Abstract

AimThis study aimed to develop a predictive model to predict patients’ mortality with coronavirus disease 2019 (COVID-19) from the basic medical data on the first day of admission.MethodsThe medical data including the demographic, clinical, and laboratory features on the first day of admission of clinically diagnosed COVID-19 patients were documented. The outcome of patients was also recorded as discharge or death. Feature selection models were then implemented and different machine learning models were developed on top of the selected features to predict discharge or death. The trained models were then tested on the test dataset.ResultsA total of 520 patients were included in the training dataset. The feature selection demonstrated 22 features as the most powerful predictive features. Among different machine learning models, the naive Bayes demonstrated the best performance with an area under the curve of 0.85. The ensemble model of the naive Bayes and neural network combination had slightly better performance with an area under the curve of 0.86. The models had relatively the same performance on the test dataset.ConclusionDeveloping a predictive machine learning model based on the basic medical features on the first day of admission in COVID-19 infection is feasible with acceptable performance.

Highlights

  • In December 2019, a mass outbreak of coronavirus occurred in Wuhan, China

  • Among different machine learning models, the naive Bayes demonstrated the best performance with an area under the curve of 0.85

  • This study aimed to develop an Machine learning (ML) platform for outcome prediction in admitted COVID-19 patients

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Summary

Introduction

In December 2019, a mass outbreak of coronavirus occurred in Wuhan, China. The World Health Organization (WHO) formally named the disease coronavirus disease 2019 (COVID-19) on February 11, 2020. Because of the rapid spread of the virus, there has been a sharp rise in the demand for medical resources to support infected people [1]. In about 20% of the patients, the infection is severe and may necessitate hospitalization. The risk assessment and knowing the predictors of death among patients diagnosed with COVID-19 is crucial to target high-risk patients through early and more intensive interventions [4]. When allocating limited medical resources, prediction models that estimate the risk of a poor outcome in an infected individual based on prediagnosis information could help to triage patients more effectively [5]

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