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1.
Comput Inform Nurs ; 40(5): 341-349, 2022 May 01.
Article in English | MEDLINE | ID: covidwho-1806653

ABSTRACT

We designed a forecasting model to determine which frontline health workers are most likely to be infected by COVID-19 among 220 nurses. We used multivariate regression analysis and different classification algorithms to assess the effect of several covariates, including exposure to COVID-19 patients, access to personal protective equipment, proper use of personal protective equipment, adherence to hand hygiene principles, stressfulness, and training on the risk of a nurse being infected. Access to personal protective equipment and training were associated with a 0.19- and 1.66-point lower score in being infected by COVID-19. Exposure to COVID-19 cases and being stressed of COVID-19 infection were associated with a 0.016- and 9.3-point higher probability of being infected by COVID-19. Furthermore, an artificial neural network with 75.8% (95% confidence interval, 72.1-78.9) validation accuracy and 76.6% (95% confidence interval, 73.1-78.6) overall accuracy could classify normal and infected nurses. The neural network can help managers and policymakers determine which frontline health workers are most likely to be infected by COVID-19.


Subject(s)
COVID-19 , Nurses , Health Personnel , Humans , Neural Networks, Computer , Personal Protective Equipment , SARS-CoV-2
2.
Digit Health ; 8: 20552076221085057, 2022.
Article in English | MEDLINE | ID: covidwho-1770147

ABSTRACT

Background: Centers for Disease Control and Prevention data showed that about 40% of coronavirus disease 2019 (COVID-19) patients had been suffering from at least one underlying medical condition were hospitalized; in which nearly 33% of them needed to be admitted to the intensive care unit (ICU) to receive specialized medical services. Our study aimed to find a proper machine learning algorithm that can predict confirmed COVID-19 hospital admissions with high accuracy. Methods: We obtained data on daily COVID-19 cases in regular medical inpatient units, emergency department, and ICU in the time window between 21 July 2020 and 21 November 2021. Data for the first 183 days (training data set) were used for long short-term memory (LSTM) network, adaptive neuro-fuzzy inference system (ANFIS), support vector regression (SVR) and decision tree model training, whilst the remaining data for the last 60 days (test data set) were used for model validation. To predict the number of ICU and non-ICU patients, we used these models. Finally, a user-friendly graphical user interface unit was designed to load any time series data (here the trend of population of COVID-19 patients) and train LSTM, ANFIS, SVR or tree models for the prediction of COVID-19 cases for one week ahead. Results: All models predicted the dynamics of COVID-19 cases in ICU and non- wards. The values of root-mean-square error and R 2 as model assessment metrics showed that ANFIS model had better predictive power among all models. Conclusion: Artificial intelligence-based forecasting models such as ANFIS system or deep learning approach based on LSTM or regression models including SVR or tree regression play a key role in forecasting the required number of beds or other types of medical facilities during the coronavirus pandemic. Thus, the designed graphical user interface of the present study can be used for optimum management of resources by health care systems amid COVID-19 pandemic.

3.
Adv Respir Med ; 2022 Feb 01.
Article in English | MEDLINE | ID: covidwho-1662810

ABSTRACT

INTRODUCTION: To facilitate rapid and effective diagnosis of COVID-19, effective screening can alleviate the challenges facing healthcare systems. We aimed to develop a machine learning-based prediction of COVID-19 diagnosis and design a graphical user interface (GUI) to diagnose COVID-19 cases by recording their symptoms and demographic features. METHODS: We implemented different classification models including support vector machine (SVM), Decision tree (DT), Naïve Bayes (NB) and K-nearest neighbor (KNN) to predict the result of COVID-19 test for individuals. We trained these models by data of 16973 individuals (90% of all individuals included in data gathering) and tested by 1885 individuals (10% of all individuals). Maximum relevance minimum redundancy (MRMR) algorithms used to score features for prediction of result of COVID-19 test. A user-friendly GUI was designed to predict COVID-19 test results in individuals. RESULTS: Study results revealed that coughing had the highest positive correlation with the positive results of COVID-19 test followed by the duration of having COVID-19 signs and symptoms, exposure to infected individuals, age, muscle pain, recent infection by COVID-19 virus, fever, respiratory distress, loss of smell or taste, nausea, anorexia, headache, vertigo, CT symptoms in lung scans, diabetes and hypertension. The values of accuracy, precision, recall, F1-score, specificity and area under receiver operating curve (AUROC) of different classification models computed in different setting of features scored by MRMR algorithm. Finally, our designed GUI by receiving each of the 42 features and symptoms from the users and through selecting one of the SVM, KNN, Naïve Bayes and decision tree models, predict the result of COVID-19 test. The accuracy, AUROC and F1-score of SVM model as the best model for diagnosis of COVID-19 test were 0.7048 (95% CI: 0.6998, 0.7094), 0.7045 (95% CI: 0.7003, 0.7104) and 0.7157 (95% CI: 0.7043, 0.7194), respectively. CONCLUSION: In this study we implemented a machine learning approach to facilitate early clinical decision making during COVID-19 outbreak and provide a predictive model of COVID-19 diagnosis capable of categorizing populations in to infected and non-infected individuals the same as an efficient screening tool.

4.
Polish Journal of Medical Physics and Engineering ; 27(3):241-249, 2021.
Article in English | ProQuest Central | ID: covidwho-1480506

ABSTRACT

Background: Mathematical and predictive modeling approaches can be used in COVID-19 crisis to forecast the trend of new cases for healthcare management purposes. Given the COVID-19 disease pandemic, the prediction of the epidemic trend of this disease is so important.Methods: We constructed an SEIR (Susceptible-Exposed-Infected-Recovered) model on the COVID-19 outbreak in Iran. We estimated model parameters by the data on notified cases in Iran in the time window 1/22/2020 – 20/7/2021. Global sensitivity analysis is performed to determine the correlation between epidemiological variables and SEIR model parameters and to assess SEIR model robustness against perturbation to parameters. We Combined Adaptive Neuro-Fuzzy Inference System (ANFIS) as a rigorous time series prediction approach with the SEIR model to predict the trend of COVID-19 new cases under two different scenarios including social distance and non-social distance.Results: The SEIR and ANFIS model predicted new cases of COVID-19 for the period February 7, 2021, till August 7, 2021. Model predictions in the non-social distancing scenario indicate that the corona epidemic in Iran may recur as an immortal oscillation and Iran may undergo a recurrence of the third peak.Conclusion: Combining parametrized SEIR model and ANFIS is effective in predicting the trend of COVID-19 new cases in Iran.

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