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. 2021 Apr 3;24:100564. doi: 10.1016/j.imu.2021.100564

Table 4.

Mortality risk and severity of COVID-19 prediction.

Study Outcome Highest-weighted features ML approaches Sample size (no. of survivors and non-survivors) Performance
Valid et al. [66] Prediction of mortality and critical events Acute Kidney Injury, LDH, tachypnea, glucose, diastolic blood pressure, CRP XGBoost 4098 patients (−) AUC of 80% at 3 days 79% at 5 days, 80% at 7 days, and 81% at 10 days
Yan et al. [67] Prediction of mortality and critical COVID-19 LDH, lymphocytes, hsCRP XGBoost 375 patients (201 survivors, 174 non-survivors) Accuracy of 93%
Yan et al. [68] Prediction of mortality and critical COVID-19 LDH, lymphocytes, hsCRP XGBoost 404 patients (213 survivors and 191 non-survivors) Accuracy of 90%
Wang et al. [69] Prediction of mortality Age, hsCRP, SpO2, neutrophil and lymphocyte count, D-dimer, AST, GFR XGBoost 296 patients (19 non-survivor) AUC of 88%
Rechtman et al. [70] Prediction of mortality Age, male sex, higher BMI, higher respiratory rate, higher heart rate, CKD LR, XGBoost (selected) 8770 patients (1114 non-survivors) AUC of 86%
Bertsimas et al. [71] Prediction of mortality Age, SpO2, CRP, BUN, blood creatinine XGBoost 3927 patients (−) AUC ranged between 92% and 81% using three validation cohorts.
Guan et al. [72] Prediction of mortality severity, age, serum levels of hs-CRP, LDH, ferritin, IL-10 XGBoost 1270 patients (−) Precision ¿90%, sensitivity ¿85%, and F1 scores ¿0.90
Booth et al. [73] Prediction of mortality risk CRP, lactic acid, calcium, BUN, serum albumin LR and SVM (selected) 398 patients (355 survivors and 43 non-survivors from COVID-19) AUC 93%, 91% sensitivity, and 91% specificity
Sun et al. [74] Prediction of critical COVID-19 Age, GSH, CD3 ratio, total protein SVM 336 patients (26 severe/critical) AUC of 97.57%
Yao et al. [75] Prediction of critical COVID-19 Age, neutrophil %, calcium, monocyte %, urine test values (urine protein, red blood cells (occult), and pH (urine)) SVM 137 patients (75 severe) Accuracy of 81.48%
Zhao et al. [76] Prediction of critical COVID-19 IL-6, high-sensitivity cTnI, procalcitonin, hsCRP, chest distress, calcium SVM 172 patients (60 severe) SVM achieved accuracy of 91.38%, sensitivity of 90% and specificity of 94%
Schwab et al. [95] Prediction of ICU admission pCO2, creatinine, pH SVM 556 patients (35 admitted, 16 ICU) AUC of 98%, a sensitivity of 80%, and a specificity of 96%
Hu et al. [77] Prediction of mortality risk Age, hsCRP, lymphocyte count, D-dimer PLS regression, EN model, RF, FDA, and LR (selected) 183 patients (115 survivors and 68 non-survivors from COVID-19) AUC of 88.1%, sensitivity of 83.9%, and specificity of 79.4%
Zhao et al. [78] Prediction of mortality Heart failure, procalcitonin, LDH, COPD, SpO2, heart rate, age LR 641 patients (195 admitted to the ICU, 82 non-survivors) AUC of 82%
Zhao et al. [78] Prediction of ICU admission LDH, procalcitonin, smoking history, SpO2, lymphocyte count LR 641 patients (195 admitted to the ICU, 82 non-survivors) AUC of 74%
Huang et al. [79] Prediction of critical COVID-19 Comorbidities, respiratory rate, CRP, LDH LR 125 patients (32 severe) AUC of 94.4%, sensitivity of 94.1%, and specificity of 90.2%.
Xie et al. [80] Prediction of mortality risk Age, lymphocyte count, LDH, SpO2 LR 444 patients [299 training, 145 validation, 155/299 and 69/145 non-survivors] (c = 0·89) and (c = 0·98) for internal and external validation.
Zhou et al. [81] Prediction of critical COVID-19 Age, CRP, D-dimer, product of N/L*CRP*D-dimer LR 377 patients (172 severe, 106 non-severe) AUC of 87.9%, specificity of 73.7% and sensitivity of 88.6%
Zhu et al. [82] Prediction of critical COVID-19 IL-6, CRP, hypertension LR 127 patients (16 severe) AUC of 90.0%
Gong et al. [83] Prediction of critical COVID-19 Older age; higher LDH, CRP, RDW, BUN, and direct bilirubin; lower albumin LASSO regression, DT, RF, and SVM, and LR (selected) 372 patients (72 severe) AUC of 85.3%, a sensitivity of 77.5%, and specificity of 78.4%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 cTnT Univariate LR 427 patients (89 non-survivors) AUC of 94%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 LDH Univariate LR 427 patients (89 non-survivors) AUC of 89%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 CRP Univariate LR 427 patients (89 non-survivors) AUC of 87%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 Albumin Univariate LR 427 patients (89 non-survivors) AUC of 87%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 D-dimer Univariate LR 427 patients (89 non-survivors) AUC of 84%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 Ferritin Univariate LR 427 patients (89 non-survivors) AUC of 77%
Aloisio et al. [84] Prediction of mortality and critical COVID-19 Age, high LDH, low albumin Multivariate LR 427 patients (89 non-survivors) AUC of 88%–89%.
Liu et al [85] Prediction of mortality Decreased lymphocyte ratio, elevated BUN, raised D-dimer Multivariate LR 336 severe patients (34 non-survivors) AUC of 99.4%, sensitivity of 100.0% and specificity of 97.2%
Miao et al. [86] Prediction of mortality IL-6 and lymphocyte subsets (CD8+ T cell) LR 1018 patients (−) AUC of 90.7%
Bai et al. [96] Prediction of mortality and the outcome Creatine kinase LR 127 patients (36 non-survivors) AUC of 86.4%
Bai et al. [96] Prediction of mortality and outcome CRP LR 127 patients (36 non-survivors) AUC of 87%
Bai et al. [96] Prediction of mortality and outcome Ferritin LR 127 patients (36 non-survivors) AUC of 83.3%
Bai et al. [96] Prediction of mortality and outcome IL-6 LR 127 patients (36 non-survivors) AUC of 78.1%
Bai et al. [96] Prediction of mortality and outcome Lymphocyte CD3+ LR 127 patients (36 non-survivors) AUC of 91.5%
Bai et al. [96] Prediction of mortality and outcome LDH LR 127 patients (36 non-survivors) AUC of 92.8%
Bai et al. [96] Prediction of mortality and outcome Troponin I LR 127 patients (36 non-survivors) AUC of 93.9%
Bai et al. [96] Prediction of mortality and outcome Prothrombin time LR 127 patients (36 non-survivors) AUC of 92%
Bai et al. [96] Prediction of mortality and outcome Procalcitonin LR 127 patients (36 non-survivors) AUC of 90%
Han [87] Prediction of critical COVID-19 Gender, APACHE II, SOFA, lymphocytes (including subsets), CRP, LDH, AST, cTnT, BNP, WBC, neutrophil count, urea LR 47 patients (24 severe) (not specified)
Han [87] Prediction of critical COVID-19 LDH LR 47 patients (24 severe) AUC of 97.27%, sensitivity 100.00% and specificity 86.67%
Han [87] Prediction of critical COVID-19 AST LR 47 patients (24 severe) AUC of 92.31%
Han [87] Predict critical COVID-19 CPR LR 47 patients (24 severe) AUC of 92.92%
Han [87] Prediction of critical COVID-19 Lymphocyte counts (less than 1.045 × 109/L) LR 47 patients (24 severe) AUC of 98.45%, specificity 91.30% and sensitivity 95.24%
Han [87] Prediction of critical COVID-19 SOFA score LR 47 patients (24 severe) AUC of 94.93%
Han [87] Prediction of critical COVID-19 CT score LR 47 patients (24 severe) AUC of 95.28%
Das et al. [97] Prediction of mortality risk Sex, age SVM, KNN, RF, GB, and (LR, selected) 3524 patients (74 non-survivors) AUC of 83%
Li et al. [88] Prediction of mortality risk Having a chronic disease; gastrointestinal, kidney, cardiac, respiratory symptoms Autoencoder, LR, RF, SVM, one-class SVM, isolation forest, local outlier factor Two data sets: A) 28,958 patients (530 non-survivors) B) 1448 patients (123 non-survivors) Autoencoder model achieved around 73% AUC, and 97% accuracy.
Terwangne et al. [89] Prediction of severity WHO severity classification, acute kidney injury, age, LDH, lymphocytes, aPTT Bayesian network analysis 295 patients (−) ROC of 83.8% and 91% for the models based on WHO classification only, and EPI-SCORE, respectively.
Izquierdo et al. [90] Prediction of ICU admission Age, fever, tachypnea with or without respiratory crackles DT 10,504 (1353 hospitalized, 83 ICU admission) AUC of 76%, accuracy 68%, and recall 71%
Liang et al. [91] Prediction of critical COVID-19 Age, hemoptysis, unconsciousness, comorbidities, cancer history, neutrophil-to- lymphocyte ratio, LDH, direct bilirubin LASSO then LR 2300 patients (−) AUCs of 88% in both the training and validation cohorts
Levy et al. [92] Prediction of critical COVID-19 BUN, age, absolute neutrophil count, RDW, SpO2, serum sodium LASSO 11,095 patients (8499 survivors, 2596 non-survivors) AUCs of 86%, 82%, and 82%, respectively for internal and external validation
Nemati et al. [93] Survival analysis and discharge time Age, sex stagewise GB, IPCRidge, CoxPH, Coxnet, Componentwise GB, fast SVM, and fast Kernel SVM 1182 patients (−) C-index of stagewise GB: 71.47
Li et al. [94] Prediction of mortality Leukomonocyte %, urea, age, SpO2 LR, simplified LR, and (GBDT, selected) 2924 patients (257 non-survivors) AUC of 94.1%
Gao et al. [20] Prediction of mortality risk, up to 20 days in advance Increased consciousness, male sex, sputum, BUN, respiratory rate, D-dimer, comorbidities, age. Also decreased platelet count, albumin, SpO2, lymphocytes, CKD LR, SVM, GBDT, and NN 2520 COVID-19 patients with known outcomes (survivors or non-survivors) AUC ranging from 91.86% to 97.62% in an internal validation cohort and two external validation cohorts