A machine learning based exploration of COVID-19 mortality risk.

Journal: PloS one
Published Date:

Abstract

Early prediction of patient mortality risks during a pandemic can decrease mortality by assuring efficient resource allocation and treatment planning. This study aimed to develop and compare prognosis prediction machine learning models based on invasive laboratory and noninvasive clinical and demographic data from patients' day of admission. Three Support Vector Machine (SVM) models were developed and compared using invasive, non-invasive, and both groups. The results suggested that non-invasive features could provide mortality predictions that are similar to the invasive and roughly on par with the joint model. Feature inspection results from SVM-RFE and sparsity analysis displayed that, compared with the invasive model, the non-invasive model can provide better performances with a fewer number of features, pointing to the presence of high predictive information contents in several non-invasive features, including SPO2, age, and cardiovascular disorders. Furthermore, while the invasive model was able to provide better mortality predictions for the imminent future, non-invasive features displayed better performance for more distant expiration intervals. Early mortality prediction using non-invasive models can give us insights as to where and with whom to intervene. Combined with novel technologies, such as wireless wearable devices, these models can create powerful frameworks for various medical assignments and patient triage.

Authors

  • Mahdi Mahdavi
    Institute of Medical Science and Technology (IMSAT), Shahid Beheshti University, Tehran, Iran.
  • Hadi Choubdar
    Institute of Medical Science and Technology (IMSAT), Shahid Beheshti University, Tehran, Iran.
  • Erfan Zabeh
    Department of Biomedical Engineering, Columbia University, New York, NY, United States of America.
  • Michael Rieder
    Robarts Research Institute, University of Western Ontario, London, ON, Canada.
  • Safieddin Safavi-Naeini
    CIARS (Centre for Intelligent Antenna and Radio Systems), Department of Electrical and Computer Engineering, University of Waterloo, Waterloo, ON, Canada.
  • Zsolt Jobbagy
    Department of Pathology, Immunology and Molecular Pathology, Rutgers New Jersey Medical School, Newark, NJ, United States of America.
  • Amirata Ghorbani
    Department of Electrical Engineering, Stanford University, Stanford, CA, USA.
  • Atefeh Abedini
    Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Arda Kiani
    Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Vida Khanlarzadeh
    Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada.
  • Reza Lashgari
    Brain Engineering Research Center, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran.
  • Ehsan Kamrani
    Robarts Research Institute, University of Western Ontario, London, ON, Canada.