Evidence map›Paper›PMID 36877860›Full record

Observational studyJournal of integrative bioinformatics2023

Application of machine learning approach in emergency department to support clinical decision making for SARS-CoV-2 infected patients.

Nicolò Casano, Silvano Junior Santini, Pierpaolo Vittorini, Gaia Sinatti, Paolo Carducci, Claudio Maria Mastroianni, Maria Rosa Ciardi, Patrizia Pasculli, Emiliano Petrucci, Franco Marinangeli and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of integrative bioinformatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Data-driven decision making in patient management: a systematic review.BMC medical informatics and decision making · 2025
    Pooled it
  2. Pooled it
  3. Review
  4. BGRS: bioinformatics of genome regulation and data integration.Journal of integrative bioinformatics · 2023
    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

11 authors.

Nicolò CasanoSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.
Silvano Junior SantiniSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.
Pierpaolo VittoriniSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.ORCID https://orcid.org/0000-0002-6975-8958
Gaia SinattiSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.
Paolo CarducciSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.
Claudio Maria MastroianniDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Maria Rosa CiardiDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Patrizia PasculliDepartment of Public Health and Infectious Diseases, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Rome, Italy.
Emiliano PetrucciDepartment of Anesthesiology, Intensive Care and Pain Treatment, University of L'Aquila, L'Aquila, Italy.
Franco MarinangeliDepartment of Anesthesiology, Intensive Care and Pain Treatment, University of L'Aquila, L'Aquila, Italy.
Clara BalsanoSchool of Emergency Medicine, Interdisciplinary BioMedical group on Artificial Intelligence, IBMAI, Department MeSVA, University of L'Aquila, L'Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To support physicians in clinical decision process on patients affected by Coronavirus Disease 2019 (COVID-19) in areas with a low vaccination rate, we devised and evaluated the performances of several machine learning (ML) classifiers fed with readily available clinical and laboratory data. Our observational retrospective study collected data from a cohort of 779 COVID-19 patients presenting to three hospitals of the Lazio-Abruzzo area (Italy). Based on a different selection of clinical and respiratory (ROX index and PaO2/FiO2 ratio) variables, we devised an AI-driven tool to predict safe discharge from ED, disease severity and mortality during hospitalization. To predict safe discharge our best classifier is an RF integrated with ROX index that reached AUC of 0.96. To predict disease severity the best classifier was an RF integrated with ROX index that reached an AUC of 0.91. For mortality prediction the best classifier was an RF integrated with ROX index, that reached an AUC of 0.91. The results obtained thanks to our algorithms are consistent with the scientific literature an accomplish significant performances to forecast safe discharge from ED and severe clinical course of COVID-19.

Indexed as

COVID-19SARS-CoV-2Clinical Decision-MakingEmergency Service, HospitalHumansMachine LearningRetrospective StudiesCOVID-19emergency medicinemachine learningROX indexSARS-CoV-2

Identifiers

PMID36877860
PMCPMC10561065

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.