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A super learner ensemble of 14 statistical learning models for predicting COVID-19 severity among patients with
Louis Ehwerhemuepha1,2, Sidy Danioko2, Shiva Verma3
1Children's Hospital of Orange County, Orange, CA, 92868, United States.
Insights
This study developed a super learner ensemble model to predict COVID-19 severity in adults with cardiovascular disease, achieving high predictive accuracy and outperforming individual models.
Area of Science:
- Computational biology and bioinformatics
- Epidemiology and public health
- Machine learning in healthcare
Background:
- Cardiovascular diseases are linked to increased COVID-19 severity in adults.
- Accurate prediction of COVID-19 severity is crucial for patient management.
Purpose of the Study:
- To develop and evaluate a super learner ensemble model for predicting COVID-19 severity.
- To assess the predictive performance of machine learning models in patients with cardiovascular conditions.
Main Methods:
- Utilized the Cerner Real-World Data COVID-19 Dataset, including 33,042 adult patients with cardiovascular diseases.
- Developed 14 statistical and machine learning models, combined into a super learner ensemble.
- Evaluated model performance using cross-validated AUROC and an independent test set.
Main Results:
- Individual models like LASSO regression and extreme gradient boosting showed strong predictive power (AUROC ~0.796).
- The super learner ensemble model achieved a cross-validated AUROC of 0.8006.
- The unbiased AUROC on an independent test set was 0.8057, demonstrating robust performance.
Conclusions:
- Highly predictive models for COVID-19 severity can be effectively built for patients with cardiovascular conditions.
- Super learning ensemble models significantly enhance predictive accuracy compared to individual and classical ensemble methods.
Background:
Cardiovascular and other circulatory system diseases have been implicated in the severity of COVID-19 in adults. This study provides a super learner ensemble of models for predicting COVID-19 severity among these patients.
Method:
The COVID-19 Dataset of the Cerner Real-World Data was used for this study. Data on adult patients (18 years or older) with cardiovascular diseases between 2017 and 2019 were retrieved and a total of 13 of these conditions were identified. Among these patients, 33,042 admitted with positive diagnoses for COVID-19 between March 2020 and June 2020 (from 59 hospitals) were identified and selected for this study. A total of 14 statistical and machine learning models were developed and combined into a more powerful super learning model for predicting COVID-19 severity on admission to the hospital.
Result:
LASSO regression, a full extreme gradient boosting model with tree depth of 2, and a full logistic regression model were the most predictive with cross-validated AUROCs of 0.7964, 0.7961, and 0.7958 respectively. The resulting super learner ensemble model had a cross validated AUROC of 0.8006 (range: 0.7814, 0.8163). The unbiased AUROC of the super learner model on an independent test set was 0.8057 (95% CI: 0.7954, 0.8159).
Conclusion:
Highly predictive models can be built to predict COVID-19 severity of patients with cardiovascular and other circulatory conditions. Super learning ensembles will improve individual and classical ensemble models significantly.
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