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Severity Prediction for COVID-19 Patients via Recurrent Neural Networks
Junghwan Lee1, Casey Ta1, Jae Hyun Kim1
1Department of Biomedical Informatics, Columbia University, New York, N.Y.
Insights
This study developed a model using historical electronic health records (EHR) to predict severe COVID-19 outcomes. The model enables proactive risk management for patients upon hospital admission.
Area of Science:
- Medical Informatics
- Computational Biology
- Epidemiology
Background:
- The COVID-19 pandemic has caused significant global health challenges and strained healthcare systems.
- Predicting severe outcomes in COVID-19 patients is crucial for resource allocation and timely intervention.
Purpose of the Study:
- To develop a predictive model for severe COVID-19 outcomes using only pre-admission electronic health records (EHR).
- To enable proactive risk stratification of COVID-19 patients at the time of hospital admission.
Main Methods:
- Utilized recurrent neural networks (RNNs) to analyze historical EHR data.
- Developed a model to predict the probability of a patient progressing to severe COVID-19 status (mechanical ventilation, tracheostomy, or death).
Main Results:
- The model achieved an area under the receiver operating characteristic curve (AUC) of 0.846 in predicting patient outcomes.
- The model demonstrated effectiveness using only historical EHR data, predating COVID-19 diagnosis.
Conclusions:
- Historical EHR data can be effectively used to predict severe COVID-19 outcomes.
- This approach facilitates proactive risk management, differentiating it from models requiring post-diagnosis data.
Abstract:
The novel coronavirus disease-2019 (COVID-19) pandemic has threatened the health of tens of millions of people worldwide and imposed heavy burden on global healthcare systems. In this paper, we propose a model to predict whether a patient infected with COVID-19 will develop severe outcomes based only on the patient's historical electronic health records (EHR) prior to hospital admission using recurrent neural networks. The model predicts risk score that represents the probability for a patient to progress into severe status (mechanical ventilation, tracheostomy, or death) after being infected with COVID-19. The model achieved 0.846 area under the receiver operating characteristic curve in predicting patients' outcomes averaged over 5-fold cross validation. While many of the existing models use features obtained after diagnosis of COVID-19, our proposed model only utilizes a patient's historical EHR to enable proactive risk management at the time of hospital admission.
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