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Machine learning discovery of distinguishing laboratory features for severity classification of COVID-19 patients

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单位: [1]Huazhong Univ Sci & Technol, Sch Artificial Intelligence & Automat, Wuhan, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Emergency, Tongji Med Coll, Wuhan, Peoples R China [3]Univ Calif Davis, Dept Anat Physiol & Cell Biol, Sch Med, Sch Vet Med,Dept Pediat, Davis, CA USA [4]Shandong Univ, Inst Biomed Engn, Sch Control Sci & Engn, Jinan, Peoples R China [5]Chinese Univ Hong Kong, Dept Paediat, Hong Kong, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan, Peoples R China
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The exponential spread of COVID-19 worldwide is evident, with devastating outbreaks primarily in the United States, Spain, Italy, the United Kingdom, France, Germany, Turkey and Russia. As of 1 May 2020, a total of 3,308,386 confirmed cases have been reported worldwide, with an accumulative mortality of 233,093. Due to the complexity and uncertainty of the pathology of COVID-19, it is not easy for front-line doctors to categorise severity levels of clinical COVID-19 that are general and severe/critical cases, with consistency. The more than 300 laboratory features, coupled with underlying disease, all combine to complicate proper and rapid patient diagnosis. However, such screening is necessary for early triage, diagnosis, assignment of appropriate level of care facility, and institution of timely intervention. A machine learning analysis was carried out with confirmed COVID-19 patient data from 10 January to 18 February 2020, who were admitted to Tongji Hospital, in Wuhan, China. A softmax neural network-based machine learning model was established to categorise patient severity levels. According to the analysis of 2662 cases using clinical and laboratory data, the present model can be used to reveal the top 30 of more than 300 laboratory features, yielding 86.30% blind test accuracy, 0.8195 F1-score, and 100% consistency using a two-way patient classification of severe/critical to general. For severe/critical cases, F1-score is 0.9081 (i.e. recall is 0.9050, and precision is 0.9113). This model for classification can be accomplished at a mini-second-level computational cost (in contrast to minute-level manual). Based on available COVID-19 patient diagnosis and therapy, an artificial intelligence model paradigm can help doctors quickly classify patients with a high degree of accuracy and 100% consistency to significantly improve diagnostic and classification efficiency. The discovered top 30 laboratory features can be used for greater differentiation to serve as an essential supplement to current guidelines, thus creating a more comprehensive assessment of COVID-19 cases during the early stages of infection. Such early differentiation will help the assignment of the appropriate level of care for individual patients.

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大类 | 4 区 计算机科学
小类 | 4 区 自动化与控制系统 4 区 计算机:人工智能 4 区 计算机:控制论 4 区 机器人学
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Q3 AUTOMATION & CONTROL SYSTEMS Q4 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE Q4 ROBOTICS

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Sch Artificial Intelligence & Automat, Wuhan, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Sch Artificial Intelligence & Automat, Wuhan, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan, Peoples R China [*1]Huazhong Univ Sci & Technol, Sch Artificial Intelligence & Automat, State Key Lab Digital Mfg Equipment & Technol, Key Lab Image Proc & Intelligent Control, Wuhan 430074, Peoples R China [*2]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan 430074, Peoples R China [*3]Huazhong Univ Sci & Technol, Sch Artificial Intelligence & Automat, Natl Key Lab Sci & Technol Multispectral Informat, Wuhan 430074, Peoples R China
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