Evidence map›Paper›PMID 36405356›Full record

ArticleHealth data science2021

Machine Learning Highlights Downtrending of COVID-19 Patients with a Distinct Laboratory Profile.

He S Yang, Yu Hou, Hao Zhang, Amy Chadburn, Lars F Westblade, Richard Fedeli, Peter A D Steel, Sabrina E Racine-Brzostek, Priya Velu, Jorge L Sepulveda and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Health data science, 2021. 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
0.3field-weighted citation impact, top 43% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. The Saga of COVID-19 in Chronic Lung Disease: History Repeats Itself.Annals of the American Thoracic Society · 2024
    Article
  4. Building the Model.Archives of pathology & laboratory medicine · 2023
    Review
  5. Article
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

15 authors at 3 institutions in 1 country.

He S YangDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0001-5827-992X
Yu HouDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Hao ZhangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-2928-2692
Amy ChadburnDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Lars F WestbladeDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Richard FedeliNew York-Presbyterian Hospital/Weill Cornell Medical Campus, New York, NY, USA.
Peter A D SteelNew York-Presbyterian Hospital/Weill Cornell Medical Campus, New York, NY, USA.ORCID https://orcid.org/0000-0002-2878-2804
Sabrina E Racine-BrzostekDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-6296-6682
Priya VeluDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Jorge L SepulvedaDepartment of Pathology, School of Medicine and Health Sciences, George Washington University, Washington DC, USA.
Michael J SatlinDivision of Infectious Disease, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Melissa M CushingDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Rainu KaushalNew York-Presbyterian Hospital/Weill Cornell Medical Campus, New York, NY, USA.
Zhen ZhaoDepartment of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-9742-5982
Fei WangDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0001-9459-9461
NewYork–Presbyterian Hospital · USCornell University · USGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: New York City (NYC) experienced an initial surge and gradual decline in the number of SARS-CoV-2-confirmed cases in 2020. A change in the pattern of laboratory test results in COVID-19 patients over this time has not been reported or correlated with patient outcome. Methods: We performed a retrospective study of routine laboratory and SARS-CoV-2 RT-PCR test results from 5,785 patients evaluated in a NYC hospital emergency department from March to June employing machine learning analysis. Results: A COVID-19 high-risk laboratory test result profile (COVID19-HRP), consisting of 21 routine blood tests, was identified to characterize the SARS-CoV-2 patients. Approximately half of the SARS-CoV-2 positive patients had the distinct COVID19-HRP that separated them from SARS-CoV-2 negative patients. SARS-CoV-2 patients with the COVID19-HRP had higher SARS-CoV-2 viral loads, determined by cycle threshold values from the RT-PCR, and poorer clinical outcome compared to other positive patients without the COVID12-HRP. Furthermore, the percentage of SARS-CoV-2 patients with the COVID19-HRP has significantly decreased from March/April to May/June. Notably, viral load in the SARS-CoV-2 patients declined, and their laboratory profile became less distinguishable from SARS-CoV-2 negative patients in the later phase. Conclusions: Our longitudinal analysis illustrates the temporal change of laboratory test result profile in SARS-CoV-2 patients and the COVID-19 evolvement in a US epicenter. This analysis could become an important tool in COVID-19 population disease severity tracking and prediction. In addition, this analysis may play an important role in prioritizing high-risk patients, assisting in patient triaging and optimizing the usage of resources.

Identifiers

PMID36405356
PMCPMC9629663
OpenAlexW3166393173

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.