Interactive modelling and prognosis of a COVID-19 hospitalized patient via multistate models

A shiny app is presented with two main goals: 1) to fit a MSM from specific data in a friendly way (programming skills are not required); 2) to predict the clinical evolution for a given patient based on the previous MSM. For illustrative purposes, we show how the app works using data from a multico...

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Detalhes bibliográficos
Autor: Garmendia Bergés, Leire|||0000-0002-2053-9535
Formato: tesis de maestría
Fecha de publicación:2022
País:España
Recursos:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/371945
Acesso em linha:https://hdl.handle.net/2117/371945
Access Level:acceso abierto
Palavra-chave:Survival analysis (Biometry)
COVID-19 (Disease)
Shiny app
Multistate model
COVID-19
Anàlisi de supervivència (Biometria)
COVID-19 (Malaltia)
Classificació AMS::62 Statistics::62N Survival analysis and censored data
Àrees temàtiques de la UPC::Matemàtiques i estadística::Estadística matemàtica
Descrição
Resumo:A shiny app is presented with two main goals: 1) to fit a MSM from specific data in a friendly way (programming skills are not required); 2) to predict the clinical evolution for a given patient based on the previous MSM. For illustrative purposes, we show how the app works using data from a multicohort study of more than 5,000 hospitalized adult COVID-19 patients from 8 Catalan hospitals during the first five waves of the pandemic. Different models have been fitted for the first Catalan pandemic wave, including as states the main outcomes (discharge and death) together with objective interventions during hospitalization such as non-invasive or invasive mechanical ventilation. The application and the underlying model are intended to be very useful for clinicians and to enhance the approach in modelling the course of other diseases with different stages of severity.