Evidence map›Paper›PMID 36376208›Full record

Observational studyArchives of cardiovascular diseases2022

Machine learning-based scoring system to predict in-hospital outcomes in patients hospitalized with COVID-19.

Orianne Weizman, Baptiste Duceau, Antonin Trimaille, Thibaut Pommier, Joffrey Cellier, Laura Geneste, Vassili Panagides, Wassima Marsou, Antoine Deney, Sabir Attou and 27 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Archives of cardiovascular diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 9 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

37 authors at 18 institutions in 1 country.

Orianne WeizmanCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-lès-Nancy, France; Université de Paris, PARCC, INSERM, 75015 Paris, France.
Baptiste DuceauUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Antonin TrimailleNouvel Hopital Civil, Centre Hospitalier Régional Universitaire de Strasbourg, 67000 Strasbourg, France.
Thibaut PommierCentre Hospitalier Universitaire de Dijon, 21000 Dijon, France.
Joffrey CellierHôpital Européen Georges-Pompidou, Université de Paris, 75015 Paris, France.
Laura GenesteCentre Hospitalier Universitaire d'Amiens-Picardie, 80000 Amiens, France.
Vassili PanagidesCentre Hospitalier Universitaire de Marseille, 13005 Marseille, France.
Wassima MarsouGCS-Groupement des Hôpitaux de l'Institut Catholique de Lille, Faculté de Médecine et de Maïeutique, Université Catholique de Lille, 59800 Lille, France.
Antoine DeneyCentre Hospitalier Universitaire de Toulouse, 31400 Toulouse, France.
Sabir AttouCentre Hospitalier Universitaire de Caen-Normandie, 14000 Caen, France.
Thomas DelmotteCentre Hospitalier Universitaire de Reims, 51100 Reims, France.
Sophie RibeyrollesInstitut Mutualiste Montsouris, 75014 Paris, France.
Pascale ChemalyInstitut Cardiovasculaire Paris Sud, 91300 Massy, France.
Clément KarsentyCentre Hospitalier Universitaire de Toulouse, 31400 Toulouse, France.
Gauthier GiordanoCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-lès-Nancy, France.
Alexandre GautierInstitut Cardiovasculaire Paris Sud, 91300 Massy, France.
Corentin ChaumontCentre Hospitalier Universitaire de Rouen, FHU REMOD-VHF, 76000 Rouen, France.
Pierre GuilleminotCentre Hospitalier Universitaire de Dijon, 21000 Dijon, France.
Audrey SagnardCentre Hospitalier Universitaire de Dijon, 21000 Dijon, France.
Julie PastierCentre Hospitalier Universitaire de Dijon, 21000 Dijon, France.
Nacim EzzouhairiCentre Hospitalier Universitaire de Bordeaux, 33076 Bordeaux, France.
Benjamin PerinCentre Hospitalier Régional Universitaire de Nancy, 54511 Vandoeuvre-lès-Nancy, France.
Cyril ZakineClinique Saint-Gatien, 37540 Saint-Cyr-sur-Loire, France.
Thomas LevasseurCentre Hospitalier Intercommunal Fréjus-Saint-Raphaël, 83600 Fréjus, France.
Iris MaHôpital Européen Georges-Pompidou, Université de Paris, 75015 Paris, France.
Diane ChavignierCentre Hospitalier Régional de Orléans, 45100 Orléans, France.
Nathalie NoirclercCentre Hospitalier Annecy Genevois, 74370 Épagny-Metz-Tessy, France.
Arthur DarmonHôpital Bichat-Claude-Bernard, AP-HP, Université de Paris, 75018 Paris, France.
Marine MevelecCentre Hospitalier Régional de Orléans, 45100 Orléans, France.
Willy SutterUniversité de Paris, PARCC, INSERM, 75015 Paris, France.
Delphine MikaUniversité Paris-Saclay, Inserm, UMR-S 1180, 92296 Chatenay-Malabry, France.
Charles FauvelCentre Hospitalier Universitaire de Rouen, FHU REMOD-VHF, 76000 Rouen, France.
Théo PezelHôpital Lariboisière, AP-HP, Université de Paris, 75010 Paris, France.
Victor WaldmannUniversité de Paris, PARCC, INSERM, 75015 Paris, France; Hôpital Européen Georges-Pompidou, Université de Paris, 75015 Paris, France.
Ariel CohenHôpital Saint-Antoine, 75012 Paris, France. Electronic address: ariel.cohen@aphp.fr.
Guillaume BonnetUniversité de Paris, PARCC, INSERM, 75015 Paris, France; Hôpital Européen Georges-Pompidou, Université de Paris, 75015 Paris, France.
Critical COVID-19 France investigators
Inserm · FRCHU Dijon Bourgogne · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Rouen · FRCentre Hospitalier Universitaire de Toulouse · FRCentre hospitalier universitaire d'Orléans · FRInstitut Cardiovasculaire Paris Sud · FRUniversité Paris Cité · FRCentre Hospitalier Annecy Genevois · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Caen Normandie · FRHôpital Civil, Strasbourg · FRInstitute Mutualiste Montsouris · FRSorbonne Université · FRUniversité Catholique de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evolution of patients hospitalized with coronavirus disease 2019 (COVID-19) is still hard to predict, even after several months of dealing with the pandemic.

aimsTo develop and validate a score to predict outcomes in patients hospitalized with COVID-19.

methodsAll consecutive adults hospitalized for COVID-19 from February to April 2020 were included in a nationwide observational study. Primary composite outcome was transfer to an intensive care unit from an emergency department or conventional ward, or in-hospital death. A score that estimates the risk of experiencing the primary outcome was constructed from a derivation cohort using stacked LASSO (Least Absolute Shrinkage and Selection Operator), and was tested in a validation cohort.

resultsAmong 2873 patients analysed (57.9% men; 66.6±17.0 years), the primary outcome occurred in 838 (29.2%) patients: 551 (19.2%) were transferred to an intensive care unit; and 287 (10.0%) died in-hospital without transfer to an intensive care unit. Using stacked LASSO, we identified 11 variables independently associated with the primary outcome in multivariable analysis in the derivation cohort (n=2313), including demographics (sex), triage vitals (body temperature, dyspnoea, respiratory rate, fraction of inspired oxygen, blood oxygen saturation) and biological variables (pH, platelets, C-reactive protein, aspartate aminotransferase, estimated glomerular filtration rate). The Critical COVID-19 France (CCF) risk score was then developed, and displayed accurate calibration and discrimination in the derivation cohort, with C-statistics of 0.78 (95% confidence interval 0.75-0.80). The CCF risk score performed significantly better (i.e. higher C-statistics) than the usual critical care risk scores.

conclusionsThe CCF risk score was built using data collected routinely at hospital admission to predict outcomes in patients with COVID-19. This score holds promise to improve early triage of patients and allocation of healthcare resources.

Indexed as

COVID-19AdultFemaleHospitalizationHospital MortalityHospitalsHumansMachine LearningMaleRetrospective StudiesSARS-CoV-2COVID-19PredictionPrognosisRisk scoreSARS-CoV-2

Identifiers

PMID36376208
PMCPMC9595484
OpenAlexW4307155826

What OpenQuestion holds

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Registered trials

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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.