Howard Kerry A, Anderson Wes, Podichetty Jagdeep T, Gould Ruth, Boyce Danielle, Dasher Pam, Evans Laura, Kao Cindy, Kumar Vishakha K, Hamilton Chase, Mathé Ewy, Guerin Philippe J, Dodd Kenneth, Mehta Aneesh K, Ortman Chris, Patil Namrata, Rhodes Jeselyn, Robinson Matthew, Stone Heather, Heavner Smith F
Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA.
Center for Public Health Modeling and Response, Clemson University, Clemson, SC 29634, USA.
Int J Environ Res Public Health. 2025 Mar 21;22(4):464. doi: 10.3390/ijerph22040464.
Data-driven approaches to clinical research are necessary for understanding and effectively treating infectious diseases. However, challenges such as issues with data validity, lack of collaboration, and difficult-to-treat infectious diseases (e.g., those that are rare or newly emerging) hinder research. Prioritizing innovative methods to facilitate the continued use of data generated during routine clinical care for research, but in an organized, accelerated, and shared manner, is crucial. This study investigates the potential of CURE ID, an open-source platform to accelerate drug-repurposing research for difficult-to-treat diseases, with COVID-19 as a use case. Data from eight US health systems were analyzed using least absolute shrinkage and selection operator (LASSO) regression to identify key predictors of 28-day all-cause mortality in COVID-19 patients, including demographics, comorbidities, treatments, and laboratory measurements captured during the first two days of hospitalization. Key findings indicate that age, laboratory measures, severity of illness indicators, oxygen support administration, and comorbidities significantly influenced all-cause 28-day mortality, aligning with previous studies. This work underscores the value of collaborative repositories like CURE ID in providing robust datasets for prognostic research and the importance of factor selection in identifying key variables, helping to streamline future research and drug-repurposing efforts.
数据驱动的临床研究方法对于理解和有效治疗传染病是必要的。然而,诸如数据有效性问题、缺乏合作以及难以治疗的传染病(例如罕见或新出现的传染病)等挑战阻碍了研究。优先采用创新方法,以便以有组织、加速和共享的方式,促进将常规临床护理期间产生的数据持续用于研究,这至关重要。本研究以新冠疫情为例,调查了CURE ID(一个加速针对难治性疾病进行药物再利用研究的开源平台)的潜力。使用最小绝对收缩和选择算子(LASSO)回归分析了来自美国八个医疗系统的数据,以确定新冠患者28天全因死亡率的关键预测因素,包括人口统计学、合并症、治疗方法以及住院前两天记录的实验室测量结果。主要研究结果表明,年龄、实验室测量结果、疾病严重程度指标、氧气支持治疗以及合并症对28天全因死亡率有显著影响,这与之前的研究一致。这项工作强调了像CURE ID这样的合作数据库在为预后研究提供强大数据集方面的价值,以及在识别关键变量时进行因素选择的重要性,有助于简化未来的研究和药物再利用工作。