Statistical method to determine the need for hospitalization of COVID-19 patients

Detalhes bibliográficos
Autor(a) principal: Vasconcelos, Fernando Freire
Data de Publicação: 2020
Outros Autores: Moura, Heber José de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Administração Pública
Texto Completo: https://periodicos.fgv.br/rap/article/view/82218
Resumo: The growth rate of COVID-19 is causing worldwide concern. The development of indirect methods used to determine hospitalizations only for necessary cases is of fundamental importance to prevent overcrowding in the health system. The general objective of this article is to propose a statistical method, based on logistic regression, capable of indicating whether a patient who tests positive for COVID-19 should be directed to home isolation or be admitted to a hospital, based on blood tests and age. The data was collected from 5,645 blood tests of patients in March and April 2020. Based on the use of the independent variables ‘C-reactive protein,’ ‘neutrophils,’ and ‘monocytes,’ as well as the age of the patient affected by COVID-19, it is possible to predict with a reasonable degree of accuracy whether, upon arriving at the hospital and testing positive, the individual should be recommended to isolate at home or be admitted to a healthcare facility.
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spelling Statistical method to determine the need for hospitalization of COVID-19 patientsElaboración de una metodología basada en estadísticas para la derivación a tratamiento de casos de COVID-19Elaboração de uma metodologia baseada em estatística para encaminhamento dos casos da COVID-19COVID-19logistic regressionprotocol.COVID-19regresión logísticaprotocolo.COVID-19regressão logísticaprotocolo.The growth rate of COVID-19 is causing worldwide concern. The development of indirect methods used to determine hospitalizations only for necessary cases is of fundamental importance to prevent overcrowding in the health system. The general objective of this article is to propose a statistical method, based on logistic regression, capable of indicating whether a patient who tests positive for COVID-19 should be directed to home isolation or be admitted to a hospital, based on blood tests and age. The data was collected from 5,645 blood tests of patients in March and April 2020. Based on the use of the independent variables ‘C-reactive protein,’ ‘neutrophils,’ and ‘monocytes,’ as well as the age of the patient affected by COVID-19, it is possible to predict with a reasonable degree of accuracy whether, upon arriving at the hospital and testing positive, the individual should be recommended to isolate at home or be admitted to a healthcare facility.La tasa de crecimiento de la COVID-19 es preocupante en todo el mundo. El desarrollo de métodos indirectos para orientar las internaciones hospitalarias solo en los casos necesarios es de fundamental importancia para prevenir el hacinamiento en el sistema de salud. El objetivo general de este artículo es proponer una metodología estadística, basada en regresión logística, capaz de indicar si un paciente que dio positivo para COVID-19 debe permanecer en aislamiento domiciliario o internado en un hospital según los análisis de sangre y la edad. Los datos se tomaron de 5.645 análisis de sangre de pacientes en el período de marzo a abril de 2020. Utilizando las variables independientes proteína C reactiva, neutrófilos, monocitos y edad del paciente afectado por COVID-19, se puede determinar, con un grado razonable de precisión, si al llegar al hospital y tener resultado positivo, se debe recomendar que el individuo permanezca en su residencia o sea internado en una unidad de salud.A taxa de crescimento da COVID-19 é preocupante em todo o mundo. O desenvolvimento de métodos indiretos para direcionar as internações hospitalares somente para os casos necessários é de fundamental importância para impedir superlotação do sistema de saúde. O objetivo geral deste artigo é propor uma metodologia estatística, baseada na regressão logística, capaz de indicar se um paciente que testou positivo para COVID-19 deve ser direcionado ao isolamento domiciliar ou ficar internado no hospital com base em exames básicos de sangue e na idade. Os dados partiram de 5.645 testes de sangue de pacientes no período de março e abril de 2020. Com a utilização das variáveis independentes proteína C-reativa, neutrophils, monocytes e idade do paciente acometido pela COVID-19, pode-se prever com razoável grau de precisão se, ao chegar ao hospital e testar positivo, o indivíduo deve ser recomendado a ficar recolhido em sua residência ou se deve ser internado numa unidade de saúde.Fundação Getulio Vargas (FGV EBAPE)2020-09-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://periodicos.fgv.br/rap/article/view/82218Brazilian Journal of Public Administration; Vol. 54 No. 5 (2020); 1417-1428Revista de Administração Pública; Vol. 54 Núm. 5 (2020); 1417-1428Revista de Administração Pública; v. 54 n. 5 (2020); 1417-14281982-31340034-7612reponame:Revista de Administração Públicainstname:Fundação Getulio Vargas (FGV)instacron:FGVporenghttps://periodicos.fgv.br/rap/article/view/82218/78312https://periodicos.fgv.br/rap/article/view/82218/pdf_399Copyright (c) 2020 Revista de Administração Públicainfo:eu-repo/semantics/openAccessVasconcelos, Fernando FreireMoura, Heber José de2020-10-21T16:13:59Zoai:ojs.periodicos.fgv.br:article/82218Revistahttps://ebape.fgv.br/publicacoes/rapONGhttps://old.scielo.br/oai/scielo-oai.php||rap@fgv.br1982-31340034-7612opendoar:2020-10-21T16:13:59Revista de Administração Pública - Fundação Getulio Vargas (FGV)false
dc.title.none.fl_str_mv Statistical method to determine the need for hospitalization of COVID-19 patients
Elaboración de una metodología basada en estadísticas para la derivación a tratamiento de casos de COVID-19
Elaboração de uma metodologia baseada em estatística para encaminhamento dos casos da COVID-19
title Statistical method to determine the need for hospitalization of COVID-19 patients
spellingShingle Statistical method to determine the need for hospitalization of COVID-19 patients
Vasconcelos, Fernando Freire
COVID-19
logistic regression
protocol.
COVID-19
regresión logística
protocolo.
COVID-19
regressão logística
protocolo.
title_short Statistical method to determine the need for hospitalization of COVID-19 patients
title_full Statistical method to determine the need for hospitalization of COVID-19 patients
title_fullStr Statistical method to determine the need for hospitalization of COVID-19 patients
title_full_unstemmed Statistical method to determine the need for hospitalization of COVID-19 patients
title_sort Statistical method to determine the need for hospitalization of COVID-19 patients
author Vasconcelos, Fernando Freire
author_facet Vasconcelos, Fernando Freire
Moura, Heber José de
author_role author
author2 Moura, Heber José de
author2_role author
dc.contributor.author.fl_str_mv Vasconcelos, Fernando Freire
Moura, Heber José de
dc.subject.por.fl_str_mv COVID-19
logistic regression
protocol.
COVID-19
regresión logística
protocolo.
COVID-19
regressão logística
protocolo.
topic COVID-19
logistic regression
protocol.
COVID-19
regresión logística
protocolo.
COVID-19
regressão logística
protocolo.
description The growth rate of COVID-19 is causing worldwide concern. The development of indirect methods used to determine hospitalizations only for necessary cases is of fundamental importance to prevent overcrowding in the health system. The general objective of this article is to propose a statistical method, based on logistic regression, capable of indicating whether a patient who tests positive for COVID-19 should be directed to home isolation or be admitted to a hospital, based on blood tests and age. The data was collected from 5,645 blood tests of patients in March and April 2020. Based on the use of the independent variables ‘C-reactive protein,’ ‘neutrophils,’ and ‘monocytes,’ as well as the age of the patient affected by COVID-19, it is possible to predict with a reasonable degree of accuracy whether, upon arriving at the hospital and testing positive, the individual should be recommended to isolate at home or be admitted to a healthcare facility.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-24
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.fgv.br/rap/article/view/82218
url https://periodicos.fgv.br/rap/article/view/82218
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.fgv.br/rap/article/view/82218/78312
https://periodicos.fgv.br/rap/article/view/82218/pdf_399
dc.rights.driver.fl_str_mv Copyright (c) 2020 Revista de Administração Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Revista de Administração Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
publisher.none.fl_str_mv Fundação Getulio Vargas (FGV EBAPE)
dc.source.none.fl_str_mv Brazilian Journal of Public Administration; Vol. 54 No. 5 (2020); 1417-1428
Revista de Administração Pública; Vol. 54 Núm. 5 (2020); 1417-1428
Revista de Administração Pública; v. 54 n. 5 (2020); 1417-1428
1982-3134
0034-7612
reponame:Revista de Administração Pública
instname:Fundação Getulio Vargas (FGV)
instacron:FGV
instname_str Fundação Getulio Vargas (FGV)
instacron_str FGV
institution FGV
reponame_str Revista de Administração Pública
collection Revista de Administração Pública
repository.name.fl_str_mv Revista de Administração Pública - Fundação Getulio Vargas (FGV)
repository.mail.fl_str_mv ||rap@fgv.br
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