A prediction model of outcome of SARS-CoV-2 pneumonia based on laboratory findings

Sci Rep. 2020 Aug 20;10(1):14042. doi: 10.1038/s41598-020-71114-7.

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in thousands of deaths in the world. Information about prediction model of prognosis of SARS-CoV-2 infection is scarce. We used machine learning for processing laboratory findings of 110 patients with SARS-CoV-2 pneumonia (including 51 non-survivors and 59 discharged patients). The maximum relevance minimum redundancy (mRMR) algorithm and the least absolute shrinkage and selection operator logistic regression model were used for selection of laboratory features. Seven laboratory features selected in the model were: prothrombin activity, urea, white blood cell, interleukin-2 receptor, indirect bilirubin, myoglobin, and fibrinogen degradation products. The signature constructed using the seven features had 98% [93%, 100%] sensitivity and 91% [84%, 99%] specificity in predicting outcome of SARS-CoV-2 pneumonia. Thus it is feasible to establish an accurate prediction model of outcome of SARS-CoV-2 pneumonia based on laboratory findings.

MeSH terms

  • Aged
  • Betacoronavirus / genetics*
  • Bilirubin / blood
  • COVID-19
  • Coronavirus Infections / blood*
  • Coronavirus Infections / therapy
  • Coronavirus Infections / virology
  • Data Accuracy
  • Feasibility Studies
  • Female
  • Fibrin Fibrinogen Degradation Products / analysis
  • Forecasting / methods
  • Humans
  • Leukocytes
  • Machine Learning
  • Male
  • Models, Statistical*
  • Myoglobin / blood
  • Pandemics
  • Pneumonia, Viral / blood*
  • Pneumonia, Viral / therapy
  • Pneumonia, Viral / virology
  • Prognosis
  • Prothrombin / analysis
  • Receptors, Interleukin-2 / blood
  • Retrospective Studies
  • SARS-CoV-2
  • Sensitivity and Specificity
  • Treatment Outcome
  • Urea / blood

Substances

  • Fibrin Fibrinogen Degradation Products
  • Myoglobin
  • Receptors, Interleukin-2
  • Urea
  • Prothrombin
  • Bilirubin