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Health Care Manag Sci ; 24(2): 253-272, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33590417

RESUMEN

The COVID-19 pandemic has created unprecedented challenges worldwide. Strained healthcare providers make difficult decisions on patient triage, treatment and care management on a daily basis. Policy makers have imposed social distancing measures to slow the disease, at a steep economic price. We design analytical tools to support these decisions and combat the pandemic. Specifically, we propose a comprehensive data-driven approach to understand the clinical characteristics of COVID-19, predict its mortality, forecast its evolution, and ultimately alleviate its impact. By leveraging cohort-level clinical data, patient-level hospital data, and census-level epidemiological data, we develop an integrated four-step approach, combining descriptive, predictive and prescriptive analytics. First, we aggregate hundreds of clinical studies into the most comprehensive database on COVID-19 to paint a new macroscopic picture of the disease. Second, we build personalized calculators to predict the risk of infection and mortality as a function of demographics, symptoms, comorbidities, and lab values. Third, we develop a novel epidemiological model to project the pandemic's spread and inform social distancing policies. Fourth, we propose an optimization model to re-allocate ventilators and alleviate shortages. Our results have been used at the clinical level by several hospitals to triage patients, guide care management, plan ICU capacity, and re-distribute ventilators. At the policy level, they are currently supporting safe back-to-work policies at a major institution and vaccine trial location planning at Janssen Pharmaceuticals, and have been integrated into the US Center for Disease Control's pandemic forecast.


Asunto(s)
Tratamiento Farmacológico de COVID-19 , COVID-19 , Aprendizaje Automático , Anciano , COVID-19/mortalidad , COVID-19/fisiopatología , Bases de Datos Factuales , Femenino , Predicción , Humanos , Unidades de Cuidados Intensivos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Pandemias , Formulación de Políticas , Pronóstico , Medición de Riesgo/estadística & datos numéricos , SARS-CoV-2 , Ventiladores Mecánicos/provisión & distribución
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