Challenges in the application of a mortality prediction model for COVID-19 patients on an Indian cohort

01/15/2021
by   Yukti Makhija, et al.
0

Many countries are now experiencing the third wave of the COVID-19 pandemic straining the healthcare resources with an acute shortage of hospital beds and ventilators for the critically ill patients. This situation is especially worse in India with the second largest load of COVID-19 cases and a relatively resource-scarce medical infrastructure. Therefore, it becomes essential to triage the patients based on the severity of their disease and devote resources towards critically ill patients. Yan et al. 1 have published a very pertinent research that uses Machine learning (ML) methods to predict the outcome of COVID-19 patients based on their clinical parameters at the day of admission. They used the XGBoost algorithm, a type of ensemble model, to build the mortality prediction model. The final classifier is built through the sequential addition of multiple weak classifiers. The clinically operable decision rule was obtained from a 'single-tree XGBoost' and used lactic dehydrogenase (LDH), lymphocyte and high-sensitivity C-reactive protein (hs-CRP) values. This decision tree achieved a 100 mortality prediction. However, these models have several technical challenges and do not provide an out of the box solution that can be deployed for other populations as has been reported in the "Matters Arising" section of Yan et al. Here, we show the limitations of this model by deploying it on one of the largest datasets of COVID-19 patients containing detailed clinical parameters collected from India.

READ FULL TEXT

page 1

page 2

page 3

page 4

research
09/02/2021

Severity and Mortality Prediction Models to Triage Indian COVID-19 Patients

As the second wave in India mitigates, COVID-19 has now infected about 2...
research
09/18/2021

Development of patients triage algorithm from nationwide COVID-19 registry data based on machine learning

Prompt severity assessment model of confirmed patients who were infected...
research
12/11/2018

Decision Support System for Renal Transplantation

The burgeoning need for kidney transplantation mandates immediate attent...
research
02/16/2023

Using Explainable AI to Cross-Validate Socio-economic Disparities Among Covid-19 Patient Mortality

This paper applies eXplainable Artificial Intelligence (XAI) methods to ...
research
11/24/2020

Pain Intensity Assessment in Sickle Cell Disease patients using Vital Signs during Hospital Visits

Pain in sickle cell disease (SCD) is often associated with increased mor...

Please sign up or login with your details

Forgot password? Click here to reset