在临床试验研究中预测儿科死亡率的风险因素:使用医疗保健成本和利用项目的数据库进行了一项回顾性,横截面研究
Jiahui Ma1, Elizabeth A Johnson2, Bernadette McCrory1
1Montana State University, Norm Asbjornson College of Engineering, Bozeman, MT, USA.
Journal of clinical and translational science
|October 30, 2023
概括
对儿科临床试验的真实数据分析揭示了影响生存的因素. 关键的关联包括诊断,手术,转院,具体情况和医院规模,为改善患者安全提供信息.
科学领域:
- 儿科临床试验研究研究.
- 医疗数据分析 医疗数据分析
- 临床试验中的患者安全性
背景情况:
- 现实世界的数据和大数据分析对于改善医疗保健服务至关重要.
- 全因死亡率是提高临床试验中患者安全的关键指标,特别是对于儿科参与者.
研究的目的:
- 确定儿科死亡率与患者特定因素之间的关联.
- 使用医疗保健成本和利用项目 (HCUP) 数据库进行分析.
主要方法:
- 2019年HCUP儿童住院患者数据库 (KID) 的后勤回归分析.
- 研究了儿科生存率与人口,社会经济,出院和医院因素之间的关联.
主要成果:
- 存活率与较少的诊断/手术,较长的住院时间,年龄较大和住院转移有关.
- 诸如重大创伤或肝胆道问题等情况显著降低了生存几率.
- 西部/中西部地区和较大的医院显示与生存的关联.
结论:
- 现实世界的数据分析确定了改善儿科临床试验质量和安全的领域.
- 对于儿科试验工具,需要以用户为中心的设计.
- 安全的转移程序和最佳实践传播对于试验管理和安全至关重要.
相关概念视频
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
133
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
133
Hazard Ratio
137
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
137
Comparing the Survival Analysis of Two or More Groups
201
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
201
Cancer Survival Analysis
357
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
357
Kaplan-Meier Approach
154
The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...
154
Actuarial Approach
80
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
80


