The feasibility of using machine learning to predict COVID-19 cases

IF 4.1 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI:10.1016/j.ijmedinf.2025.105786
Shan Chen , Yuanzhao Ding
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Abstract

Background

Coronavirus Disease 2019 (COVID-19), caused by the SARS-CoV-2 virus, emerged as a global health crisis in 2019, resulting in widespread morbidity and mortality. A persistent challenge during the pandemic has been the accuracy of reported epidemic data, particularly in underdeveloped regions with limited access to COVID-19 test kits and healthcare infrastructure. In the post-COVID era, this issue remains crucial. This study introduces a novel approach by leveraging machine learning to predict cases and uncover critical discrepancies, focusing on African regions where reported daily cases per million often deviate significantly from machine learning-predicted cases. These findings strongly suggest widespread underreporting of cases. By identifying these gaps, our research provides valuable insights for future pandemic preparedness, improving epidemic forecasting accuracy, data reliability, and response strategies to mitigate the impact of emerging global health crises.

Objective

This study aims to assess the reliability of reported COVID-19 incidence data globally, particularly in underdeveloped regions, and to identify discrepancies between reported and predicted cases using machine learning methodologies.

Methods

Data collected from March 2020 to September 2022 included demographic, healthcare, economic, and testing-related parameters. Several machine learning models—neural networks, decision trees, random forests, cross-validation, support vector machines, and logistic regression—were employed to predict COVID-19 incidence rates. Model performance was evaluated using testing accuracy metrics.

Results

Testing accuracy rates for the models were as follows: neural networks (65.50 %), decision trees (63.76 %), random forests (63.33 %), cross-validation (55.92 %), support vector machines (63.62 %), and logistic regression (64.70 %). Comparative analysis using neural networks revealed significant discrepancies between reported and predicted COVID-19 cases, particularly in numerous African countries. These results suggest a considerable volume of underreported cases in regions with limited testing capabilities.

Conclusion

This study highlights the critical need for improved data accuracy and reporting mechanisms, especially in resource-constrained regions. International organizations and policymakers must implement strategies to enhance testing capacity and data reliability to better understand and manage the global impact of the pandemic. Our work emphasizes the potential of machine learning to identify gaps in epidemic reporting, facilitating evidence-based interventions.
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利用机器学习预测COVID-19病例的可行性。
背景:由SARS-CoV-2病毒引起的2019冠状病毒病(COVID-19)在2019年成为全球卫生危机,导致广泛的发病率和死亡率。大流行期间的一个持续挑战是报告的流行病数据的准确性,特别是在获得COVID-19检测试剂盒和医疗基础设施有限的不发达地区。在后新冠时代,这个问题仍然至关重要。本研究引入了一种新方法,利用机器学习来预测病例并发现关键差异,重点关注非洲地区,那里报告的每百万例每日病例数往往与机器学习预测的病例数显著偏离。这些发现强烈表明普遍存在漏报病例的情况。通过确定这些差距,我们的研究为未来的大流行防范、提高流行病预测的准确性、数据可靠性和应对策略提供了有价值的见解,以减轻新出现的全球卫生危机的影响。目的:本研究旨在评估全球报告的COVID-19发病率数据的可靠性,特别是在不发达地区,并使用机器学习方法确定报告病例和预测病例之间的差异。方法:从2020年3月至2022年9月收集的数据包括人口统计、卫生保健、经济和检测相关参数。使用神经网络、决策树、随机森林、交叉验证、支持向量机和逻辑回归等几种机器学习模型来预测COVID-19的发病率。使用测试精度度量来评估模型性能。结果:各模型的测试准确率分别为:神经网络(65.50%)、决策树(63.76%)、随机森林(63.33%)、交叉验证(55.92%)、支持向量机(63.62%)和逻辑回归(64.70%)。利用神经网络进行的比较分析显示,报告的COVID-19病例与预测的病例之间存在重大差异,特别是在许多非洲国家。这些结果表明,在检测能力有限的地区存在相当数量的漏报病例。结论:本研究强调了提高数据准确性和报告机制的迫切需要,特别是在资源有限的地区。国际组织和决策者必须实施战略,加强检测能力和数据可靠性,以便更好地了解和管理这一流行病的全球影响。我们的工作强调了机器学习在识别流行病报告差距、促进循证干预方面的潜力。
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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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