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基于循环神经网络的 COVID-19 患者严重程度预测。

Severity Prediction for COVID-19 Patients via Recurrent Neural Networks.

机构信息

Department of Biomedical Informatics, Columbia University, New York, N.Y.

equal contribution.

出版信息

AMIA Jt Summits Transl Sci Proc. 2021 May 17;2021:374-383. eCollection 2021.

Abstract

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.

摘要

新型冠状病毒病-2019(COVID-19)大流行已经威胁到全球数千万人的健康,并给全球医疗保健系统带来了沉重负担。在本文中,我们提出了一种使用递归神经网络仅根据患者入院前的历史电子健康记录(EHR)预测 COVID-19 感染患者是否会出现严重后果的模型。该模型预测了风险评分,代表患者在感染 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。该模型在 5 倍交叉验证中平均预测患者结局的受试者工作特征曲线下面积为 0.846。虽然许多现有模型使用在 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,以便在入院时能够进行主动风险管理。

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