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10.1515/cclm-2020-1294

http://scihub22266oqcxt.onion/10.1515/cclm-2020-1294
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33079698!ä!33079698

suck abstract from ncbi


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pmid33079698      Clin+Chem+Lab+Med 2020 ; 59 (2): 421-431
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  • Development, evaluation, and validation of machine learning models for COVID-19 detection based on routine blood tests #MMPMID33079698
  • Cabitza F; Campagner A; Ferrari D; Di Resta C; Ceriotti D; Sabetta E; Colombini A; De Vecchi E; Banfi G; Locatelli M; Carobene A
  • Clin Chem Lab Med 2020[Oct]; 59 (2): 421-431 PMID33079698show ga
  • OBJECTIVES: The rRT-PCR test, the current gold standard for the detection of coronavirus disease (COVID-19), presents with known shortcomings, such as long turnaround time, potential shortage of reagents, false-negative rates around 15-20%, and expensive equipment. The hematochemical values of routine blood exams could represent a faster and less expensive alternative. METHODS: Three different training data set of hematochemical values from 1,624 patients (52% COVID-19 positive), admitted at San Raphael Hospital (OSR) from February to May 2020, were used for developing machine learning (ML) models: the complete OSR dataset (72 features: complete blood count (CBC), biochemical, coagulation, hemogasanalysis and CO-Oxymetry values, age, sex and specific symptoms at triage) and two sub-datasets (COVID-specific and CBC dataset, 32 and 21 features respectively). 58 cases (50% COVID-19 positive) from another hospital, and 54 negative patients collected in 2018 at OSR, were used for internal-external and external validation. RESULTS: We developed five ML models: for the complete OSR dataset, the area under the receiver operating characteristic curve (AUC) for the algorithms ranged from 0.83 to 0.90; for the COVID-specific dataset from 0.83 to 0.87; and for the CBC dataset from 0.74 to 0.86. The validations also achieved good results: respectively, AUC from 0.75 to 0.78; and specificity from 0.92 to 0.96. CONCLUSIONS: ML can be applied to blood tests as both an adjunct and alternative method to rRT-PCR for the fast and cost-effective identification of COVID-19-positive patients. This is especially useful in developing countries, or in countries facing an increase in contagions.
  • |*Machine Learning[MESH]
  • |Algorithms[MESH]
  • |Area Under Curve[MESH]
  • |Blood Cell Count[MESH]
  • |Blood Chemical Analysis/*methods[MESH]
  • |COVID-19 Testing/*methods[MESH]
  • |COVID-19/*blood[MESH]
  • |Datasets as Topic[MESH]
  • |Hematologic Tests/*methods[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2[MESH]


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