Machine learning predictive model for severe COVID-19.

Jianhong Kang, Ting Chen, Honghe Luo, Yifeng Luo, Guipeng Du, Mia Jiming-Yang
Author Information
  1. Jianhong Kang: Department of Thoracic Surgery, First Affiliated Hospital, Sun-Yat-sen University, Guangzhou, China. Electronic address: 294441422@qq.com.
  2. Ting Chen: Chengdu Medical College, Chengdu, China. Electronic address: ggcfcmdxdynyzq@gmail.com.
  3. Honghe Luo: Department of Thoracic Surgery, First Affiliated Hospital, Sun-Yat-sen University, Guangzhou, China. Electronic address: luohhzm@163.com.
  4. Yifeng Luo: Department of Respiratory and Critical Care Medicine, First Affiliated Hospital, Sun‑Yat-sen University, Guangzhou, China. Electronic address: lyif@mail.sysu.edu.cn.
  5. Guipeng Du: Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chengdu Medical College (China National Nuclear Corporation 416 Hospital), Chengdu, China.
  6. Mia Jiming-Yang: Medicine Campus Oberfranken, University of Bayreuth, Bavaria, Germany.

Abstract

To develop a modified predictive model for severe COVID-19 in people infected with Sars-Cov-2. We developed the predictive model for severe patients of COVID-19 based on the clinical date from the Tumor Center of Union Hospital affiliated with Tongji Medical College, China. A total of 151 cases from Jan. 26 to Mar. 20, 2020, were included. Then we followed 5 steps to predict and evaluate the model: data preprocessing, data splitting, feature selection, model building, prevention of overfitting, and Evaluation, and combined with artificial neural network algorithms. We processed the results in the 5 steps. In feature selection, ALB showed a strong negative correlation (r = 0.771, P < 0.001) whereas GLB (r = 0.661, P < 0.001) and BUN (r = 0.714, P < 0.001) showed a strong positive correlation with severity of COVID-19. TensorFlow was subsequently applied to develop a neural network model. The model achieved good prediction performance, with an area under the curve value of 0.953(0.889-0.982). Our results showed its outstanding performance in prediction. GLB and BUN may be two risk factors for severe COVID-19. Our findings could be of great benefit in the future treatment of patients with COVID-19 and will help to improve the quality of care in the long term. This model has great significance to rationalize early clinical interventions and improve the cure rate.

Keywords

References

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MeSH Term

Adolescent
Adult
Aged
Aged, 80 and over
Algorithms
Biomarkers
COVID-19
Databases, Factual
Female
Humans
Machine Learning
Male
Middle Aged
Models, Theoretical
Prognosis
ROC Curve
SARS-CoV-2
Severity of Illness Index
Software
Tomography, X-Ray Computed
Young Adult

Chemicals

Biomarkers

Word Cloud

Created with Highcharts 10.0.0modelCOVID-19severepredictiveshowedr = 0P < 0001developpatientsclinical5stepsdatafeatureselectionneuralnetworkresultsstrongcorrelationGLBBUNpredictionperformance0greatimproveMachinelearningmodifiedpeopleinfectedSars-Cov-2developedbaseddateTumorCenterUnionHospitalaffiliatedTongjiMedicalCollegeChinatotal151casesJan26Mar202020includedfollowedpredictevaluatemodel:preprocessingsplittingbuildingpreventionoverfittingEvaluationcombinedartificialalgorithmsprocessedALBnegative771whereas661714positiveseverityTensorFlowsubsequentlyappliedachievedgoodareacurvevalue953889-0982outstandingmaytworiskfactorsfindingsbenefitfuturetreatmentwillhelpqualitycarelongtermsignificancerationalizeearlyinterventionscureratePredictiveSevere

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