Second-order Markov multistate models

Multistate models are well developed for continuous and discrete times under a first order Markov assumption. Motivated by a cohort of COVID-19 patients, a multistate model was designed based on 14 transitions among 7 states of a patient. Since a preliminary analysis showed that the frst-order Marko...

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Detalles Bibliográficos
Autores: Besalú, Mireia, Gómez Melis, Guadalupe|||0000-0003-4252-4884
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/421587
Acceso en línea:https://hdl.handle.net/2117/421587
https://dx.doi.org/10.57645/20.8080.02.19
Access Level:acceso abierto
Palabra clave:Mathematical statistics
multistate models
non-Markov
COVID-19
Estadística matemàtica
Classificació AMS::62 Statistics::62J Linear inference, regression
Classificació AMS::62 Statistics::62N Survival analysis and censored data
Classificació AMS::62 Statistics::62M Inference from stochastic processes
Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística matemàtica
Descripción
Sumario:Multistate models are well developed for continuous and discrete times under a first order Markov assumption. Motivated by a cohort of COVID-19 patients, a multistate model was designed based on 14 transitions among 7 states of a patient. Since a preliminary analysis showed that the frst-order Markov condition was not met for some transitions, we have developed a second-order Markov model where the future evolution not only depends on the state at the current time but also on the state at the preceding time. Under a discrete time analysis, assuming homogeneity and that past information is restricted to two consecutive times, we expanded the transition probability matrix and proposed an extension of the Chapman-Kolmogorov equations. We propose two estimators for the second-order transition probabilities and illustrate them within the cohort of COVID-19 patients.