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Feketea G, Vlacha V. COVID-19 Score for Testing Symptomatic Low Risk Children: "STUDY SAFE". Front Med (Lausanne) 2021; 8:644813. [PMID: 34211982 PMCID: PMC8239172 DOI: 10.3389/fmed.2021.644813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 05/19/2021] [Indexed: 11/13/2022] Open
Affiliation(s)
- Gavriela Feketea
- "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.,Paediatric Department, Karamandaneio Children's Hospital of Patras, Patras, Greece
| | - Vasiliki Vlacha
- Paediatric Department, Karamandaneio Children's Hospital of Patras, Patras, Greece.,Department of Early Years Learning and Care, University of Ioannina, Ioannina, Greece
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Ma H, Ye Q, Ding W, Jiang Y, Wang M, Niu Z, Zhou X, Gao Y, Wang C, Menpes-Smith W, Fang EF, Shao J, Xia J, Yang G. Can Clinical Symptoms and Laboratory Results Predict CT Abnormality? Initial Findings Using Novel Machine Learning Techniques in Children With COVID-19 Infections. Front Med (Lausanne) 2021; 8:699984. [PMID: 34195215 PMCID: PMC8236538 DOI: 10.3389/fmed.2021.699984] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Accepted: 05/17/2021] [Indexed: 12/31/2022] Open
Abstract
The rapid spread of coronavirus 2019 disease (COVID-19) has manifested a global public health crisis, and chest CT has been proven to be a powerful tool for screening, triage, evaluation and prognosis in COVID-19 patients. However, CT is not only costly but also associated with an increased incidence of cancer, in particular for children. This study will question whether clinical symptoms and laboratory results can predict the CT outcomes for the pediatric patients with positive RT-PCR testing results in order to determine the necessity of CT for such a vulnerable group. Clinical data were collected from 244 consecutive pediatric patients (16 years of age and under) treated at Wuhan Children's Hospital with positive RT-PCR testing, and the chest CT were performed within 3 days of clinical data collection, from January 21 to March 8, 2020. This study was approved by the local ethics committee of Wuhan Children's Hospital. Advanced decision tree based machine learning models were developed for the prediction of CT outcomes. Results have shown that age, lymphocyte, neutrophils, ferritin and C-reactive protein are the most related clinical indicators for predicting CT outcomes for pediatric patients with positive RT-PCR testing. Our decision support system has managed to achieve an AUC of 0.84 with 0.82 accuracy and 0.84 sensitivity for predicting CT outcomes. Our model can effectively predict CT outcomes, and our findings have indicated that the use of CT should be reconsidered for pediatric patients, as it may not be indispensable.
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Affiliation(s)
- Huijing Ma
- Imaging Center, Tongji Medical College, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Huazhong University of Science & Technology, Wuhan, China
| | - Qinghao Ye
- Hangzhou Ocean's Smart Boya Co., Ltd, Hangzhou, China
- Mind Rank Ltd, Hong Kong, China
| | - Weiping Ding
- School of Information Science and Technology, Nantong University, Nantong, China
| | - Yinghui Jiang
- Hangzhou Ocean's Smart Boya Co., Ltd, Hangzhou, China
- Mind Rank Ltd, Hong Kong, China
| | - Minhao Wang
- Hangzhou Ocean's Smart Boya Co., Ltd, Hangzhou, China
- Mind Rank Ltd, Hong Kong, China
| | | | - Xi Zhou
- Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom
| | - Yuan Gao
- Department of Radiology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
- Aladdin Healthcare Technologies Ltd, London, United Kingdom
| | - Chengjia Wang
- British Heart Foundation (BHF) Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom
| | | | - Evandro Fei Fang
- Department of Clinical Molecular Biology, University of Oslo, Oslo, Norway
| | - Jianbo Shao
- COVID-19 Specialist Team, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
| | - Jun Xia
- Department of Radiology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Guang Yang
- Cardiovascular Research Centre, Royal Brompton Hospital, London, United Kingdom
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
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Nascimento Junior JAC, Santos AM, Oliveira AMS, Guimarães AG, Quintans-Júnior LJ, Coutinho HDM, Martins N, Borges LP, Serafini MR. Trends in MERS-CoV, SARS-CoV, and SARS-CoV-2 (COVID-19) Diagnosis Strategies: A Patent Review. Front Public Health 2020; 8:563095. [PMID: 33194964 PMCID: PMC7653175 DOI: 10.3389/fpubh.2020.563095] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 09/28/2020] [Indexed: 12/18/2022] Open
Abstract
The emergence of a new coronavirus (SARS-CoV-2) outbreak represents a challenge for the diagnostic laboratories responsible for developing test kits to identify those infected with SARS-CoV-2. Methods with rapid and accurate detection are essential to control the sources of infection, to prevent the spread of the disease and to assist decision-making by public health managers. Currently, there is a wide variety of tests available with different detection methodologies, levels of specificity and sensitivity, detection time, and with an extensive range of prices. This review therefore aimed to conduct a patent search in relation to tests for the detection of SARS-CoV, MERS-CoV, and SARS-CoV-2. The greatest number of patents identified in the search were registered between 2003 and 2011, being mainly deposited by China, the Republic of Korea, and the United States. Most of the patents used the existing RT-PCR, ELISA, and isothermal amplification methods to develop simple, sensitive, precise, easy to use, low-cost tests that reduced false-negative or false-positive results. The findings of this patent search show that an increasing number of materials and diagnostic tests for the coronavirus are being produced to identify infected individuals and combat the growth of the current pandemic; however, there is still a question in relation to the reliability of the results of these tests.
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Affiliation(s)
- José Adão Carvalho Nascimento Junior
- Department of Pharmacy, Federal University of Sergipe, São Cristovão, Brazil.,Posgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristovão, Brazil
| | | | | | - Adriana Gibara Guimarães
- Department of Pharmacy, Federal University of Sergipe, São Cristovão, Brazil.,Posgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristovão, Brazil
| | - Lucindo José Quintans-Júnior
- Department of Pharmacy, Federal University of Sergipe, São Cristovão, Brazil.,Posgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristovão, Brazil
| | | | - Natália Martins
- Faculty of Medicine, University of Porto, Porto, Portugal.,Institute for Research and Innovation in Health (i3S), University of Porto, Porto, Portugal.,Laboratory of Neuropsychophysiology, Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | | | - Mairim Russo Serafini
- Department of Pharmacy, Federal University of Sergipe, São Cristovão, Brazil.,Posgraduate Program in Pharmaceutical Sciences, Federal University of Sergipe, São Cristovão, Brazil
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