Lee Junghwan, Ta Casey, Kim Jae Hyun, Liu Cong, Weng Chunhua
Department of Biomedical Informatics, Columbia University, New York, N.Y.
medRxiv. 2021 Jan 21:2020.08.28.20184200. doi: 10.1101/2020.08.28.20184200.
The novel coronavirus disease-2019 (COVID-19) pandemic has threatened the health of tens of millions of people worldwide and imposed heavy burden on global healthcare systems. In this paper, we propose a model to predict whether a patient infected with COVID-19 will develop severe outcomes based only on the patient's historical electronic health records (EHR) prior to hospital admission using recurrent neural networks. The model predicts risk score that represents the probability for a patient to progress into severe status (mechanical ventilation, tracheostomy, or death) after being infected with COVID-19. The model achieved 0.846 area under the receiver operating characteristic curve in predicting patients' outcomes averaged over 5-fold cross validation. While many of the existing models use features obtained after diagnosis of COVID-19, our proposed model only utilizes a patient's historical EHR to enable proactive risk management at the time of hospital admission.
2019年新型冠状病毒病(COVID-19)大流行威胁着全球数千万人的健康,并给全球医疗系统带来了沉重负担。在本文中,我们提出了一种模型,该模型仅使用循环神经网络,基于患者入院前的历史电子健康记录(EHR)来预测感染COVID-19的患者是否会出现严重后果。该模型预测的风险评分代表患者感染COVID-19后进展为严重状态(机械通气、气管切开术或死亡)的概率。在5折交叉验证中,该模型预测患者预后的受试者工作特征曲线下面积达到0.846。虽然许多现有模型使用COVID-19诊断后获得的特征,但我们提出的模型仅利用患者的历史EHR,以便在入院时进行主动风险管理。