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Machine Learning Models to Predict In-Hospital Mortality among Inpatients with COVID-19: Underestimation and Overestimation Bias Analysis in Subgroup Populations.
Zarei, Javad; Jamshidnezhad, Amir; Haddadzadeh Shoushtari, Maryam; Mohammad Hadianfard, Ali; Cheraghi, Maria; Sheikhtaheri, Abbas.
Afiliación
  • Zarei J; Department of Health Information Technology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Jamshidnezhad A; Department of Health Information Technology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Haddadzadeh Shoushtari M; Air Pollution and Respiratory Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Mohammad Hadianfard A; Department of Health Information Technology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Cheraghi M; Social Determinant of Health Research Center, Department of Public Health, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  • Sheikhtaheri A; Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
J Healthc Eng ; 2022: 1644910, 2022.
Article en En | MEDLINE | ID: mdl-35756093
Prediction of the death among COVID-19 patients can help healthcare providers manage the patients better. We aimed to develop machine learning models to predict in-hospital death among these patients. We developed different models using different feature sets and datasets developed using the data balancing method. We used demographic and clinical data from a multicenter COVID-19 registry. We extracted 10,657 records for confirmed patients with PCR or CT scans, who were hospitalized at least for 24 hours at the end of March 2021. The death rate was 16.06%. Generally, models with 60 and 40 features performed better. Among the 240 models, the C5 models with 60 and 40 features performed well. The C5 model with 60 features outperformed the rest based on all evaluation metrics; however, in external validation, C5 with 32 features performed better. This model had high accuracy (91.18%), F-score (0.916), Area under the Curve (0.96), sensitivity (94.2%), and specificity (88%). The model suggested in this study uses simple and available data and can be applied to predict death among COVID-19 patients. Furthermore, we concluded that machine learning models may perform differently in different subpopulations in terms of gender and age groups.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Healthc Eng Año: 2022 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Healthc Eng Año: 2022 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido