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

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, 9...

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Autores principales: Jia, Lijing, Wei, Zijian, Zhang, Heng, Wang, Jiaming, Jia, Ruiqi, Zhou, Manhong, Li, Xueyan, Zhang, Hankun, Chen, Xuedong, Yu, Zheyuan, Wang, Zhaohong, Li, Xiucheng, Li, Tingting, Liu, Xiangge, Liu, Pei, Chen, Wei, Li, Jing, He, Kunlun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633326/
https://www.ncbi.nlm.nih.gov/pubmed/34848736
http://dx.doi.org/10.1038/s41598-021-02370-4
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author Jia, Lijing
Wei, Zijian
Zhang, Heng
Wang, Jiaming
Jia, Ruiqi
Zhou, Manhong
Li, Xueyan
Zhang, Hankun
Chen, Xuedong
Yu, Zheyuan
Wang, Zhaohong
Li, Xiucheng
Li, Tingting
Liu, Xiangge
Liu, Pei
Chen, Wei
Li, Jing
He, Kunlun
author_facet Jia, Lijing
Wei, Zijian
Zhang, Heng
Wang, Jiaming
Jia, Ruiqi
Zhou, Manhong
Li, Xueyan
Zhang, Hankun
Chen, Xuedong
Yu, Zheyuan
Wang, Zhaohong
Li, Xiucheng
Li, Tingting
Liu, Xiangge
Liu, Pei
Chen, Wei
Li, Jing
He, Kunlun
author_sort Jia, Lijing
collection PubMed
description 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.
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spelling pubmed-86333262021-12-03 An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19 Jia, Lijing Wei, Zijian Zhang, Heng Wang, Jiaming Jia, Ruiqi Zhou, Manhong Li, Xueyan Zhang, Hankun Chen, Xuedong Yu, Zheyuan Wang, Zhaohong Li, Xiucheng Li, Tingting Liu, Xiangge Liu, Pei Chen, Wei Li, Jing He, Kunlun Sci Rep Article 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. Nature Publishing Group UK 2021-11-30 /pmc/articles/PMC8633326/ /pubmed/34848736 http://dx.doi.org/10.1038/s41598-021-02370-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This 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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Jia, Lijing
Wei, Zijian
Zhang, Heng
Wang, Jiaming
Jia, Ruiqi
Zhou, Manhong
Li, Xueyan
Zhang, Hankun
Chen, Xuedong
Yu, Zheyuan
Wang, Zhaohong
Li, Xiucheng
Li, Tingting
Liu, Xiangge
Liu, Pei
Chen, Wei
Li, Jing
He, Kunlun
An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title_full An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title_fullStr An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title_full_unstemmed An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title_short An interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for COVID-19
title_sort interpretable machine learning model based on a quick pre-screening system enables accurate deterioration risk prediction for covid-19
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633326/
https://www.ncbi.nlm.nih.gov/pubmed/34848736
http://dx.doi.org/10.1038/s41598-021-02370-4
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