Evidence map›Paper›PMID 35054223›Full record

ArticleDiagnostics (Basel, Switzerland)2021

A Multimodal Approach for the Risk Prediction of Intensive Care and Mortality in Patients with COVID-19.

Vasileios C Pezoulas, Konstantina D Kourou, Costas Papaloukas, Vassiliki Triantafyllia, Vicky Lampropoulou, Eleni Siouti, Maria Papadaki, Maria Salagianni, Evangelia Koukaki, Nikoletta Rovina and 3 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
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  5. Review
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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

13 authors.

Vasileios C PezoulasUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR45110 Ioannina, Greece.
Konstantina D KourouUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR45110 Ioannina, Greece.ORCID 0000-0003-4310-2739
Costas PapaloukasUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR45110 Ioannina, Greece.ORCID 0000-0002-6736-5536
Vassiliki TriantafylliaLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.
Vicky LampropoulouLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.
Eleni SioutiLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.
Maria PapadakiLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.
Maria SalagianniLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.ORCID 0000-0001-9821-1559
Evangelia KoukakiIntensive Care Unit (ICU), 1st Department of Respiratory Medicine, Medical School, National and Kapodistrian University of Athens, 'Sotiria' General Hospital of Chest Diseases, GR11527 Athens, Greece.ORCID 0000-0002-9770-173X
Nikoletta RovinaIntensive Care Unit (ICU), 1st Department of Respiratory Medicine, Medical School, National and Kapodistrian University of Athens, 'Sotiria' General Hospital of Chest Diseases, GR11527 Athens, Greece.ORCID 0000-0003-0138-5582
Antonia KoutsoukouIntensive Care Unit (ICU), 1st Department of Respiratory Medicine, Medical School, National and Kapodistrian University of Athens, 'Sotiria' General Hospital of Chest Diseases, GR11527 Athens, Greece.
Evangelos AndreakosLaboratory of Immunobiology, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, GR11527 Athens, Greece.
Dimitrios I FotiadisUnit of Medical Technology and Intelligent Information Systems, Department of Materials Science and Engineering, University of Ioannina, GR45110 Ioannina, Greece.ORCID 0000-0002-7362-5082

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough several studies have been launched towards the prediction of risk factors for mortality and admission in the intensive care unit (ICU) in COVID-19, none of them focuses on the development of explainable AI models to define an ICU scoring index using dynamically associated biological markers.

methodsWe propose a multimodal approach which combines explainable AI models with dynamic modeling methods to shed light into the clinical features of COVID-19. Dynamic Bayesian networks were used to seek associations among cytokines across four time intervals after hospitalization. Explainable gradient boosting trees were trained to predict the risk for ICU admission and mortality towards the development of an ICU scoring index.

resultsOur results highlight LDH, IL-6, IL-8, Cr, number of monocytes, lymphocyte count, TNF as risk predictors for ICU admission and survival along with LDH, age, CRP, Cr, WBC, lymphocyte count for mortality in the ICU, with prediction accuracy 0.79 and 0.81, respectively. These risk factors were combined with dynamically associated biological markers to develop an ICU scoring index with accuracy 0.9.

conclusionsto our knowledge, this is the first multimodal and explainable AI model which quantifies the risk of intensive care with accuracy up to 0.9 across multiple timepoints.

Indexed as

artificial intelligenceCOVID-19dynamic modelingICU scoring indexrisk predictors

Identifiers

PMID35054223
PMCPMC8774804

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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.