RCOVID: AN ALGORITHM TO DETECT COVID-19 REINFECTIONS IN LARGE-ROUTINE
EXAM DATABASE
Abstract
Reinfection affected 3.7–4.8% of COVID-19 survivors globally. No
statistical validation was reported in retrospective or cross-sectional
studies that used large-sample data from routine laboratory testing to
detect reinfections. Therefore, we create and validate an algorithm
(RCOVID) to detect COVID-19 reinfection cases in a large sample
database. We apply RCOVID in three versions of simulation database with
of valid and invalid cases of COVID-19 reinfection based on the CDC
definition. Additionally, we tested the RCOVID in a real-world routine
exam database with 10,539,186. The algorithm detects precisely all
infections of the simulated database, with 100% of sensitivity,
specificity, and Kappa agreement. Finally, in the real-world database
with 7,393,829 valid notifications (after cleaning) and 2,321,185 cases
of infections, RCOVID detected 142,308 first reinfections, 4,384 second
reinfections, and 110 third reinfections, and 1 case of fourth
reinfections. RCOVID is a reliable tool valid to detect COVID-19
reinfection cases in large sample routine exams.