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预测入院时 SARS-CoV-2 感染持续时间:深度学习解决方案。

Predicting SARS-CoV-2 infection duration at hospital admission:a deep learning solution.

机构信息

Scuola Superiore Sant'Anna, The BioRobotics Institute, Viale Rinaldo Piaggio 34, 56025, Pontedera, PI, Italy.

IRCCS Fondazione Don Carlo Gnocchi, via di Scandicci 269, 50143, Firenze, FI, Italy.

出版信息

Med Biol Eng Comput. 2022 Feb;60(2):459-470. doi: 10.1007/s11517-021-02479-8. Epub 2022 Jan 7.

DOI:10.1007/s11517-021-02479-8
PMID:34993693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8739354/
Abstract

COVID-19 cases are increasing around the globe with almost 5 million of deaths. We propose here a deep learning model capable of predicting the duration of the infection by means of information available at hospital admission. A total of 222 patients were enrolled in our observational study. Anagraphical and anamnestic data, COVID-19 signs and symptoms, COVID-19 therapy, hematochemical test results, and prior therapies administered to patients are used as predictors. A set of 55 features, all of which can be taken in the first hours of the patient's hospitalization, was considered. Different solutions were compared achieving the best performance with a sequential convolutional neural network-based model merged in an ensemble with two different meta-learners linked in cascade. We obtained a median absolute error of 2.7 days (IQR = 3.0) in predicting the duration of the infection; the error was equally distributed in the infection duration range. This tool could preemptively give an outlook of the COVID-19 patients' expected path and the associated hospitalization effort. The proposed solution could be viable in tackling the huge burden and the logistics complexity of hospitals or rehabilitation centers during the pandemic waves. With data taken ad admission, entering a PCA-based feature selection, a k-fold cross-validated CNN-based model was implemented. After external texting, a median absolute error of 2.7 days [IQR = 3 days].

摘要

全球范围内的 COVID-19 病例正在增加,死亡人数接近 500 万。在这里,我们提出了一种深度学习模型,能够通过入院时可获得的信息预测感染持续时间。我们的观察性研究共纳入了 222 名患者。将患者的人口统计学和病史数据、COVID-19 症状和体征、COVID-19 治疗、血液化学测试结果以及之前给予患者的治疗作为预测因子。考虑了一组 55 个特征,所有这些特征都可以在患者住院的头几个小时内获得。比较了不同的解决方案,通过基于顺序卷积神经网络的模型与两个不同的元学习者链接的级联集成来实现最佳性能。我们在预测感染持续时间方面获得了 2.7 天(IQR=3.0)的中位数绝对误差;误差在感染持续时间范围内均匀分布。该工具可以预先预测 COVID-19 患者的预期病程和相关住院治疗效果。在大流行期间,该解决方案可以有效地应对医院或康复中心的巨大负担和物流复杂性。入院时的数据,输入基于 PCA 的特征选择,实现了基于 k 折交叉验证的 CNN 模型。经过外部文本输入,中位数绝对误差为 2.7 天[IQR=3 天]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/99b701809172/11517_2021_2479_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/ce89fd0761d0/11517_2021_2479_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/5b7afe5c2787/11517_2021_2479_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/99b701809172/11517_2021_2479_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/ce89fd0761d0/11517_2021_2479_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/615965005fbd/11517_2021_2479_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72e2/8739354/f8f9f52f15ca/11517_2021_2479_Fig3_HTML.jpg
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