Predictors of COVID-19 hospital outcomes: a machine learning analysis of the National COVID Cohort Collaborative
This study utilized machine learning on a large, harmonized cohort of hospitalized COVID-19 patients to demonstrate that while common structured electronic health record features offer moderate utility for predicting mortality, they are insufficient for forecasting length of stay, and that applying SMOTE to address class imbalance creates a critical trade-off between recall and discrimination that necessitates reporting threshold-dependent metrics for clinical utility.