Hamidi Farzaneh, Hamishehkar Hadi, Azari Markid Pedram Pirmad, Sarbakhsh Parvin
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Clinical Research Development Unit of Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Heliyon. 2024 Aug 5;10(15):e35561. doi: 10.1016/j.heliyon.2024.e35561. eCollection 2024 Aug 15.
The COVID-19 pandemic has had a profound impact globally, presenting significant social and economic challenges. This study aims to explore the factors affecting mortality among hospitalized COVID-19 patients and construct a machine learning-based model to predict the risk of mortality.
The study examined COVID-19 patients admitted to Imam Reza Hospital in Tabriz, Iran, between March 2020 and November 2021. The Elastic Net method was employed to identify and rank features associated with mortality risk. Subsequently, an artificial neural network (ANN) model was developed based on these features to predict mortality risk. The performance of the model was evaluated by receiver operating characteristic (ROC) curve analysis.
The study included 706 patients with 96 features, out of them 26 features were identified as crucial predictors of mortality. The ANN model, utilizing 20 of these features, achieved an area under the ROC curve (AUC) of 98.8 %, effectively stratifying patients by mortality risk.
The developed model offers accurate and precipitous mortality risk predictions for COVID-19 patients, enhancing the responsiveness of healthcare systems to high-risk individuals.
新冠疫情在全球产生了深远影响,带来了重大的社会和经济挑战。本研究旨在探讨影响新冠住院患者死亡率的因素,并构建基于机器学习的模型来预测死亡风险。
该研究考察了2020年3月至2021年11月期间收治于伊朗大不里士伊玛目礼萨医院的新冠患者。采用弹性网络法来识别与死亡风险相关的特征并进行排序。随后,基于这些特征开发了一个人工神经网络(ANN)模型来预测死亡风险。通过受试者工作特征(ROC)曲线分析对模型性能进行评估。
该研究纳入了706例患者及96个特征,其中26个特征被确定为死亡的关键预测因素。利用其中20个特征的人工神经网络模型的ROC曲线下面积(AUC)达到98.8%,能有效地按死亡风险对患者进行分层。
所开发的模型为新冠患者提供了准确且迅速的死亡风险预测,提高了医疗系统对高危个体的反应能力。