A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study

Abstract Novel coronavirus pneumonia (NCP) has been widely spread in China and several other countries. Early finding of this pneumonia from huge numbers of suspects gives clinicians a big challenge. The aim of the study was to develop a rapid screening model for early predicting NCP in a Zhejiang p...

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Main Authors: Yi-Ning Dai, Wei Zheng, Qing-Qing Wu, Tian-Chen Hui, Nan-Nan Sun, Guo-Bo Chen, Yong-Xi Tong, Su-Xia Bao, Wen-Hao Wu, Yi-Cheng Huang, Qiao-Qiao Yin, Li-Juan Wu, Li-Xia Yu, Ji-Chan Shi, Nian Fang, Yue-Fei Shen, Xin-Sheng Xie, Chun-Lian Ma, Wan-Jun Yu, Wen-Hui Tu, Rong Yan, Ming-Shan Wang, Mei-Juan Chen, Jia-Jie Zhang, Bin Ju, Hai-Nv Gao, Hai-Jun Huang, Lan-Juan Li, Hong-Ying Pan
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-83054-x
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author Yi-Ning Dai
Wei Zheng
Qing-Qing Wu
Tian-Chen Hui
Nan-Nan Sun
Guo-Bo Chen
Yong-Xi Tong
Su-Xia Bao
Wen-Hao Wu
Yi-Cheng Huang
Qiao-Qiao Yin
Li-Juan Wu
Li-Xia Yu
Ji-Chan Shi
Nian Fang
Yue-Fei Shen
Xin-Sheng Xie
Chun-Lian Ma
Wan-Jun Yu
Wen-Hui Tu
Rong Yan
Ming-Shan Wang
Mei-Juan Chen
Jia-Jie Zhang
Bin Ju
Hai-Nv Gao
Hai-Jun Huang
Lan-Juan Li
Hong-Ying Pan
author_facet Yi-Ning Dai
Wei Zheng
Qing-Qing Wu
Tian-Chen Hui
Nan-Nan Sun
Guo-Bo Chen
Yong-Xi Tong
Su-Xia Bao
Wen-Hao Wu
Yi-Cheng Huang
Qiao-Qiao Yin
Li-Juan Wu
Li-Xia Yu
Ji-Chan Shi
Nian Fang
Yue-Fei Shen
Xin-Sheng Xie
Chun-Lian Ma
Wan-Jun Yu
Wen-Hui Tu
Rong Yan
Ming-Shan Wang
Mei-Juan Chen
Jia-Jie Zhang
Bin Ju
Hai-Nv Gao
Hai-Jun Huang
Lan-Juan Li
Hong-Ying Pan
author_sort Yi-Ning Dai
collection DOAJ
description Abstract Novel coronavirus pneumonia (NCP) has been widely spread in China and several other countries. Early finding of this pneumonia from huge numbers of suspects gives clinicians a big challenge. The aim of the study was to develop a rapid screening model for early predicting NCP in a Zhejiang population, as well as its utility in other areas. A total of 880 participants who were initially suspected of NCP from January 17 to February 19 were included. Potential predictors were selected via stepwise logistic regression analysis. The model was established based on epidemiological features, clinical manifestations, white blood cell count, and pulmonary imaging changes, with the area under receiver operating characteristic (AUROC) curve of 0.920. At a cut-off value of 1.0, the model could determine NCP with a sensitivity of 85% and a specificity of 82.3%. We further developed a simplified model by combining the geographical regions and rounding the coefficients, with the AUROC of 0.909, as well as a model without epidemiological factors with the AUROC of 0.859. The study demonstrated that the screening model was a helpful and cost-effective tool for early predicting NCP and had great clinical significance given the high activity of NCP.
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spelling doaj.art-1ca86e8ef78443db85a337ffe341bd302022-12-21T21:20:36ZengNature PortfolioScientific Reports2045-23222021-02-0111111110.1038/s41598-021-83054-xA rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter studyYi-Ning Dai0Wei Zheng1Qing-Qing Wu2Tian-Chen Hui3Nan-Nan Sun4Guo-Bo Chen5Yong-Xi Tong6Su-Xia Bao7Wen-Hao Wu8Yi-Cheng Huang9Qiao-Qiao Yin10Li-Juan Wu11Li-Xia Yu12Ji-Chan Shi13Nian Fang14Yue-Fei Shen15Xin-Sheng Xie16Chun-Lian Ma17Wan-Jun Yu18Wen-Hui Tu19Rong Yan20Ming-Shan Wang21Mei-Juan Chen22Jia-Jie Zhang23Bin Ju24Hai-Nv Gao25Hai-Jun Huang26Lan-Juan Li27Hong-Ying Pan28Department of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeHangzhou Wowjoy Information Technology Co., LtdClinical Research Institute, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, First People’s Hospital of TongxiangDepartment of Infectious Diseases, People’s Hospital of ShaoxingDepartment of Infectious Diseases, Wenzhou Central HospitalDepartment of Infectious Diseases, First Hospital of TaizhouDepartment of Infectious Diseases, First People’s Hospital of XiaoshanDepartment of Infectious Diseases, First Hospital of JiaxingDepartment of Infectious Diseases, First People’s Hospital of WenlingDepartment of Respiratory and Critical Care Medicine, Yinzhou People’s Hospital, Affiliated Yinzhou Hospital, College of Medicine, Ningbo UniversityDepartment of Infectious Diseases, Taizhou Municipal HospitalDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeHangzhou Wowjoy Information Technology Co., LtdDepartment of Infectious Diseases, ShuLan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical CollegeDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Centre for Infectious Diseases, Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang UniversityDepartment of Infectious Diseases, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical CollegeAbstract Novel coronavirus pneumonia (NCP) has been widely spread in China and several other countries. Early finding of this pneumonia from huge numbers of suspects gives clinicians a big challenge. The aim of the study was to develop a rapid screening model for early predicting NCP in a Zhejiang population, as well as its utility in other areas. A total of 880 participants who were initially suspected of NCP from January 17 to February 19 were included. Potential predictors were selected via stepwise logistic regression analysis. The model was established based on epidemiological features, clinical manifestations, white blood cell count, and pulmonary imaging changes, with the area under receiver operating characteristic (AUROC) curve of 0.920. At a cut-off value of 1.0, the model could determine NCP with a sensitivity of 85% and a specificity of 82.3%. We further developed a simplified model by combining the geographical regions and rounding the coefficients, with the AUROC of 0.909, as well as a model without epidemiological factors with the AUROC of 0.859. The study demonstrated that the screening model was a helpful and cost-effective tool for early predicting NCP and had great clinical significance given the high activity of NCP.https://doi.org/10.1038/s41598-021-83054-x
spellingShingle Yi-Ning Dai
Wei Zheng
Qing-Qing Wu
Tian-Chen Hui
Nan-Nan Sun
Guo-Bo Chen
Yong-Xi Tong
Su-Xia Bao
Wen-Hao Wu
Yi-Cheng Huang
Qiao-Qiao Yin
Li-Juan Wu
Li-Xia Yu
Ji-Chan Shi
Nian Fang
Yue-Fei Shen
Xin-Sheng Xie
Chun-Lian Ma
Wan-Jun Yu
Wen-Hui Tu
Rong Yan
Ming-Shan Wang
Mei-Juan Chen
Jia-Jie Zhang
Bin Ju
Hai-Nv Gao
Hai-Jun Huang
Lan-Juan Li
Hong-Ying Pan
A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
Scientific Reports
title A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
title_full A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
title_fullStr A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
title_full_unstemmed A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
title_short A rapid screening model for early predicting novel coronavirus pneumonia in Zhejiang Province of China: a multicenter study
title_sort rapid screening model for early predicting novel coronavirus pneumonia in zhejiang province of china a multicenter study
url https://doi.org/10.1038/s41598-021-83054-x
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