Early biochemical analysis of COVID-19 patients helps severity prediction.

COVID-19 pandemic has put the protocols and the capacity of our Hospitals to the test. The management of severe patients admitted to the Intensive Care Units has been a challenge for all health systems. To assist in this challenge, various models have been proposed to predict mortality and severity,...

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Main Authors: Andrés Roncancio-Clavijo, Miriam Gorostidi-Aicua, Ainhoa Alberro, Andrea Iribarren-Lopez, Ray Butler, Raúl Lopez, Jose Antonio Iribarren, Diego Clemente, Jose María Marimon, Javier Basterrechea, Bruno Martinez, Alvaro Prada, David Otaegui
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0283469
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author Andrés Roncancio-Clavijo
Miriam Gorostidi-Aicua
Ainhoa Alberro
Andrea Iribarren-Lopez
Ray Butler
Raúl Lopez
Jose Antonio Iribarren
Diego Clemente
Jose María Marimon
Javier Basterrechea
Bruno Martinez
Alvaro Prada
David Otaegui
author_facet Andrés Roncancio-Clavijo
Miriam Gorostidi-Aicua
Ainhoa Alberro
Andrea Iribarren-Lopez
Ray Butler
Raúl Lopez
Jose Antonio Iribarren
Diego Clemente
Jose María Marimon
Javier Basterrechea
Bruno Martinez
Alvaro Prada
David Otaegui
author_sort Andrés Roncancio-Clavijo
collection DOAJ
description COVID-19 pandemic has put the protocols and the capacity of our Hospitals to the test. The management of severe patients admitted to the Intensive Care Units has been a challenge for all health systems. To assist in this challenge, various models have been proposed to predict mortality and severity, however, there is no clear consensus for their use. In this work, we took advantage of data obtained from routine blood tests performed on all individuals on the first day of hospitalization. These data has been obtained by standardized cost-effective technique available in all the hospitals. We have analyzed the results of 1082 patients with COVID19 and using artificial intelligence we have generated a predictive model based on data from the first days of admission that predicts the risk of developing severe disease with an AUC = 0.78 and an F1-score = 0.69. Our results show the importance of immature granulocytes and their ratio with Lymphocytes in the disease and present an algorithm based on 5 parameters to identify a severe course. This work highlights the importance of studying routine analytical variables in the early stages of hospital admission and the benefits of applying AI to identify patients who may develop severe disease.
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spelling doaj.art-4b422684220a4a058f3bfc1cfe2196702023-05-24T05:31:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e028346910.1371/journal.pone.0283469Early biochemical analysis of COVID-19 patients helps severity prediction.Andrés Roncancio-ClavijoMiriam Gorostidi-AicuaAinhoa AlberroAndrea Iribarren-LopezRay ButlerRaúl LopezJose Antonio IribarrenDiego ClementeJose María MarimonJavier BasterrecheaBruno MartinezAlvaro PradaDavid OtaeguiCOVID-19 pandemic has put the protocols and the capacity of our Hospitals to the test. The management of severe patients admitted to the Intensive Care Units has been a challenge for all health systems. To assist in this challenge, various models have been proposed to predict mortality and severity, however, there is no clear consensus for their use. In this work, we took advantage of data obtained from routine blood tests performed on all individuals on the first day of hospitalization. These data has been obtained by standardized cost-effective technique available in all the hospitals. We have analyzed the results of 1082 patients with COVID19 and using artificial intelligence we have generated a predictive model based on data from the first days of admission that predicts the risk of developing severe disease with an AUC = 0.78 and an F1-score = 0.69. Our results show the importance of immature granulocytes and their ratio with Lymphocytes in the disease and present an algorithm based on 5 parameters to identify a severe course. This work highlights the importance of studying routine analytical variables in the early stages of hospital admission and the benefits of applying AI to identify patients who may develop severe disease.https://doi.org/10.1371/journal.pone.0283469
spellingShingle Andrés Roncancio-Clavijo
Miriam Gorostidi-Aicua
Ainhoa Alberro
Andrea Iribarren-Lopez
Ray Butler
Raúl Lopez
Jose Antonio Iribarren
Diego Clemente
Jose María Marimon
Javier Basterrechea
Bruno Martinez
Alvaro Prada
David Otaegui
Early biochemical analysis of COVID-19 patients helps severity prediction.
PLoS ONE
title Early biochemical analysis of COVID-19 patients helps severity prediction.
title_full Early biochemical analysis of COVID-19 patients helps severity prediction.
title_fullStr Early biochemical analysis of COVID-19 patients helps severity prediction.
title_full_unstemmed Early biochemical analysis of COVID-19 patients helps severity prediction.
title_short Early biochemical analysis of COVID-19 patients helps severity prediction.
title_sort early biochemical analysis of covid 19 patients helps severity prediction
url https://doi.org/10.1371/journal.pone.0283469
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