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Published in: BMC Medical Informatics and Decision Making 1/2023

Open Access 01-12-2023 | Artificial Intelligence | Research

The accuracy of artificial intelligence in predicting COVID-19 patient mortality: a systematic review and meta-analysis

Authors: Yu Xin, Hongxu Li, Yuxin Zhou, Qing Yang, Wenjing Mu, Han Xiao, Zipeng Zhuo, Hongyu Liu, Hongying Wang, Xutong Qu, Changsong Wang, Haitao Liu, Kaijiang Yu

Published in: BMC Medical Informatics and Decision Making | Issue 1/2023

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Abstract

Background

The purpose of this paper was to systematically evaluate the application value of artificial intelligence in predicting mortality among COVID-19 patients.

Methods

The PubMed, Embase, Web of Science, CNKI, Wanfang, China Biomedical Literature, and VIP databases were systematically searched from inception to October 2022 to identify studies that evaluated the predictive effects of artificial intelligence on mortality among COVID-19 patients. The retrieved literature was screened according to the inclusion and exclusion criteria. The quality of the included studies was assessed using the QUADAS-2 tools. Statistical analysis of the included studies was performed using Review Manager 5.3, Stata 16.0, and Meta-DiSc 1.4 statistical software. This meta-analysis was registered in PROSPERO (CRD42022315158).

Findings

Of 2193 studies, 23 studies involving a total of 25 AI models met the inclusion criteria. Among them, 18 studies explicitly mentioned training and test sets, and 5 studies did not explicitly mention grouping. In the training set, the pooled sensitivity was 0.93 [0.87, 0.96], the pooled specificity was 0.94 [0.87, 0.97], and the area under the ROC curve was 0.98 [0.96, 0.99]. In the validation set, the pooled sensitivity was 0.84 [0.78, 0.88], the pooled specificity was 0.89 [0.85, 0.92], and the area under the ROC curve was 0.93 [1.00, 0.00]. In the subgroup analysis, the areas under the summary receiver operating characteristic (SROC) curves of the artificial intelligence models KNN, SVM, ANN, RF and XGBoost were 0.98, 0.98, 0.94, 0.92, and 0.91, respectively. The Deeks funnel plot indicated that there was no significant publication bias in this study (P > 0.05).

Interpretation

Artificial intelligence models have high accuracy in predicting mortality among COVID-19 patients and have high prognostic value. Among them, the KNN, SVM, ANN, RF, XGBoost, and other models have the highest levels of accuracy.
Appendix
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Metadata
Title
The accuracy of artificial intelligence in predicting COVID-19 patient mortality: a systematic review and meta-analysis
Authors
Yu Xin
Hongxu Li
Yuxin Zhou
Qing Yang
Wenjing Mu
Han Xiao
Zipeng Zhuo
Hongyu Liu
Hongying Wang
Xutong Qu
Changsong Wang
Haitao Liu
Kaijiang Yu
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2023
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/s12911-023-02256-7

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