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Machine learning based predictors for COVID-19 disease severity

Predictors of the need for intensive care and mechanical ventilation can help healthcare systems in planning for surge capacity for COVID-19. We used socio-demographic data, clinical data, and blood panel profile data at the time of initial presentation to develop machine learning algorithms for pre...

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Autores principales: Patel, Dhruv, Kher, Vikram, Desai, Bhushan, Lei, Xiaomeng, Cen, Steven, Nanda, Neha, Gholamrezanezhad, Ali, Duddalwar, Vinay, Varghese, Bino, Oberai, Assad A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907061/
https://www.ncbi.nlm.nih.gov/pubmed/33633145
http://dx.doi.org/10.1038/s41598-021-83967-7
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author Patel, Dhruv
Kher, Vikram
Desai, Bhushan
Lei, Xiaomeng
Cen, Steven
Nanda, Neha
Gholamrezanezhad, Ali
Duddalwar, Vinay
Varghese, Bino
Oberai, Assad A
author_facet Patel, Dhruv
Kher, Vikram
Desai, Bhushan
Lei, Xiaomeng
Cen, Steven
Nanda, Neha
Gholamrezanezhad, Ali
Duddalwar, Vinay
Varghese, Bino
Oberai, Assad A
author_sort Patel, Dhruv
collection PubMed
description Predictors of the need for intensive care and mechanical ventilation can help healthcare systems in planning for surge capacity for COVID-19. We used socio-demographic data, clinical data, and blood panel profile data at the time of initial presentation to develop machine learning algorithms for predicting the need for intensive care and mechanical ventilation. Among the algorithms considered, the Random Forest classifier performed the best with [Formula: see text] for predicting ICU need and [Formula: see text] for predicting the need for mechanical ventilation. We also determined the most influential features in making this prediction, and concluded that all three categories of data are important. We determined the relative importance of blood panel profile data and noted that the AUC dropped by 0.12 units when this data was not included, thus indicating that it provided valuable information in predicting disease severity. Finally, we generated RF predictors with a reduced set of five features that retained the performance of the predictors trained on all features. These predictors, which rely only on quantitative data, are less prone to errors and subjectivity.
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spelling pubmed-79070612021-02-26 Machine learning based predictors for COVID-19 disease severity Patel, Dhruv Kher, Vikram Desai, Bhushan Lei, Xiaomeng Cen, Steven Nanda, Neha Gholamrezanezhad, Ali Duddalwar, Vinay Varghese, Bino Oberai, Assad A Sci Rep Article Predictors of the need for intensive care and mechanical ventilation can help healthcare systems in planning for surge capacity for COVID-19. We used socio-demographic data, clinical data, and blood panel profile data at the time of initial presentation to develop machine learning algorithms for predicting the need for intensive care and mechanical ventilation. Among the algorithms considered, the Random Forest classifier performed the best with [Formula: see text] for predicting ICU need and [Formula: see text] for predicting the need for mechanical ventilation. We also determined the most influential features in making this prediction, and concluded that all three categories of data are important. We determined the relative importance of blood panel profile data and noted that the AUC dropped by 0.12 units when this data was not included, thus indicating that it provided valuable information in predicting disease severity. Finally, we generated RF predictors with a reduced set of five features that retained the performance of the predictors trained on all features. These predictors, which rely only on quantitative data, are less prone to errors and subjectivity. Nature Publishing Group UK 2021-02-25 /pmc/articles/PMC7907061/ /pubmed/33633145 http://dx.doi.org/10.1038/s41598-021-83967-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Patel, Dhruv
Kher, Vikram
Desai, Bhushan
Lei, Xiaomeng
Cen, Steven
Nanda, Neha
Gholamrezanezhad, Ali
Duddalwar, Vinay
Varghese, Bino
Oberai, Assad A
Machine learning based predictors for COVID-19 disease severity
title Machine learning based predictors for COVID-19 disease severity
title_full Machine learning based predictors for COVID-19 disease severity
title_fullStr Machine learning based predictors for COVID-19 disease severity
title_full_unstemmed Machine learning based predictors for COVID-19 disease severity
title_short Machine learning based predictors for COVID-19 disease severity
title_sort machine learning based predictors for covid-19 disease severity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7907061/
https://www.ncbi.nlm.nih.gov/pubmed/33633145
http://dx.doi.org/10.1038/s41598-021-83967-7
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