Evidence map›Paper›PMID 33547335›Full record

ArticleScientific reports2021

Developing and validating COVID-19 adverse outcome risk prediction models from a bi-national European cohort of 5594 patients.

Espen Jimenez-Solem, Tonny S Petersen, Casper Hansen, Christian Hansen, Christina Lioma, Christian Igel, Wouter Boomsma, Oswin Krause, Stephan Lorenzen, Raghavendra Selvan and 25 more

Open access · goldAbstract readValidation Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% of its field
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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

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  14. Artificial intelligence in triage of COVID-19 patients.Frontiers in artificial intelligence · 2024
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  19. Combining blood glucose and SpOScientific reports · 2023
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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

35 authors at 8 institutions in 2 countries.

Espen Jimenez-SolemDepartment of Clinical Pharmacology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Tonny S PetersenDepartment of Clinical Pharmacology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Casper HansenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Christian HansenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Christina LiomaDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Christian IgelDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Wouter BoomsmaDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Oswin KrauseDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Stephan LorenzenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Raghavendra SelvanDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Janne PetersenCenter for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Martin Erik NyelandDepartment of Clinical Pharmacology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Mikkel Zöllner AnkarfeldtCenter for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Gert Mehl VirenfeldtCenter for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Matilde Winther-JensenCenter for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Allan LinnebergCenter for Clinical Research and Prevention, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark.
Mostafa Mehdipour GhaziDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Nicki DetlefsenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Andreas David LauritzenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Abraham George SmithDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Marleen de BruijneDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Bulat IbragimovDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Jens PetersenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Martin LillholmDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Jon MiddletonDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Stine Hasling MogensenDanish Medicines Agency, Copenhagen, Denmark.
Hans-Christian Thorsen-MeyerDepartment of Intensive Care Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Anders PernerDepartment of Intensive Care Medicine, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Marie HellebergDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Benjamin Skov Kaas-HansenClinical Pharmacology Unit, Zealand University Hospital, Roskilde, Denmark.
Mikkel BondeCenter for Surgical Translational and Artificial Intelligence Research (CSTAR), Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Alexander BondeDepartment of Surgical Gastroenterology, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.
Akshay PaiDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Mads NielsenDepartment of Computer Science, University of Copenhagen, Copenhagen, Denmark.
Martin SillesenDepartment of Surgical Gastroenterology, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark. Martin.Sillesen@Regionh.dk.
University of Copenhagen · DKCopenhagen University Hospital · DKCenter for Clinical Research and Prevention · DKFrederiksberg Hospital · DKRigshospitalet · DKDanish Medicines Agency · DKTechnical University of Denmark · DKZealand University Hospital · DK

Funding

Novo Nordisk Fonden #NNF20SA0062879
6 · The paper itself

Abstract

Patients with severe COVID-19 have overwhelmed healthcare systems worldwide. We hypothesized that machine learning (ML) models could be used to predict risks at different stages of management and thereby provide insights into drivers and prognostic markers of disease progression and death. From a cohort of approx. 2.6 million citizens in Denmark, SARS-CoV-2 PCR tests were performed on subjects suspected for COVID-19 disease; 3944 cases had at least one positive test and were subjected to further analysis. SARS-CoV-2 positive cases from the United Kingdom Biobank was used for external validation. The ML models predicted the risk of death (Receiver Operation Characteristics-Area Under the Curve, ROC-AUC) of 0.906 at diagnosis, 0.818, at hospital admission and 0.721 at Intensive Care Unit (ICU) admission. Similar metrics were achieved for predicted risks of hospital and ICU admission and use of mechanical ventilation. Common risk factors, included age, body mass index and hypertension, although the top risk features shifted towards markers of shock and organ dysfunction in ICU patients. The external validation indicated fair predictive performance for mortality prediction, but suboptimal performance for predicting ICU admission. ML may be used to identify drivers of progression to more severe disease and for prognostication patients in patients with COVID-19. We provide access to an online risk calculator based on these findings.

Indexed as

Computer SimulationMachine LearningAgedAged, 80 and overAge FactorsBody Mass IndexComorbidityCOVID-19Critical CareFemaleHospitalizationHumansHypertensionIntensive Care UnitsMaleMiddle Aged

Identifiers

PMID33547335
PMCPMC7864944
OpenAlexW3127193704

What OpenQuestion holds

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LicenceCC BY
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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.