process? One possibility is that humans, despite performing worse than LLMs, can still add value when teamed with them. A human and machine team can surpass each individual teammate when team members’ confidence is well calibrated and team members diverge in which tasks they find difficult (i.e., calibration and diversity are needed). We simplified and extended a Bayesian approach to combining judgments using a logistic regression framework that integrates confidence-weighted judgments for any number of team members. Using this straightforward method, we demonstrated its effectiveness in both image classification and neuroscience forecasting tasks. Combining human judgments with one or more machines consistently improved overall team performance. Our hope is that this simple and effective strategy for integrating the judgments of humans and machines will lead to productive collaborations.

97 MATHEMATICS AND COMPUTING↗

DOE OSTI2023

Using electronic health record metadata to predict housing instability amongst veterans

Housing instability is considered a significant life stressor and preemptive screening should be applied to identify those at risk for homelessness as early as possible so that they can be targeted for specialized care. We developed models to classify patient outcomes for an established VA Homelessness Screening Clinical Reminder (HSCR), which identifies housing instability, in the two months prior to its administration. Logistic Regression and Random Forest models were fit to classify responses using the last 18 months of document activity. We measure concentration of risk across stratifications of predicted probability and observe an enriched likelihood of finding confirmed false negative responses from veterans with diagnosed housing instability. Positive responses were 34 times more likely to be detected within the top 1 % of patients predicted at risk than from those randomly selected. There is a 1 in 4 chance of detecting false negatives within the top 1 % of predicted risk. Machine learning methods can classify between episodes of housing instability using a data-driven approach that does not rely on variables curated from domain experts. This method has the potential to improve clinicians’ ability to identify veterans who are experiencing housing instability but are not captured by HSCR.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2023

Polychlorinated biphenyls, polychlorinated dibenzo- p -dioxins, polychlorinated dibenzofurans, pesticides, and diabetes in the Anniston Community Health Survey follow-up (ACHS II): single exposure and mixture analysis approaches

Dioxins and dioxin-like compounds measurements were added to polychlorinated biphenyls (PCBs) and organochlorine pesticides to expand the exposure profile in a follow-up to the Anniston Community Health Survey (ACHS II, 2014) and to study diabetes associations. Participants of ACHS I (2005–2007) still living within the study area were eligible to participate in ACHS II. Diabetes status (type-2) was determined by a doctor's diagnosis, fasting glucose ≥125 mg/dL, or being on any glycemic control medication. Incident diabetes cases were identified in ACHS II among those who did not have diabetes in ACHS I, using the same criteria. Thirty-five ortho-substituted PCBs, 6 pesticides, 7 polychlorinated dibenzo-p-dioxins (PCDD), 10 furans (PCDF), and 3 non-ortho PCBs were measured in 338 ACHS II participants. Dioxin toxic equivalents (TEQs) were calculated for all dioxin-like compounds. Main analyses used logistic regression models to calculate odds ratios (OR) and 95 % confidence intervals (CI). In models adjusted for age, race, sex, BMI, total lipids, family history of diabetes, and taking lipid lowering medication, the highest ORs for diabetes were observed for PCDD TEQ: 3.61 (95 % CI: 1.04, 12.46), dichloro-diphenyl dichloroethylene (p,p’-DDE): 2.07 (95 % CI 1.08, 3.97), and trans-Nonachlor: 2.55 (95 % CI 0.93, 7.02). The OR for sum 35 PCBs was 1.22 (95 % CI: 0.58–2.57). To complement the main analyses, we used BKMR and g-computation models to evaluate 12 mixture components including 4 TEQs, 2 PCB subsets and 6 pesticides; suggestive positive associations for the joint effect of the mixture analyses resulted in ORs of 1.40 (95% CI: -1.13, 3.93) for BKMR and 1.32 (95% CI: -1.12, 3.76) for g-computation. Furthermore, the mixture analyses provide further support to previously observed associations of trans-Nonachlor, p,p’- DDE, PCDD TEQ and some PCB groups with diabetes.

60 APPLIED LIFE SCIENCES↗

DOE OSTI2023

Bullying among children with heart conditions, National Survey of Children’s Health, 2018–2020

Abstract Children with chronic illnesses report being bullied by peers, yet little is known about bullying among children with heart conditions. Using 2018–2020 National Survey of Children’s Health data, the prevalence and frequency of being bullied in the past year (never; annually or monthly; weekly or daily) were compared between children aged 6–17 years with and without heart conditions. Among children with heart conditions, associations between demographic and health characteristics and being bullied, and prevalence of diagnosed anxiety or depression by bullying status were examined. Differences were assessed with chi-square tests and multivariable logistic regression using predicted marginals to produce adjusted prevalence ratios and 95% confidence intervals. Weights yielded national estimates. Of 69,428 children, 2.2% had heart conditions. Children with heart conditions, compared to those without, were more likely to be bullied (56.3% and 43.3% respectively; adjusted prevalence ratio [95% confidence interval] = 1.3 [1.2, 1.4]) and bullied more frequently (weekly or daily = 11.2% and 5.3%; p < 0.001). Among children with heart conditions, characteristics associated with greater odds of weekly or daily bullying included ages 9–11 years compared to 15–17 years (3.4 [2.0, 5.7]), other genetic or inherited condition (1.7 [1.0, 3.0]), ever overweight (1.7 [1.0, 2.8]), and a functional limitation (4.8 [2.7, 8.5]). Children with heart conditions who were bullied, compared to never, more commonly had anxiety (40.1%, 25.9%, and 12.8%, respectively) and depression (18.0%, 9.3%, and 4.7%; p < 0.01 for both). Findings highlight the social and psychological needs of children with heart conditions.

Cardiovascular System & Cardiology↗

DOE OSTI2022

Discriminating Types of Volcanic Electrical Activity: Toward an Eruption Detection Algorithm

Abstract We present a method for classification of the two distinct types of electrical activity that occur during an explosive volcanic eruption: vent discharges and lightning. Vent discharges occur at the onset of an explosion and create a distinctive radio frequency signature called continual radio frequency. Seconds to minutes after the onset of the eruption, lightning begins to occur throughout the eruption column. We use logistic regression to classify a radio frequency impulse as being part of either a lightning flash or a period of continual radio frequency. The classifier uses the number of peaks in the amplitude envelope from 1 ms windows before and after the impulsive very high frequency waveform, with an average accuracy of 97.9%. We propose that this method could be used in an algorithm to determine when explosive eruptions occurred by identification of the distinctive signatures of vent discharges and lightning.

58 GEOSCIENCES↗

DOE OSTI2026

Impact of Extreme Heat on Emergency Department Admissions for Childhood and Adult Asthma: An Evaluation of Earth Observations and Heat Wave Definitions

Extreme heat has been associated with adverse health outcomes, yet its impact on asthma exacerbations remains understudied. This is, in part, due to data limitations: research that relies on weather station records and aggregated health statistics cannot resolve fine-scale differences in heat impacts. This study investigates the association between heat wave definitions and summertime asthma-related emergency department visits in Baltimore, Maryland from 2016 to 2022, including 819 adult and 695 pediatric exacerbations. Using geocoded electronic health records and air temperature measurements at several spatial resolutions, we applied a case-crossover design with conditional logistic regressions at the census block group and tract levels. We found strong associations between asthma exacerbations and nighttime heat wave definitions based on relative thresholds of minimum temperatures when census block group or tract level temperature estimates were used. These relationships were significant for both age groups and showed elevated risks in socially vulnerable areas. In contrast, heat wave definitions derived from the city's primary National Weather Service synoptic weather station show associations between asthma and daytime heat extremes, suggesting that the character of the heat hazard depends on the scale at which it is defined. The extreme heat event definition used by Baltimore City's Code Red system showed no significant association with exacerbations. These findings highlight the importance of data resolution in shaping health inferences related to extreme heat in urban environments. Further, this study demonstrates that, regardless of spatial scale, extreme heat is associated with asthma exacerbations in both age groups.

Corpuz, B. [Johns Hopkins University, Baltimore, M↗

DOE OSTI2024

Association of post-COVID phenotypic manifestations with new-onset psychiatric disease

Acute COVID-19 infection can be followed by diverse clinical manifestations referred to as Post Acute Sequelae of SARS-CoV2 Infection (PASC). Studies have shown an increased risk of being diagnosed with new-onset psychiatric disease following a diagnosis of acute COVID-19. However, it was unclear whether non-psychiatric PASC-associated manifestations (PASC-AMs) are associated with an increased risk of new-onset psychiatric disease following COVID-19. A retrospective electronic health record (EHR) cohort study of 2,391,006 individuals with acute COVID-19 was performed to evaluate whether non-psychiatric PASC-AMs are associated with new-onset psychiatric disease. Data were obtained from the National COVID Cohort Collaborative (N3C), which has EHR data from 76 clinical organizations. EHR codes were mapped to 151 non-psychiatric PASC-AMs recorded 28–120 days following SARS-CoV-2 diagnosis and before diagnosis of new-onset psychiatric disease. Association of newly diagnosed psychiatric disease with age, sex, race, pre-existing comorbidities, and PASC-AMs in seven categories was assessed by logistic regression. There were significant associations between a diagnosis of any psychiatric disease and five categories of PASC-AMs with odds ratios highest for neurological, cardiovascular, and constitutional PASC-AMs with odds ratios of 1.31, 1.29, and 1.23 respectively. Secondary analysis revealed that the proportions of 50 individual clinical features significantly differed between patients diagnosed with different psychiatric diseases. Our study provides evidence for association between non-psychiatric PASC-AMs and the incidence of newly diagnosed psychiatric disease. Significant associations were found for features related to multiple organ systems. This information could prove useful in understanding risk stratification for new-onset psychiatric disease following COVID-19. Prospective studies are needed to corroborate these findings.

60 APPLIED LIFE SCIENCES↗