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Establishment of a diagnostic model to distinguish Coronavirus Disease 2019 from influenza A based on laboratory findings
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  • Dongyang Xing,
  • Suyan Tian,
  • Yukun Chen,
  • Jinmei Wang,
  • Xuejuan Sun,
  • Shanji Li,
  • Jiancheng Xu
Dongyang Xing
Jilin University First Hospital
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Suyan Tian
Jilin University First Hospital
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Yukun Chen
Jilin University First Hospital
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Jinmei Wang
Siping Infectious Disease Hospital
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Xuejuan Sun
Changchun City Infectious Disease Hospital
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Shanji Li
Jilin Province Infectious Disease Hospital
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Jiancheng Xu
Jilin University First Hospital

Corresponding Author:xjc@jlu.edu.cn

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Abstract

Background: Coronavirus disease 2019 (COVID-19) and Influenza A are common disease caused by viral infection. The clinical symptoms and transmission routes of the two diseases are similar. This study established a model of laboratory findings to distinguish COVID-19 from influenza A perfectly. Methods: In this study, 56 COVID-19 patients and 54 influenza A patients were included. Laboratory findings, epidemiological characteristics and demographic data were obtained from electronic medical record databases. Elastic network models, followed by a stepwise logistic regression model were implemented to identify indicators capable of discriminating COVID-19 and influenza A. Results: A monogram is diagramed to show the resulting discriminative model. The majority of hematological and biochemical parameters in COVID-19 patients were significantly different from those in influenza A patients. In the final model, albumin/globulin, total bilirubin and erythrocyte specific volume were selected as predictors. This model has been demonstrated to have a satisfactory predictive performance to discriminate between COVID-19 and influenza A (AUC=0.844) using an external validation set. Conclusion: The establishment of a diagnostic model on laboratory findings is of great significance for the identification of COVID-19 and influenza A.