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Prediction and Inference With Missing Data in Patient Alert Systems

患者预警系统中缺失数据下的预测与推断

We describe the Bedside Patient Rescue (BPR) project, the goal of which is risk prediction of adverse events for non-intensive care unit patients using ∼100 variables (vitals, lab results, assessments, etc.). There are several missing predictor values for most patients, which in the health sciences is the norm, rather than the exception. A Bayesian approach is presented that addresses many of the shortcomings to standard approaches to missing predictors: (i) treatment of the…

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A Bayesian Approach to Multistate Hidden Markov Models: Application to Dementia Progression

多状态隐马尔可夫模型的贝叶斯方法:痴呆进展应用

People are living longer than ever before, and with this arises new complications and challenges for humanity. Among the most pressing of these challenges is of understanding the role of aging in the development of dementia. This article is motivated by the Mayo Clinic Study of Aging data for 4742 subjects since 2004, and how it can be used to draw inference on the role of aging in the development of dementia. We construct a hidden Markov model (HMM) to represent progression…

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Proportional hazards tests and diagnostics based on weighted residuals

基于加权残差的比例风险检验与诊断

SUMMARY Nonproportional hazards can often be expressed by extending the Cox model to include time varying coefficients; e.g., for a single covariate, the hazard function for subject i is modelled as exp { fl(t)Zi(t)}. A common example is a treatment effect that decreases with time. We show that the function /3(t) can be directly visualized by smoothing an appropriate residual plot. Also, many tests of proportional hazards, including those of Cox (1972), Gill & Schumacher…

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