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Data and Network Analytics for COVID-19 ICU Patients: A Case Study for a Spanish Hospital | IEEE Journals & Magazine | IEEE Xplore

Data and Network Analytics for COVID-19 ICU Patients: A Case Study for a Spanish Hospital


Abstract:

The COVID-19 pandemic presents unprecedented challenges to the healthcare systems around the world. In 2020, Spain was among the countries with the highest Intensive Care...Show More

Abstract:

The COVID-19 pandemic presents unprecedented challenges to the healthcare systems around the world. In 2020, Spain was among the countries with the highest Intensive Care Unit (ICU) hospitalization and mortality rates. This work analyzes data of COVID-19 patients admitted to a Spanish ICU during the first wave of the pandemic. The patients in our study either died (deceased patients) or were discharged from the ICU (non-deceased patients) and underwent the following landmarks: beginning of symptoms; arrival at the emergency department; beginning of the hospital stay; and ICU admission. Our goal is to create a graph-based data-science methodology to find associations among patients’ comorbidities, previous medication, symptoms, and the COVID-19 treatment, and to analyze their evolution across landmarks. Towards that end, we first perform a hypothesis test based on bootstrap to identify discriminative features among deceased and non-deceased patients. Then, we leverage graph-based representations and network analytics to determine pairwise associations and complex relations among clinical features. The descriptive statistical analysis confirms that deceased patients exhibit multiple comorbidities with stronger levels of association and are treated with a wider range of drugs during the ICU stay. We also observe that the most common treatment was the simultaneous administration of lopinavir/ritonavir with hydroxychloroquine, regardless of the patients’ outcome. Our results illustrate how graph tools and representations yield insights on the relations among comorbidities, drug treatments, and patients’ evolution. All in all, the approach puts forth a new data-analysis tool for clinicians that can be applied to analyze (post-COVID) symptom/patient evolution.
Published in: IEEE Journal of Biomedical and Health Informatics ( Volume: 25, Issue: 12, December 2021)
Page(s): 4340 - 4353
Date of Publication: 30 September 2021

ISSN Information:

PubMed ID: 34591775

Funding Agency:


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