Evidence map›Paper›PMID 36242040›Full record

ArticleBiomedical engineering online2022

Deep learning of longitudinal chest X-ray and clinical variables predicts duration on ventilator and mortality in COVID-19 patients.

Hongyi Duanmu, Thomas Ren, Haifang Li, Neil Mehta, Adam J Singer, Jeffrey M Levsky, Michael L Lipton, Tim Q Duong

Open access · goldAbstract read
In one paragraph

Article in Biomedical engineering online, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 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

8 authors at 3 institutions in 1 country.

Hongyi DuanmuDepartment of Radiology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Thomas RenDepartment of Radiology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Haifang LiDepartment of Radiology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Neil MehtaDepartment of Radiology, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Adam J SingerDepartment of Emergency Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, 11794, USA.
Jeffrey M LevskyDepartment of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Michael L LiptonDepartment of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA.
Tim Q DuongDepartment of Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, 10461, USA. tim.duong@einsteinmed.org.
Albert Einstein College of Medicine · USMontefiore Medical Center · USStony Brook University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo use deep learning of serial portable chest X-ray (pCXR) and clinical variables to predict mortality and duration on invasive mechanical ventilation (IMV) for Coronavirus disease 2019 (COVID-19) patients.

methodsThis is a retrospective study. Serial pCXR and serial clinical variables were analyzed for data from day 1, day 5, day 1-3, day 3-5, or day 1-5 on IMV (110 IMV survivors and 76 IMV non-survivors). The outcome variables were duration on IMV and mortality. With fivefold cross-validation, the performance of the proposed deep learning system was evaluated by receiver operating characteristic (ROC) analysis and correlation analysis.

resultsPredictive models using 5-consecutive-day data outperformed those using 3-consecutive-day and 1-day data. Prediction using data closer to the outcome was generally better (i.e., day 5 data performed better than day 1 data, and day 3-5 data performed better than day 1-3 data). Prediction performance was generally better for the combined pCXR and non-imaging clinical data than either alone. The combined pCXR and non-imaging data of 5 consecutive days predicted mortality with an accuracy of 85 ± 3.5% (95% confidence interval (CI)) and an area under the curve (AUC) of 0.87 ± 0.05 (95% CI) and predicted the duration needed to be on IMV to within 2.56 ± 0.21 (95% CI) days on the validation dataset.

conclusionsDeep learning of longitudinal pCXR and clinical data have the potential to accurately predict mortality and duration on IMV in COVID-19 patients. Longitudinal pCXR could have prognostic value if these findings can be validated in a large, multi-institutional cohort.

Indexed as

COVID-19Deep LearningRespiration DisordersHumansRetrospective StudiesVentilators, MechanicalX-RaysChest X-rayCoronavirusDeep learningMortalityVentilation

Identifiers

PMID36242040
PMCPMC9568988
OpenAlexW4306253101

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.