BMJ:新冠肺炎诊治相关因素模型研究

2020-04-08 MedSci原创 MedSci原创

目前针对Covid-19诊疗相关预测模型具有较高的偏倚风险,建立严格的预测模型并验证对疫情防控具有重要意义

近日研究人员开展系统回顾研究,开发或验证多变量Covid-19诊疗相关预测模型。
 
研究收集截至2020年3月24日Ovid、Arxiv、medRxiv和bioRxiv数据库中相关研究,至少有两位研究人员使用CHARMS独立提取数据,使用PROBAST评估偏差风险。
 
研究共筛选出2696篇论文,提取了27篇文章中31种预测模型。在普通人群中,有三个模型可用于预测肺炎和其他事件入院;18个诊断模型可用于检测covid-19感染(13个是基于计算机断层扫描的深度学习系统);10种预测死亡风险、严重疾病进展或住院时间的预后模型。只有一项研究使用了来自中国境外的患者数据。Covid-19疑似疾病患者中存在的预测因子包括年龄、体温、体征和症状。Covid-19患者严重预后最常见的预测因素包括年龄、性别、CT表现、C反应蛋白、乳酸脱氢酶和淋巴细胞计数。所有研究均有较高的偏倚风险。
 
研究认为,目前针对Covid-19诊疗相关预测模型具有较高的偏倚风险,建立严格的预测模型并验证对疫情防控具有重要意义。
 
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    2021-01-19 gaoxiaoe
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    2020-04-08 公卫新人

    新冠肺炎,疫情何时才能消失

    0

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    2020-04-08 CHANGE

    梅斯里提供了很多疾病的模型计算公式,赞一个!

    0

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