(2021) Determination of the most important diagnostic criteria for COVID-19: A step forward to design an intelligent clinical decision support system. Journal of Advances in Medical and Biomedical Research. pp. 176-182. ISSN 26766264 (ISSN)
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Abstract
Background & Objective: Since the clinical and epidemiologic characteristics of coronavirus disease 2019 (COVID-19) is not well known yet, investigating its origin, etiology, diagnostic criteria, clinical manifestations, risk factors, treatments, and other related aspects is extremely important. In this situation, clinical experts face many uncertainties to make decision about COVID-19 prognosis based on their judgment. Accordingly, this study aimed to determine the diagnostic criteria for COVID-19 as a prerequisite to develop clinical diagnostic models. Materials & Methods: In this retrospective study, the Enter method of the binary logistic regression (BLR) and the Forward Wald method were used to measure the odds ratio (OR) and the strength of each criterion, respectively. P-value<0.05 was considered as statistically significant for bivariate correlation coefficient. Results: Phi and Cramer’s V correlation coefficient test showed that 12 diagnostic criteria were statistically important; measuring OR revealed that six criteria had the best diagnostic power. Finally, true classification rate and the area under receiver operative characteristics curve (AUC) were calculated as 90.25 and 0.835, respectively. Conclusion: Identification of diagnostic criteria has become the standard approach for disease modeling; it helps to design decision support tools. After analyzing and comparing six diagnostic performance measures, we observed that these variables have a high diagnostic power for COVID-19 detection. © 2021.
Item Type: | Article | ||||||||
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Keywords: | Coronavirus Covid-19 Diagnostic criteria Odds ratio Regression model adult adult respiratory distress syndrome area under the curve Article artificial neural network binary classification body mass breathing rate clinical decision support system coronavirus disease 2019 coughing decision support system diagnostic value disease classification dyspnea electronic medical record female fever headache human human experiment lung lesion male oxygen saturation retrospective study rhinorrhea rosacea thorax pain tremor vomiting | ||||||||
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Page Range: | pp. 176-182 | ||||||||
Journal or Publication Title: | Journal of Advances in Medical and Biomedical Research | ||||||||
Journal Index: | Scopus | ||||||||
Volume: | 29 | ||||||||
Number: | 134 | ||||||||
Identification Number: | https://doi.org/10.30699/jambs.29.134.176 | ||||||||
ISSN: | 26766264 (ISSN) | ||||||||
Depositing User: | مهندس مهدی شریفی | ||||||||
URI: | http://eprints.medilam.ac.ir/id/eprint/3402 |
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