Analysing adverse events by time-to-event models: the CLEOPATRA study

2016 ◽  
Vol 15 (4) ◽  
pp. 306-314 ◽  
Author(s):  
Tanja Proctor ◽  
Martin Schumacher
Author(s):  
Haiqing Zheng ◽  
Yanqin Cui ◽  
Kuanrong Li ◽  
Jiexin Zhang ◽  
Jiangbo Qu ◽  
...  

Abstract OBJECTIVES This study aimed to determine whether changes in perioperative N-terminal pro-B-type natriuretic peptide (NT-proBNP) are associated with short-term outcomes in children undergoing surgery for congenital heart disease (CHD). METHODS We retrospectively included 873 consecutive children with CHD after cardiac surgery. NT-proBNP concentrations were collected from each child prior to and at 1, 12, 36 and 72 h after surgery. The patients had postsurgical follow-ups at 30, 90 and 180 days. The end point was postoperative composite adverse events. RESULTS The patients were classified into 3 groups using joint latent class mixture time-to-event models: (i) relatively stable (86.7%), (ii) decreasing (7.2%) and (iii) increasing (6.1%). In total, 257 (29.4%) adverse events occurred. The joint latent class mixture time-to-event models showed that increasing NT-proBNP was strongly associated with adverse events, with adjusted hazard ratio of 2.33 (95% confidence interval 1.52–3.60). Multinomial logistic regression showed that the variables associated with the pattern of change were age, weight at surgery, mode of delivery and cardiopulmonary bypass time. CONCLUSIONS The pattern of dynamic postsurgical changes in NT-proBNP may facilitate outcome stratification and identification of a high risk for adverse events.


2012 ◽  
Vol 31 (23) ◽  
pp. 2588-2609 ◽  
Author(s):  
Matthias Schmid ◽  
Sergej Potapov

2011 ◽  
Vol 53 (1) ◽  
pp. 88-112 ◽  
Author(s):  
Rotraut Schoop ◽  
Jan Beyersmann ◽  
Martin Schumacher ◽  
Harald Binder

2018 ◽  
Vol 18 (3-4) ◽  
pp. 322-345 ◽  
Author(s):  
Moritz Berger ◽  
Matthias Schmid

Abstract: Time-to-event models are a popular tool to analyse data where the outcome variable is the time to the occurrence of a specific event of interest. Here, we focus on the analysis of time-to-event outcomes that are either intrinsically discrete or grouped versions of continuous event times. In the literature, there exists a variety of regression methods for such data. This tutorial provides an introduction to how these models can be applied using open source statistical software. In particular, we consider semiparametric extensions comprising the use of smooth nonlinear functions and tree-based methods. All methods are illustrated by data on the duration of unemployment of US citizens.


2018 ◽  
Vol 101 ◽  
pp. 129-139 ◽  
Author(s):  
Andrea Onofri ◽  
Paolo Benincasa ◽  
Mohsen B. Mesgaran ◽  
Christian Ritz

2016 ◽  
Vol 15 (4) ◽  
pp. 297-305 ◽  
Author(s):  
Arthur Allignol ◽  
Jan Beyersmann ◽  
Claudia Schmoor

Sign in / Sign up

Export Citation Format

Share Document