An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19

© 2021. The Author(s)..

A high-performing interpretable model is proposed to predict the risk of deterioration in coronavirus disease 2019 (COVID-19) patients. The model was developed using a cohort of 3028 patients diagnosed with COVID-19 and exhibiting common clinical symptoms that were internally verified (AUC 0.8517, 95% CI 0.8433, 0.8601). A total of 15 high risk factors for deterioration and their approximate warning ranges were identified. This included prothrombin time (PT), prothrombin activity, lactate dehydrogenase, international normalized ratio, heart rate, body-mass index (BMI), D-dimer, creatine kinase, hematocrit, urine specific gravity, magnesium, globulin, activated partial thromboplastin time, lymphocyte count (L%), and platelet count. Four of these indicators (PT, heart rate, BMI, HCT) and comorbidities were selected for a streamlined combination of indicators to produce faster results. The resulting model showed good predictive performance (AUC 0.7941 95% CI 0.7926, 0.8151). A website for quick pre-screening online was also developed as part of the study.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Scientific reports - 11(2021), 1 vom: 30. Nov., Seite 23127

Sprache:

Englisch

Beteiligte Personen:

Jia, Lijing [VerfasserIn]
Wei, Zijian [VerfasserIn]
Zhang, Heng [VerfasserIn]
Wang, Jiaming [VerfasserIn]
Jia, Ruiqi [VerfasserIn]
Zhou, Manhong [VerfasserIn]
Li, Xueyan [VerfasserIn]
Zhang, Hankun [VerfasserIn]
Chen, Xuedong [VerfasserIn]
Yu, Zheyuan [VerfasserIn]
Wang, Zhaohong [VerfasserIn]
Li, Xiucheng [VerfasserIn]
Li, Tingting [VerfasserIn]
Liu, Xiangge [VerfasserIn]
Liu, Pei [VerfasserIn]
Chen, Wei [VerfasserIn]
Li, Jing [VerfasserIn]
He, Kunlun [VerfasserIn]

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Themen:

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Anmerkungen:

Date Completed 08.12.2021

Date Revised 04.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41598-021-02370-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333856465