Evidence map›Paper›PMID 35184218›Full record

ArticleEuropean radiology2022

COVID-19 mortality prediction in the intensive care unit with deep learning based on longitudinal chest X-rays and clinical data.

Jianhong Cheng, John Sollee, Celina Hsieh, Hailin Yue, Nicholas Vandal, Justin Shanahan, Ji Whae Choi, Thi My Linh Tran, Kasey Halsey, Franklin Iheanacho and 15 more

Erratum issuedAbstract read
In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Jianhong Cheng *Hunan Provincial Key Lab on Bioinformatics, School of Computer Science and Engineering, Central South University, 932 Lushan S Rd, Yuelu District, Changsha, Hunan, China.
John Sollee *Department of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Celina Hsieh *Department of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Hailin YueHunan Provincial Key Lab on Bioinformatics, School of Computer Science and Engineering, Central South University, 932 Lushan S Rd, Yuelu District, Changsha, Hunan, China.
Nicholas VandalDepartment of Diagnostic Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Justin ShanahanDepartment of Diagnostic Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Ji Whae ChoiDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Thi My Linh TranDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Kasey HalseyDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Franklin IheanachoDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
James WarrenDepartment of Data Science, University of London, London, UK.
Abdullah AhmedDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Carsten EickhoffCenter for Biomedical Informatics, Brown University, Providence, RI, 02912, USA.
Michael FeldmanDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Eduardo Mortani BarbosaDepartment of Diagnostic Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Ihab KamelDepartment of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD, 21205, USA.
Cheng Ting LinDepartment of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD, 21205, USA.
Thomas YiDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Terrance HealeyDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Paul ZhangDepartment of Diagnostic Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Jing WuHunan Provincial Key Lab on Bioinformatics, School of Computer Science and Engineering, Central South University, 932 Lushan S Rd, Yuelu District, Changsha, Hunan, China.
Michael AtalayDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA.
Harrison X BaiDepartment of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, 601 N Caroline St, Baltimore, MD, 21205, USA. hbai7@jh.edu.ORCID http://orcid.org/0000-0002-9614-2163
Zhicheng JiaoDepartment of Diagnostic Radiology, Rhode Island Hospital, 593 Eddy St., Providence, RI, 02903, USA. Zhicheng_Jiao@Brown.edu.
Jianxin WangHunan Provincial Key Lab on Bioinformatics, School of Computer Science and Engineering, Central South University, 932 Lushan S Rd, Yuelu District, Changsha, Hunan, China. jxwang@mail.csu.edu.cn.

Funding

Warren Alpert Medical School Basic Translational ResearchT35HL094308 · NHLBI · BROWN UNIVERSITY · PI Thomas Benedict Bartnikas, Brittany Star Hampton · 2009 to 2026
$808k
NHLBI NIH HHS 5T35HL094308-12NHLBI NIH HHS T35 HL094308
6 · The paper itself

Abstract

objectivesWe aimed to develop deep learning models using longitudinal chest X-rays (CXRs) and clinical data to predict in-hospital mortality of COVID-19 patients in the intensive care unit (ICU).

methodsSix hundred fifty-four patients (212 deceased, 442 alive, 5645 total CXRs) were identified across two institutions. Imaging and clinical data from one institution were used to train five longitudinal transformer-based networks applying five-fold cross-validation. The models were tested on data from the other institution, and pairwise comparisons were used to determine the best-performing models.

resultsA higher proportion of deceased patients had elevated white blood cell count, decreased absolute lymphocyte count, elevated creatine concentration, and incidence of cardiovascular and chronic kidney disease. A model based on pre-ICU CXRs achieved an AUC of 0.632 and an accuracy of 0.593, and a model based on ICU CXRs achieved an AUC of 0.697 and an accuracy of 0.657. A model based on all longitudinal CXRs (both pre-ICU and ICU) achieved an AUC of 0.702 and an accuracy of 0.694. A model based on clinical data alone achieved an AUC of 0.653 and an accuracy of 0.657. The addition of longitudinal imaging to clinical data in a combined model significantly improved performance, reaching an AUC of 0.727 (p = 0.039) and an accuracy of 0.732.

conclusionsThe addition of longitudinal CXRs to clinical data significantly improves mortality prediction with deep learning for COVID-19 patients in the ICU. KEY POINTS: • Deep learning was used to predict mortality in COVID-19 ICU patients. • Serial radiographs and clinical data were used. • The models could inform clinical decision-making and resource allocation.

Indexed as

COVID-19Deep LearningHumansIntensive Care UnitsRadiographyX-RaysArtificial intelligenceCoronavirusHospital mortalityMachine learningPrognosis

Identifiers

PMID35184218
PMCPMC8857913

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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.