Comparison of Parametric Models: Appication to Hypertensive Patients in a Teaching Hospital, Awka

Author(s):  
Ibenegbu Amuche H ◽  
Osuji George A ◽  
Umeh Edith U

Introduction: In Nigeria, hypertension is a common sickness among grownups. This research was carried out to determine the best model for predicting survival of hypertensive patients using goodness of fit criteria, Standard Error (SE), Akaike Information Criterion (AIC) and Bayesian Information Criterion (BIC). Method: A total of 105 patients who were diagnosed with hypertension from January 2013 to July 2018 were considered in which death is the event of interest. Six parametric models such as; exponential, Weibull, Lognormal, Log-logistic, Gompertz and hypertabastic distribution were fitted to the data using goodness of fit such as S.E, AIC and BIC to determine the best model. The parametric models were considered because they are all lifetime distributions. Results The result shows that the hypertabastic distribution has the lowest AIC and BIC, followed by Gompertz distribution. The standard error also indicates the hypertabastic model is better because it has the least value of standard error. This indicates that in terms of relative efficiency and parameterization the hypertabastic model is the best. The Survival Probability Plot of the six parametric models shows that the Hypertabastic distribution best fitted the data because it shows a clear step function than the other distribution and this justifies the result SE, AIC and BIC presented. Conclusion: Since hypertabastic distribution has the lowest SE, AIC and BIC it indicates that it is the best parametric model for predicting survival of hypertensive patients in chukwuemeka Odumegwu Ojukwu university teaching hospital Awka, Nigeria.

Complexity ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-20
Author(s):  
Ramadan A. ZeinEldin ◽  
Muhammad Ahsan ul Haq ◽  
Sharqa Hashmi ◽  
Mahmoud Elsehety ◽  
M. Elgarhy

In this article, we propose and study a new three-parameter distribution, called the odd Fréchet inverse Lomax (OFIL) distribution, derived by combining the odd Fréchet-G family and the inverse Lomax distribution. Since Fréchet is a continuous distribution with wide applicability in extreme value theory, the new model contains these properties as well as the characteristics of the inverse Lomax distribution which make it more flexible and provide a good alternative for some well-known lifetime distributions. We initially present a linear representation of its functions and discussion on density and hazard rate function. Then, we study its various mathematical properties. Different estimation methods are used to estimate parameters of OFIL. The Monte Carlo simulation study is carried out to compare the efficiencies of different methods of estimation. The maximum likelihood estimation (MLE) method is used to estimate the OFIL parameters by considering three practical data applications. We show that the related model is the best in comparisons based on Akaike information criterion (AIC), Bayesian information criterion (BIC), and other goodness-of-fit measures.


2012 ◽  
Vol 1 (2) ◽  
pp. 29-35 ◽  
Author(s):  
Buna Bhandari ◽  
Mahesh Bhattarai ◽  
Manjul Bhandari ◽  
Nilambar Jha

Background: Hypertension (HTN) is a major risk factor for cardiovascular and renal diseases. The prevalence of hypertension has substantially increased during the past four decades. Information on prevalence as well as awareness regarding treatment and prevention of hypertension is scarce particularly in rural settings. The levels of awareness, treatment, and control of HTN vary between different countries and population groups. Objectives: The objective of this study was to find out the awareness of hypertensive patients about their own disease and self care. Methodology: Descriptive cross sectional study was conducted among 50 hypertensive patients who were admitted to Tribhuvan University Teaching Hospital (TUTH) and attended to medical OPD. Data was collected by using interview schedule by face to face interview method. Results: Among 50 hypertensive patients, 56% were aware about meaning of hypertension, 68% symptoms, 34% cause, 62% prognosis, and 62% complication of HTN. Likewise regarding self care, 70% were doing regular follow up, 92% using regular medication, most of them (80%) were not smoker and 84% were non alcoholic, and 74% taking low fat and low salt diet. Conclusion: Study finding reflects many of them (56%) had more than 50% of knowledge about the hypertension and more than half (54%) were giving more than 50% emphasis about their own self care.DOI: http://dx.doi.org/10.3126/jonmc.v1i2.7296 Journal of Nobel Medical College (2012), Vol.1 No.2 p.29-35


2020 ◽  
Vol 6 (1) ◽  
pp. 41-48
Author(s):  
G.A. Njoku ◽  
L.S. Shem ◽  
M. Abba ◽  
S. Bature ◽  
M. Sidi ◽  
...  

Introduction: Hypertension is one of the commonest non-communicable diseases worldwide; it is the second most common cause of end-stage renal disease. Objective: To evaluate the renal dimensions and volume of essential hypertension patients in Abubakar Tafawa Balewa University Teaching Hospital, Bauchi and to compare the dimensions with that of apparently healthy volunteers. Materials and Methods: A total of two hundred and eleven individuals (comprising 121 females and 90 males) with essential hypertension attending an outpatient clinic in Abubakar Tafawa Balewa University Teaching Hospital Bauchi, and an equal number of healthy volunteers (comprising of 172 females and 49 males) were studied as controls. Both the healthy volunteers and the Hypertensive patients’ renal length, renal width, antero-posterior diameter, and parenchymal thickness were assessed. Statistical Package for Social Sciences (SPSS version 20.0) was used for data analysis. Results: Study show the mean renal length for hypertensive patients to be 9.1 ± 0.79 cm and 9.1 ± 0.73 cm, the mean renal width of 3.5 ± 0.48 cm and 3.8 ± 0.68 cm, and mean renal volume of 87.22 ± 19.58 cm3 and 95.08 ± 22.93 cm3 for the right and left kidneys respectively. Results equally show statistically significant difference in anteroposterior diameter (p<0.05), parenchymal thickness (p<0.05) and renal volume (p<0.05) between the hypertensive group and the volunteer group for both right and left kidneys. Conclusion: This study has established baseline renal dimensions for hypertensive in our population (Bauchi Metropolis). The hypertensive subjects showed a decrease in renal anteroposterior diameter, parenchymal thickness and volume compared to control group.


2015 ◽  
Author(s):  
Mohamed Ahmed ◽  
Michael Jeffers ◽  
John Feeney ◽  
Pardeep Govender ◽  
Mark Sherlock ◽  
...  

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