Evidence map›Paper›PMID 36530391›Full record

ArticlePeerJ2022

An artificial neural network classification method employing longitudinally monitored immune biomarkers to predict the clinical outcome of critically ill COVID-19 patients.

Gustavo Martinez, Alexis Garduno, Abdullah Mahmud-Al-Rafat, Ali Toloue Ostadgavahi, Ann Avery, Scheila de Avila E Silva, Rachael Cusack, Cheryl Cameron, Mark Cameron, Ignacio Martin-Loeches and 1 more

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 5 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

11 authors at 5 institutions in 5 countries.

Gustavo Martinez *Immunology, Shantou University, Shantou, GD, China.
Alexis Garduno *Department of Clinical Medicine, University of Dublin, Trinity College, Dublin, Ireland.
Abdullah Mahmud-Al-RafatMicrobiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada.
Ali Toloue OstadgavahiMicrobiology and Immunology, Dalhousie University, Halifax, Nova Scotia, Canada.
Ann AveryDivision of Infectious Diseases, MetroHealth Medical Center, Cleveland, OH, United States of America.
Scheila de Avila E SilvaDepartment of Biotechnology, Universidade de Caxias do Sul, Caxias do Sul, Rio Grande do Sul, Brazil.
Rachael CusackDepartment of Clinical Medicine, University of Dublin, Trinity College, Dublin, Ireland.
Cheryl CameronDepartment of Nutrition, Case Western Reserve University, Cleveland, OH, United States of America.
Mark CameronDepartment of Population & Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, United States of America.
Ignacio Martin-LoechesDepartment of Clinical Medicine, University of Dublin, Trinity College, Dublin, Ireland.
David KelvinImmunology, Shantou University, Shantou, GD, China.
Dalhousie University · CATrinity College Dublin · IECase Western Reserve University · USMetroHealth · USUniversidade de Caxias do Sul · BR

Funding

CIHR OV2 –170357
6 · The paper itself

Abstract

Background: The severe form of COVID-19 can cause a dysregulated host immune syndrome that might lead patients to death. To understand the underlying immune mechanisms that contribute to COVID-19 disease we have examined 28 different biomarkers in two cohorts of COVID-19 patients, aiming to systematically capture, quantify, and algorithmize how immune signals might be associated to the clinical outcome of COVID-19 patients. Methods: The longitudinal concentration of 28 biomarkers of 95 COVID-19 patients was measured. We performed a dimensionality reduction analysis to determine meaningful biomarkers for explaining the data variability. The biomarkers were used as input of artificial neural network, random forest, classification and regression trees, k-nearest neighbors and support vector machines. Two different clinical cohorts were used to grant validity to the findings. Results: We benchmarked the classification capacity of two COVID-19 clinicals studies with different models and found that artificial neural networks was the best classifier. From it, we could employ different sets of biomarkers to predict the clinical outcome of COVID-19 patients. First, all the biomarkers available yielded a satisfactory classification. Next, we assessed the prediction capacity of each protein separated. With a reduced set of biomarkers, our model presented 94% accuracy, 96.6% precision, 91.6% recall, and 95% of specificity upon the testing data. We used the same model to predict 83% and 87% (recovered and deceased) of unseen data, granting validity to the results obtained. Conclusions: In this work, using state-of-the-art computational techniques, we systematically identified an optimal set of biomarkers that are related to a prediction capacity of COVID-19 patients. The screening of such biomarkers might assist in understanding the underlying immune response towards inflammatory diseases.

Indexed as

COVID-19Critical IllnessBiomarkersHumansNeural Networks, ComputerBiomarkersArtificial Neural NetworksBiomarkersClassificationDeep learningImmunology

Identifiers

PMID36530391
PMCPMC9753745
OpenAlexW4312065908

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.