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Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Int+J+Infect+Dis 2020 ; 101 (ä): 74-82 Nephropedia Template TP
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Development and validation of risk prediction models for COVID-19 positivity in a hospital setting #MMPMID32947055
Ng MY; Wan EYF; Wong HYF; Leung ST; Lee JCY; Chin TW; Lo CSY; Lui MM; Chan EHT; Fong AH; Fung SY; Ching OH; Chiu KW; Chung TWH; Vardhanbhuti V; Lam HYS; To KKW; Chiu JLF; Lam TPW; Khong PL; Liu RWT; Chan JWM; Wu AKL; Lung KC; Hung IFN; Lau CS; Kuo MD; Ip MS
Int J Infect Dis 2020[Dec]; 101 (ä): 74-82 PMID32947055show ga
OBJECTIVES: To develop: (1) two validated risk prediction models for coronavirus disease-2019 (COVID-19) positivity using readily available parameters in a general hospital setting; (2) nomograms and probabilities to allow clinical utilisation. METHODS: Patients with and without COVID-19 were included from 4 Hong Kong hospitals. The database was randomly split into 2:1: for model development database (n = 895) and validation database (n = 435). Multivariable logistic regression was utilised for model creation and validated with the Hosmer-Lemeshow (H-L) test and calibration plot. Nomograms and probabilities set at 0.1, 0.2, 0.4 and 0.6 were calculated to determine sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). RESULTS: A total of 1330 patients (mean age 58.2 +/- 24.5 years; 50.7% males; 296 COVID-19 positive) were recruited. The first prediction model developed had age, total white blood cell count, chest x-ray appearances and contact history as significant predictors (AUC = 0.911 [CI = 0.880-0.941]). The second model developed has the same variables except contact history (AUC = 0.880 [CI = 0.844-0.916]). Both were externally validated on the H-L test (p = 0.781 and 0.155, respectively) and calibration plot. Models were converted to nomograms. Lower probabilities give higher sensitivity and NPV; higher probabilities give higher specificity and PPV. CONCLUSION: Two simple-to-use validated nomograms were developed with excellent AUCs based on readily available parameters and can be considered for clinical utilisation.