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1.
Sci Rep ; 11(1): 4673, 2021 02 25.
Article in English | MEDLINE | ID: covidwho-1104541

ABSTRACT

Predictors of the need for intensive care and mechanical ventilation can help healthcare systems in planning for surge capacity for COVID-19. We used socio-demographic data, clinical data, and blood panel profile data at the time of initial presentation to develop machine learning algorithms for predicting the need for intensive care and mechanical ventilation. Among the algorithms considered, the Random Forest classifier performed the best with [Formula: see text] for predicting ICU need and [Formula: see text] for predicting the need for mechanical ventilation. We also determined the most influential features in making this prediction, and concluded that all three categories of data are important. We determined the relative importance of blood panel profile data and noted that the AUC dropped by 0.12 units when this data was not included, thus indicating that it provided valuable information in predicting disease severity. Finally, we generated RF predictors with a reduced set of five features that retained the performance of the predictors trained on all features. These predictors, which rely only on quantitative data, are less prone to errors and subjectivity.


Subject(s)
COVID-19/diagnosis , Machine Learning , Adolescent , Adult , Aged , Aged, 80 and over , COVID-19/blood , COVID-19/epidemiology , Cohort Studies , Female , Humans , Intensive Care Units , Male , Middle Aged , Prognosis , Risk Factors , SARS-CoV-2/isolation & purification , Severity of Illness Index , Young Adult
2.
Chem Eng Sci ; 233: 116347, 2021 Apr 06.
Article in English | MEDLINE | ID: covidwho-1009342

ABSTRACT

Motivated by analogies between the spread of infections and of chemical processes, we develop a model that accounts for infection and transport where infected populations correspond to chemical species. Areal densities emerge as the key variables, thus capturing the effect of spatial density. We derive expressions for the kinetics of the infection rates, and for the important parameter R 0 , that include areal density and its spatial distribution. We present results for a batch reactor, the chemical process equivalent of the SIR model, where we examine how the dependence of R 0 on process extent, the initial density of infected individuals, and fluctuations in population densities effect the progression of the disease. We then consider spatially distributed systems. Diffusion generates traveling waves that propagate at a constant speed, proportional to the square root of the diffusivity and R 0 . Preliminary analysis shows a similar behavior for the effect of stochastic advection.

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