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An artificial neural network model to predict the mortality of COVID-19 patients using routine blood samples at the time of hospital admission

Ju-Kuo Lin, Tsair‐Wei Chien, Lin-Yen Wang, Willy Chou

2021Medicine26 citationsDOIOpen Access PDF

Abstract

Abstract Background: In a pandemic situation (e.g., COVID-19), the most important issue is to select patients at risk of high mortality at an early stage and to provide appropriate treatments. However, a few studies applied the model to predict in-hospital mortality using routine blood samples at the time of hospital admission. This study aimed to develop an app, name predict the mortality of COVID-19 patients (PMCP) app, to predict the mortality of COVID-19 patients at hospital-admission time. Methods: We downloaded patient records from 2 studies, including 361 COVID-19 patients in Wuhan, China, and 106 COVID-19 patients in 3 Korean medical institutions. A total of 30 feature variables were retrieved, consisting of 28 blood biomarkers and 2 demographic variables (i.e., age and gender) of patients. Two models, namely, artificial neural network (ANN) and convolutional neural network (CNN), were compared with each other across 2 scenarios using An app for predicting the mortality of COVID-19 patients was developed using the model's estimated parameters for the prediction and classification of PMCP at an earlier stage. Feature variables and prediction results were visualized using the forest plot and category probability curves shown on Google Maps. Results: We observed that Conclusions: Our new PMCP app with ANN model accurately predicts the mortality probability for COVID-19 patients. It is publicly available and aims to help health care providers fight COVID-19 and improve patients’ classifications against treatment risk.

Topics & Concepts

MedicineCoronavirus disease 2019 (COVID-19)Emergency medicinePandemicPredictive modellingMortality rateConvolutional neural networkHospital admissionIntensive care medicineArtificial intelligenceInternal medicineMachine learningDiseaseComputer scienceInfectious disease (medical specialty)COVID-19 diagnosis using AICOVID-19 Clinical Research StudiesMachine Learning in Healthcare