Explainable artificial intelligence for predicting cardiovascular events in hospitalised COVID-19 patients

Despite moderate AUROC and high accuracy, both AI models demonstrated limited ability to detect cardiovascular events due to class imbalance. The persistently low F1 score for the minority class underscores this limitation. Traditional rebalancing techniques produced only small gains, mostly improving recall occurring at the expense of precision. Age, urea levels, platelet count, and SatO2/FiO2 were identified as the most relevant predictors of cardiovascular complications in this cohort.

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Publication Details

Journal
BMC Infectious Diseases
Published
2025-11-13
DOI
https://doi.org/10.1186/s12879-025-11465-6
Primary Topic
COVID-19 diagnosis using AI
Type
article
Field-Weighted Citation Impact
0.00

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Explainable artificial intelligence for predicting cardiovascular events in hospitalised COVID-19 patients

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Explainable artificial intelligence for predicting cardiovascular events in hospitalised COVID-19 patients

Isabella Viana Gomes Schettini, Guilherme Fonseca, Bruno Barbosa Miranda de Paiva, Milena Soriano Marcolino, Leonardo Rocha, Marcos André Gonçalves
article en

Abstract

Despite moderate AUROC and high accuracy, both AI models demonstrated limited ability to detect cardiovascular events due to class imbalance. The persistently low F1 score for the minority class underscores this limitation. Traditional rebalancing techniques produced only small gains, mostly improving recall occurring at the expense of precision. Age, urea levels, platelet count, and SatO2/FiO2 were identified as the most relevant predictors of cardiovascular complications in this cohort.

BMC Infectious DiseasesVol. 25(1)
Universidade Federal de Minas Gerais (BR), Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR), Federal University of São João del-Rei (BR)
Fundação de Amparo à Pesquisa do Estado de São Paulo, Conselho Nacional de Desenvolvimento Científico e Tecnológico, Fundação de Amparo à Pesquisa do Estado de Minas Gerais
Openalex Percentile: Top 51%
COVID-19 diagnosis using AI
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