Evidence map›Paper›PMID 32993652›Full record

SynthesisBMC medical informatics and decision making2020

Using machine learning of clinical data to diagnose COVID-19: a systematic review and meta-analysis.

Wei Tse Li, Jiayan Ma, Neil Shende, Grant Castaneda, Jaideep Chakladar, Joseph C Tsai, Lauren Apostol, Christine O Honda, Jingyue Xu, Lindsay M Wong and 9 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC medical informatics and decision making, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Knowledge Graph Embeddings for ICU readmission prediction.BMC medical informatics and decision making · 2023
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Wei Tse LiDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Jiayan MaDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Neil ShendeDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Grant CastanedaDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Jaideep ChakladarDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Joseph C TsaiDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Lauren ApostolDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Christine O HondaDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Jingyue XuDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Lindsay M WongDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Tianyi ZhangDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Abby LeeDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Aditi GnanasekarDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Thomas K HondaDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA.
Selena Z KuoDepartment of Medicine, Columbia University Medical Center, New York, NY, 10032, USA.
Michael Andrew YuDepartment of Internal Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Eric Y ChangDepartment of Radiology, University of California San Diego, San Diego, CA, 92093, USA.
Mahadevan Raj RajasekaranDepartment of Urology, University of California San Diego, San Diego, CA, 92093, USA.
Weg M OngkekoDepartment of Surgery, Division of Otolaryngology-Head and Neck Surgery, UC San Diego School of Medicine, San Diego, CA, 92093, USA. rongkeko@health.ucsd.edu.ORCID 0000-0002-2790-2480

Funding

Office of the President, University of California R00RG2369
6 · The paper itself

Abstract

backgroundThe recent Coronavirus Disease 2019 (COVID-19) pandemic has placed severe stress on healthcare systems worldwide, which is amplified by the critical shortage of COVID-19 tests.

methodsIn this study, we propose to generate a more accurate diagnosis model of COVID-19 based on patient symptoms and routine test results by applying machine learning to reanalyzing COVID-19 data from 151 published studies. We aim to investigate correlations between clinical variables, cluster COVID-19 patients into subtypes, and generate a computational classification model for discriminating between COVID-19 patients and influenza patients based on clinical variables alone.

resultsWe discovered several novel associations between clinical variables, including correlations between being male and having higher levels of serum lymphocytes and neutrophils. We found that COVID-19 patients could be clustered into subtypes based on serum levels of immune cells, gender, and reported symptoms. Finally, we trained an XGBoost model to achieve a sensitivity of 92.5% and a specificity of 97.9% in discriminating COVID-19 patients from influenza patients.

conclusionsWe demonstrated that computational methods trained on large clinical datasets could yield ever more accurate COVID-19 diagnostic models to mitigate the impact of lack of testing. We also presented previously unknown COVID-19 clinical variable correlations and clinical subgroups.

Indexed as

Machine LearningBetacoronavirusClinical Laboratory TechniquesComputer SimulationCoronavirus InfectionsCOVID-19COVID-19 TestingDatasets as TopicDiagnosis, DifferentialFemaleHumansInfluenza A virusInfluenza, HumanMalePandemicsPneumonia, ViralCOVID-19Diagnostic modelMachine learning

Identifiers

PMID32993652
PMCPMC7522928

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.