• José-Manuel Casas-Rojo, Paula Sol Ventura, Juan Miguel Antón Santos, Aitor Ortiz de Latierro, José Carlos Arévalo-Lorido, Marc Mauri, Manuel Rubio-Rivas, Rocío González-Vega, Vicente Giner-Galvañ, Bárbara Otero Perpiñá, Eva Fonseca-Aizpuru, Antonio Muiño, Esther Del Corral-Beamonte, Ricardo Gómez-Huelgas, Francisco Arnalich-Fernández, Mónica Llorente Barrio, Aresio Sancha-Lloret, Isabel Rábago Lorite, José Loureiro-Amigo, Santiago Pintos-Martínez, Eva García-Sardón, Adrián Montaño-Martínez, María Gloria Rojano-Rivero, José-Manuel Ramos-Rincón, Alejandro López-Escobar, and SEMI-COVID-19 Network.
• Internal Medicine Department, Infanta Cristina University Hospital, Parla, 28981, Madrid, Spain.
• Intern Emerg Med. 2023 Sep 1; 18 (6): 171117221711-1722.

AbstractCOVID-19 is responsible for high mortality, but robust machine learning-based predictors of mortality are lacking. To generate a model for predicting mortality in patients hospitalized with COVID-19 using Gradient Boosting Decision Trees (GBDT). The Spanish SEMI-COVID-19 registry includes 24,514 pseudo-anonymized cases of patients hospitalized with COVID-19 from 1 February 2020 to 5 December 2021. This registry was used as a GBDT machine learning model, employing the CatBoost and BorutaShap classifier to select the most relevant indicators and generate a mortality prediction model by risk level, ranging from 0 to 1. The model was validated by separating patients according to admission date, using the period 1 February to 31 December 2020 (first and second waves, pre-vaccination period) for training, and 1 January to 30 November 2021 (vaccination period) for the test group. An ensemble of ten models with different random seeds was constructed, separating 80% of the patients for training and 20% from the end of the training period for cross-validation. The area under the receiver operating characteristics curve (AUC) was used as a performance metric. Clinical and laboratory data from 23,983 patients were analyzed. CatBoost mortality prediction models achieved an AUC performance of 84.76 (standard deviation 0.45) for patients in the test group (potentially vaccinated patients not included in model training) using 16 features. The performance of the 16-parameter GBDT model for predicting COVID-19 hospital mortality, although requiring a relatively large number of predictors, shows a high predictive capacity.© 2023. The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI).

9 keywords...

hide…