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

Abstract 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...

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Autores principales: Lijing Jia, Zijian Wei, Heng Zhang, Jiaming Wang, Ruiqi Jia, Manhong Zhou, Xueyan Li, Hankun Zhang, Xuedong Chen, Zheyuan Yu, Zhaohong Wang, Xiucheng Li, Tingting Li, Xiangge Liu, Pei Liu, Wei Chen, Jing Li, Kunlun He
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c181bf448c074d5eb8ad5f7c833512ad
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Sumario:Abstract 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.