School of Chemistry and Life Sciences, Suzhou University of Science and Technology, Suzhou, China.
Institutes for Systems Genetics, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Adv Exp Med Biol. 2022;1368:111-139. doi: 10.1007/978-981-16-8969-7_6.
The COVID-19 pandemic has resulted in unprecedented burden on global health and economic systems, promoting worldwide efforts to understand, control, and fight the disease. Due to the wide spectrum of clinical severity, effective risk factors, biomarkers, and models for predicting disease severity and mortality in COVID-19 patients are urgently needed to provide guidance for clinical intervention and management. In this chapter, we first describe the infection features of different COVID-19 strains and the potential of clinical features, cytokine storm and biomarkers in predicting the severity of COVID-19 patients. We focus on how scoring systems, mathematical models and artificial intelligence (AI)-based models can promote the classification of COVID-19 severity at the population or individual level. Moreover, the development perspective of biomarkers and models for predicting the severity of COVID-19 is prospected. Therefore, this chapter highlights the clinical significance of biomarkers and models related to COVID-19 severity and provides important clues for improving the outcomes of COVID-19 patients, thereby facilitating timely disease assessment and precision medicine for individual COVID-19 patients.
新冠疫情对全球卫生和经济系统造成了前所未有的负担,促使全球努力了解、控制和对抗这种疾病。由于临床严重程度的广泛谱,迫切需要有效的风险因素、生物标志物和预测 COVID-19 患者疾病严重程度和死亡率的模型,以为临床干预和管理提供指导。在本章中,我们首先描述了不同 COVID-19 株的感染特征以及临床特征、细胞因子风暴和生物标志物在预测 COVID-19 患者严重程度方面的潜力。我们重点介绍了评分系统、数学模型和基于人工智能(AI)的模型如何在人群或个体水平上促进 COVID-19 严重程度的分类。此外,还展望了预测 COVID-19 严重程度的生物标志物和模型的发展前景。因此,本章强调了与 COVID-19 严重程度相关的生物标志物和模型的临床意义,并为改善 COVID-19 患者的结局提供了重要线索,从而促进了对个体 COVID-19 患者的及时疾病评估和精准医学。