Evidence map›Paper›PMID 33602128›Full record

ArticleBMC infectious diseases2021

Correlation between lung infection severity and clinical laboratory indicators in patients with COVID-19: a cross-sectional study based on machine learning.

Xingrui Wang, Qinglin Che, Xiaoxiao Ji, Xinyi Meng, Lang Zhang, Rongrong Jia, Hairong Lyu, Weixian Bai, Lingjie Tan, Yanjun Gao

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Xingrui Wang *Department of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Qinglin Che *Department of Radiology, Jingmen No.1 People's Hospital, Jingmen, 448000, Hubei Province, China.
Xiaoxiao JiDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Xinyi MengDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Lang ZhangDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Rongrong JiaDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Hairong LyuDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Weixian BaiDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Lingjie TanDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China.
Yanjun GaoDepartment of Radiology, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Shaanxi Province, 710018, Xi'an, China. 6397262@qq.com.
Northwest University · CNFirst People’s Hospital of Jingmen · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) has caused a global pandemic that has raised worldwide concern. This study aims to investigate the correlation between the extent of lung infection and relevant clinical laboratory testing indicators in COVID-19 and to analyse its underlying mechanism.

methodsChest high-resolution computer tomography (CT) images and laboratory examination data of 31 patients with COVID-19 were extracted, and the lesion areas in CT images were quantitatively segmented and calculated using a deep learning (DL) system. A cross-sectional study method was carried out to explore the differences among the proportions of lung lobe infection and to correlate the percentage of infection (POI) of the whole lung in all patients with clinical laboratory examination values.

resultsNo significant difference in the proportion of infection was noted among various lung lobes (P > 0.05). The POI of total lung was negatively correlated with the peripheral blood lymphocyte percentage (L%) (r = - 0.633, P < 0.001) and lymphocyte (LY) count (r = - 0.555, P = 0.001) but positively correlated with the neutrophil percentage (N%) (r = 0.565, P = 0.001). Otherwise, the POI was not significantly correlated with the peripheral blood white blood cell (WBC) count, monocyte percentage (M%) or haemoglobin (HGB) content. In some patients, as the infection progressed, the L% and LY count decreased progressively accompanied by a continuous increase in the N%.

conclusionsLung lesions in COVID-19 patients are significantly correlated with the peripheral blood lymphocyte and neutrophil levels, both of which could serve as prognostic indicators that provide warning implications, and contribute to clinical interventions in patients.

Indexed as

Machine LearningAdultClinical Laboratory TechniquesCOVID-19COVID-19 TestingCross-Sectional StudiesFemaleHumansLungLymphocyte CountLymphocytesMaleMiddle AgedNeutrophilsPandemicsPrognosisArtificial intelligenceCOVID-19Deep learningInfection severityLymphocyteNeutrophilSARS-CoV-2

Identifiers

PMID33602128
PMCPMC7891484
OpenAlexW3118920607

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.