A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients

Objective: To predict the in-hospital incidence of acute respiratory distress syndrome (ARDS) in COVID-19 patients by developing a predictive nomogram. Methods: Patients with COVID-19 admitted to Changsha Public Health Centre between 30 January 2020, and 22 February 2020 were enrolled in this study....

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Main Authors: Ning Ding, Yang Zhou, Guifang Yang, Xiangping Chai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Asian Pacific Journal of Tropical Medicine
Subjects:
Online Access:http://www.apjtm.org/article.asp?issn=1995-7645;year=2021;volume=14;issue=6;spage=274;epage=280;aulast=Ding
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author Ning Ding
Yang Zhou
Guifang Yang
Xiangping Chai
author_facet Ning Ding
Yang Zhou
Guifang Yang
Xiangping Chai
author_sort Ning Ding
collection DOAJ
description Objective: To predict the in-hospital incidence of acute respiratory distress syndrome (ARDS) in COVID-19 patients by developing a predictive nomogram. Methods: Patients with COVID-19 admitted to Changsha Public Health Centre between 30 January 2020, and 22 February 2020 were enrolled in this study. Clinical characteristics and laboratory variables were analyzed and compared between patients with or without ARDS. Clinical characteristics and laboratory variables that were risk factors of ARDS were screened by the least absolute shrinkage and selection operator binary logistic regression. Based on risk factors, a prediction model was established by logistic regression and the final nomogram prognostic model was performed. The calibration curve was applied to evaluate the consistency between the nomogram and the ideal observation. Results: A total of 113 patients, including 99 non-ARDS patients and 14 ARDS patients were included in this study. Eight variables including hypertension, chronic obstructive pulmonary disease, cough, lactate dehydrogenase, creatine kinase, white blood count, body temperature, and heart rate were included in the model. The area under receiver operating characteristic curve, specificity, sensitivity, and accuracy of the full model were 0.969, 1.000, 0.857, and 0.875, respectively. The calibration curve also showed good agreement between the predicted and observed values in the model. Conclusions: The nomogram can be used to predict the in-hospital incidence of ARDS in COVID-19 patients.
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spelling doaj.art-783428dc1134416f9ad5fd1ee2efcc262022-12-22T04:28:45ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462021-01-0114627428010.4103/1995-7645.318303A nomogram for predicting acute respiratory distress syndrome in COVID-19 patientsNing DingYang ZhouGuifang YangXiangping ChaiObjective: To predict the in-hospital incidence of acute respiratory distress syndrome (ARDS) in COVID-19 patients by developing a predictive nomogram. Methods: Patients with COVID-19 admitted to Changsha Public Health Centre between 30 January 2020, and 22 February 2020 were enrolled in this study. Clinical characteristics and laboratory variables were analyzed and compared between patients with or without ARDS. Clinical characteristics and laboratory variables that were risk factors of ARDS were screened by the least absolute shrinkage and selection operator binary logistic regression. Based on risk factors, a prediction model was established by logistic regression and the final nomogram prognostic model was performed. The calibration curve was applied to evaluate the consistency between the nomogram and the ideal observation. Results: A total of 113 patients, including 99 non-ARDS patients and 14 ARDS patients were included in this study. Eight variables including hypertension, chronic obstructive pulmonary disease, cough, lactate dehydrogenase, creatine kinase, white blood count, body temperature, and heart rate were included in the model. The area under receiver operating characteristic curve, specificity, sensitivity, and accuracy of the full model were 0.969, 1.000, 0.857, and 0.875, respectively. The calibration curve also showed good agreement between the predicted and observed values in the model. Conclusions: The nomogram can be used to predict the in-hospital incidence of ARDS in COVID-19 patients.http://www.apjtm.org/article.asp?issn=1995-7645;year=2021;volume=14;issue=6;spage=274;epage=280;aulast=Dingnomogram; acute respiratory distress syndrome; covid-19
spellingShingle Ning Ding
Yang Zhou
Guifang Yang
Xiangping Chai
A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
Asian Pacific Journal of Tropical Medicine
nomogram; acute respiratory distress syndrome; covid-19
title A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
title_full A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
title_fullStr A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
title_full_unstemmed A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
title_short A nomogram for predicting acute respiratory distress syndrome in COVID-19 patients
title_sort nomogram for predicting acute respiratory distress syndrome in covid 19 patients
topic nomogram; acute respiratory distress syndrome; covid-19
url http://www.apjtm.org/article.asp?issn=1995-7645;year=2021;volume=14;issue=6;spage=274;epage=280;aulast=Ding
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