Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters

<p>The coronavirus disease 2019 (COVID-19) after outbreaking in Wuhan increasingly spread throughout the world. Fast, reliable, and easily accessible clinical assessment of the severity of the disease can help in allocating and prioritizing resources to reduce mortality. The objective of the s...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Tawsifur Rahman (14150523) (author)
مؤلفون آخرون: Amith Khandakar (14151981) (author), Md Enamul Hoque (5807120) (author), Nabil Ibtehaz (16888773) (author), Saad Bin Kashem (16888776) (author), Reehum Masud (16888779) (author), Lutfunnahar Shampa (16888782) (author), Mohammad Mehedi Hasan (7326065) (author), Mohammad Tariqul Islam (7854059) (author), Somaya Al-Maadeed (5178131) (author), Susu M. Zughaier (14151987) (author), Saif Badran (16888785) (author), Suhail A. R. Doi (7490777) (author), Muhammad E. H. Chowdhury (14150526) (author)
منشور في: 2021
الموضوعات:
الوسوم: إضافة وسم
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author Tawsifur Rahman (14150523)
author2 Amith Khandakar (14151981)
Md Enamul Hoque (5807120)
Nabil Ibtehaz (16888773)
Saad Bin Kashem (16888776)
Reehum Masud (16888779)
Lutfunnahar Shampa (16888782)
Mohammad Mehedi Hasan (7326065)
Mohammad Tariqul Islam (7854059)
Somaya Al-Maadeed (5178131)
Susu M. Zughaier (14151987)
Saif Badran (16888785)
Suhail A. R. Doi (7490777)
Muhammad E. H. Chowdhury (14150526)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Tawsifur Rahman (14150523)
Amith Khandakar (14151981)
Md Enamul Hoque (5807120)
Nabil Ibtehaz (16888773)
Saad Bin Kashem (16888776)
Reehum Masud (16888779)
Lutfunnahar Shampa (16888782)
Mohammad Mehedi Hasan (7326065)
Mohammad Tariqul Islam (7854059)
Somaya Al-Maadeed (5178131)
Susu M. Zughaier (14151987)
Saif Badran (16888785)
Suhail A. R. Doi (7490777)
Muhammad E. H. Chowdhury (14150526)
author_role author
dc.creator.none.fl_str_mv Tawsifur Rahman (14150523)
Amith Khandakar (14151981)
Md Enamul Hoque (5807120)
Nabil Ibtehaz (16888773)
Saad Bin Kashem (16888776)
Reehum Masud (16888779)
Lutfunnahar Shampa (16888782)
Mohammad Mehedi Hasan (7326065)
Mohammad Tariqul Islam (7854059)
Somaya Al-Maadeed (5178131)
Susu M. Zughaier (14151987)
Saif Badran (16888785)
Suhail A. R. Doi (7490777)
Muhammad E. H. Chowdhury (14150526)
dc.date.none.fl_str_mv 2021-08-16T00:00:00Z
dc.identifier.none.fl_str_mv 10.1109/access.2021.3105321
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Development_and_Validation_of_an_Early_Scoring_System_for_Prediction_of_Disease_Severity_in_COVID-19_Using_Complete_Blood_Count_Parameters/24038964
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Health services and systems
Information and computing sciences
Machine learning
COVID-19
Hospitals
Biomarkers
Machine learning
Biological system modeling
Pulmonary diseases
Predictive models
Complete blood count
Prognostic model
Early prediction of mortality risk
Faculty of Robotics and Advanced Computing
dc.title.none.fl_str_mv Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>The coronavirus disease 2019 (COVID-19) after outbreaking in Wuhan increasingly spread throughout the world. Fast, reliable, and easily accessible clinical assessment of the severity of the disease can help in allocating and prioritizing resources to reduce mortality. The objective of the study was to develop and validate an early scoring tool to stratify the risk of death using readily available complete blood count (CBC) biomarkers. A retrospective study was conducted on twenty-three CBC blood biomarkers for predicting disease mortality for 375 COVID-19 patients admitted to Tongji Hospital, China from January 10 to February 18, 2020. Machine learning based key biomarkers among the CBC parameters as the mortality predictors were identified. A multivariate logistic regression-based nomogram and a scoring system was developed to categorize the patients in three risk groups (low, moderate, and high) for predicting the mortality risk among COVID-19 patients. Lymphocyte count, neutrophils count, age, white blood cell count, monocytes (%), platelet count, red blood cell distribution width parameters collected at hospital admission were selected as important biomarkers for death prediction using random forest feature selection technique. A CBC score was devised for calculating the death probability of the patients and was used to categorize the patients into three sub-risk groups: low (<=5%), moderate (>5% and <=50%), and high (>50%), respectively. The area under the curve (AUC) of the model for the development and internal validation cohort were 0.961 and 0.88, respectively. The proposed model was further validated with an external cohort of 103 patients of Dhaka Medical College, Bangladesh, which exhibits in an AUC of 0.963. The proposed CBC parameter-based prognostic model and the associated web-application, can help the medical doctors to improve the management by early prediction of mortality risk of the COVID-19 patients in the low-resource countries.</p><h2>Other Information</h2><p>Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2021.3105321" target="_blank">https://dx.doi.org/10.1109/access.2021.3105321</a></p>
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spelling Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count ParametersTawsifur Rahman (14150523)Amith Khandakar (14151981)Md Enamul Hoque (5807120)Nabil Ibtehaz (16888773)Saad Bin Kashem (16888776)Reehum Masud (16888779)Lutfunnahar Shampa (16888782)Mohammad Mehedi Hasan (7326065)Mohammad Tariqul Islam (7854059)Somaya Al-Maadeed (5178131)Susu M. Zughaier (14151987)Saif Badran (16888785)Suhail A. R. Doi (7490777)Muhammad E. H. Chowdhury (14150526)Biomedical and clinical sciencesCardiovascular medicine and haematologyHealth sciencesEpidemiologyHealth services and systemsInformation and computing sciencesMachine learningCOVID-19HospitalsBiomarkersMachine learningBiological system modelingPulmonary diseasesPredictive modelsComplete blood countPrognostic modelEarly prediction of mortality riskFaculty of Robotics and Advanced Computing<p>The coronavirus disease 2019 (COVID-19) after outbreaking in Wuhan increasingly spread throughout the world. Fast, reliable, and easily accessible clinical assessment of the severity of the disease can help in allocating and prioritizing resources to reduce mortality. The objective of the study was to develop and validate an early scoring tool to stratify the risk of death using readily available complete blood count (CBC) biomarkers. A retrospective study was conducted on twenty-three CBC blood biomarkers for predicting disease mortality for 375 COVID-19 patients admitted to Tongji Hospital, China from January 10 to February 18, 2020. Machine learning based key biomarkers among the CBC parameters as the mortality predictors were identified. A multivariate logistic regression-based nomogram and a scoring system was developed to categorize the patients in three risk groups (low, moderate, and high) for predicting the mortality risk among COVID-19 patients. Lymphocyte count, neutrophils count, age, white blood cell count, monocytes (%), platelet count, red blood cell distribution width parameters collected at hospital admission were selected as important biomarkers for death prediction using random forest feature selection technique. A CBC score was devised for calculating the death probability of the patients and was used to categorize the patients into three sub-risk groups: low (<=5%), moderate (>5% and <=50%), and high (>50%), respectively. The area under the curve (AUC) of the model for the development and internal validation cohort were 0.961 and 0.88, respectively. The proposed model was further validated with an external cohort of 103 patients of Dhaka Medical College, Bangladesh, which exhibits in an AUC of 0.963. The proposed CBC parameter-based prognostic model and the associated web-application, can help the medical doctors to improve the management by early prediction of mortality risk of the COVID-19 patients in the low-resource countries.</p><h2>Other Information</h2><p>Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2021.3105321" target="_blank">https://dx.doi.org/10.1109/access.2021.3105321</a></p>2021-08-16T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1109/access.2021.3105321https://figshare.com/articles/journal_contribution/Development_and_Validation_of_an_Early_Scoring_System_for_Prediction_of_Disease_Severity_in_COVID-19_Using_Complete_Blood_Count_Parameters/24038964CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/240389642021-08-16T00:00:00Z
spellingShingle Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
Tawsifur Rahman (14150523)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Health services and systems
Information and computing sciences
Machine learning
COVID-19
Hospitals
Biomarkers
Machine learning
Biological system modeling
Pulmonary diseases
Predictive models
Complete blood count
Prognostic model
Early prediction of mortality risk
Faculty of Robotics and Advanced Computing
status_str publishedVersion
title Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
title_full Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
title_fullStr Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
title_full_unstemmed Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
title_short Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
title_sort Development and Validation of an Early Scoring System for Prediction of Disease Severity in COVID-19 Using Complete Blood Count Parameters
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Health sciences
Epidemiology
Health services and systems
Information and computing sciences
Machine learning
COVID-19
Hospitals
Biomarkers
Machine learning
Biological system modeling
Pulmonary diseases
Predictive models
Complete blood count
Prognostic model
Early prediction of mortality risk
Faculty of Robotics and Advanced Computing