Evidence map›Paper›PMID 32963059›Full record

ArticleBMJ supportive & palliative care2020

Development and validation of a machine learning-based prediction model for near-term in-hospital mortality among patients with COVID-19.

Prathamesh Parchure, Himanshu Joshi, Kavita Dharmarajan, Robert Freeman, David L Reich, Madhu Mazumdar, Prem Timsina, Arash Kia

Abstract read
In one paragraph

Article in BMJ supportive & palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Data mining approach to predicting of death in patients with COVID-19.Journal of education and health promotion · 2026
    Article
  4. Article
  5. Comparative Analysis of Fusion Strategies for Imaging and Non-imaging Data - Use-case of Hospital Discharge Prediction.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. [Prevention and cost control in the German healthcare sector].Pravention und Gesundheitsforderung · 2023
    Article
  11. Article
  12. Article
  13. Graph-based Fusion Modeling and Explanation for Disease Trajectory Prediction.medRxiv : the preprint server for health sciences · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Graph-based Fusion Modeling and Explanation forDisease Trajectory Prediction.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2022
    Article
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

8 authors.

Prathamesh ParchureInstitute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Himanshu JoshiInstitute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID http://orcid.org/0000-0003-0272-0733
Kavita DharmarajanInstitute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Robert FreemanInstitute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID http://orcid.org/0000-0003-4946-6533
David L ReichHospital Administration, Icahn School of Medicine at Mount Sinai, New York, New York, United States.
Madhu MazumdarInstitute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA madhu.mazumdar@mountsinai.org.ORCID http://orcid.org/0000-0003-3965-5146
Prem Timsina *Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Arash Kia *Institute for Healthcare Delivery Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Funding

THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Deanna L Benson · 2015 to 2026
$35.4M
NCI NIH HHS P30 CA196521
6 · The paper itself

Abstract

objectivesTo develop and validate a model for prediction of near-term in-hospital mortality among patients with COVID-19 by application of a machine learning (ML) algorithm on time-series inpatient data from electronic health records.

methodsA cohort comprised of 567 patients with COVID-19 at a large acute care healthcare system between 10 February 2020 and 7 April 2020 observed until either death or discharge. Random forest (RF) model was developed on randomly drawn 70% of the cohort (training set) and its performance was evaluated on the rest of 30% (the test set). The outcome variable was in-hospital mortality within 20-84 hours from the time of prediction. Input features included patients' vital signs, laboratory data and ECG results.

resultsPatients had a median age of 60.2 years (IQR 26.2 years); 54.1% were men. In-hospital mortality rate was 17.0% and overall median time to death was 6.5 days (range 1.3-23.0 days). In the test set, the RF classifier yielded a sensitivity of 87.8% (95% CI: 78.2% to 94.3%), specificity of 60.6% (95% CI: 55.2% to 65.8%), accuracy of 65.5% (95% CI: 60.7% to 70.0%), area under the receiver operating characteristic curve of 85.5% (95% CI: 80.8% to 90.2%) and area under the precision recall curve of 64.4% (95% CI: 53.5% to 75.3%).

conclusionsOur ML-based approach can be used to analyse electronic health record data and reliably predict near-term mortality prediction. Using such a model in hospitals could help improve care, thereby better aligning clinical decisions with prognosis in critically ill patients with COVID-19.

Indexed as

end of life carehospital careprognosissupportive careterminal care

Identifiers

PMID32963059
PMCPMC8049537

What OpenQuestion holds

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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 OpenQuestion graph.