scholarly journals Comparison of pediatric scoring systems for mortality in septic patients and the impact of missing information on their predictive power: a retrospective analysis

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9993
Author(s):  
Christian Niederwanger ◽  
Thomas Varga ◽  
Tobias Hell ◽  
Daniel Stuerzel ◽  
Jennifer Prem ◽  
...  
Keyword(s):  
Missing Data ◽  
Missing Values ◽  
Scoring Systems ◽  
Prognostic Scores ◽  
Specific Patient ◽  
Icu Admission ◽  
Disease Survey ◽  
Patient Prognosis ◽  
Pediatric Sepsis ◽  
The Impact

Background Scores can assess the severity and course of disease and predict outcome in an objective manner. This information is needed for proper risk assessment and stratification. Furthermore, scoring systems support optimal patient care, resource management and are gaining in importance in terms of artificial intelligence. Objective This study evaluated and compared the prognostic ability of various common pediatric scoring systems (PRISM, PRISM III, PRISM IV, PIM, PIM2, PIM3, PELOD, PELOD 2) in order to determine which is the most applicable score for pediatric sepsis patients in terms of timing of disease survey and insensitivity to missing data. Methods We retrospectively examined data from 398 patients under 18 years of age, who were diagnosed with sepsis. Scores were assessed at ICU admission and re-evaluated on the day of peak C-reactive protein. The scores were compared for their ability to predict mortality in this specific patient population and for their impairment due to missing data. Results PIM (AUC 0.76 (0.68–0.76)), PIM2 (AUC 0.78 (0.72–0.78)) and PIM3 (AUC 0.76 (0.68–0.76)) scores together with PRSIM III (AUC 0.75 (0.68–0.75)) and PELOD 2 (AUC 0.75 (0.66–0.75)) are the most suitable scores for determining patient prognosis at ICU admission. Once sepsis is pronounced, PELOD 2 (AUC 0.84 (0.77–0.91)) and PRISM IV (AUC 0.8 (0.72–0.88)) become significantly better in their performance and count among the best prognostic scores for use at this time together with PRISM III (AUC 0.81 (0.73–0.89)). PELOD 2 is good for monitoring and, like the PIM scores, is also largely insensitive to missing values. Conclusion Overall, PIM scores show comparatively good performance, are stable as far as timing of the disease survey is concerned, and they are also relatively stable in terms of missing parameters. PELOD 2 is best suitable for monitoring clinical course.

Impact of strong El Niño events on river discharge in South America

2021 ◽  
Author(s):  
Markus Deppner ◽  
Bedartha Goswami
Keyword(s):  
Machine Learning ◽  
Missing Data ◽  
South America ◽  
River Discharge ◽  
Amazon Basin ◽  
Missing Values ◽  
Southern Oscillation ◽  
Enso Events ◽  
Streamflow Data ◽  
The Impact

<p>The impact of the El Niño Southern Oscillation (ENSO) on rivers are well known, but most existing studies involving streamflow data are severely limited by data coverage. Time series of gauging stations fade in and out over time, which makes hydrological large scale and long time analysis or studies of rarely occurring extreme events challenging. Here, we use a machine learning approach to infer missing streamflow data based on temporal correlations of stations with missing values to others with data. By using 346 stations, from the “Global Streamflow Indices and Metadata archive” (GSIM), that initially cover the 40 year timespan in conjunction with Gaussian processes we were able to extend our data by estimating missing data for an additional 646 stations, allowing us to include a total of 992 stations. We then investigate the impact of the 6 strongest El Niño (EN) events on rivers in South America between 1960 and 2000. Our analysis shows a strong correlation between ENSO events and extreme river dynamics in the southeast of Brazil, Carribean South America and parts of the Amazon basin. Furthermore we see a peak in the number of stations showing maximum river discharge all over Brazil during the EN of 1982/83 which has been linked to severe floods in the east of Brazil, parts of Uruguay and Paraguay. However EN events in other years with similar intensity did not evoke floods with such magnitude and therefore the additional drivers of the 1982/83  floods need further investigation. By using machine learning methods to infer data for gauging stations with missing data we were able to extend our data by almost three-fold, revealing a possible heavier and spatially larger impact of the 1982/83 EN on South America's hydrology than indicated in literature.</p>

scholarly journals Assessing the effect of phenotyping scoring systems and SNP calling and filtering methods on detection of QTL associated with reaction of Brassica napus to Sclerotinia sclerotiorum

2021 ◽  
Author(s):  
Fereshteh Shahoveisi ◽  
Atena Oladzad ◽  
Luis E. del Rio Mendoza ◽  
Seyedali Hosseinirad ◽  
Susan Ruud ◽  
...  
Keyword(s):  
Brassica Napus ◽  
Missing Data ◽  
Sclerotinia Sclerotiorum ◽  
Scoring Systems ◽  
Mortality Data ◽  
Lesion Length ◽  
Data Sets ◽  
Qtl Detection ◽  
Snp Calling ◽  
The Impact

The polyploid nature of canola (Brassica napus) represents a challenge for the accurate identification of single nucleotide polymorphisms (SNPs) and the detection of quantitative trait loci (QTL). In this study, combinations of eight phenotyping scoring systems and six SNP calling and filtering parameters were evaluated for their efficiency in detection of QTL associated with response to Sclerotinia stem rot, caused by Sclerotinia sclerotiorum, in two doubled haploid (DH) canola mapping populations. Most QTL were detected in lesion length, relative areas under the disease progress curve (rAUDPC) for lesion length, and binomial-plant mortality data sets. Binomial data derived from lesion size were less efficient in QTL detection. Inclusion of additional phenotypic sets to the analysis increased the numbers of significant QTL by 2.3-fold; however, the continuous data sets were more efficient. Between two filtering parameters used to analyze genotyping by sequencing (GBS) data, imputation of missing data increased QTL detection in one population with a high level of missing data but not in the other. Inclusion of segregation-distorted SNPs increased QTL detection but did not impact their R2 values significantly. Twelve of the 16 detected QTL were on chromosomes A02 and C01, and the rest were on A07, A09, and C03. Marker A02-7594120, associated with a QTL on chromosome A02 was detected in both populations. Results of this study suggest the impact of genotypic variant calling and filtering parameters may be population dependent while deriving additional phenotyping scoring systems such as rAUDPC datasets and mortality binary may improve QTL detection efficiency.

scholarly journals Missing data: the impact of what is not there

2020 ◽  
Vol 183 (4) ◽  
pp. E7-E9
Author(s):  
Rolf H H Groenwold ◽  
Olaf M Dekkers
Keyword(s):  
Missing Data ◽  
Clinical Research ◽  
Missing Values ◽  
The Impact

The validity of clinical research is potentially threatened by missing data. Any variable measured in a study can have missing values, including the exposure, the outcome, and confounders. When missing values are ignored in the analysis, only those subjects with complete records will be included in the analysis. This may lead to biased results and loss of power. We explain why missing data may lead to bias and discuss a commonly used classification of missing data.

Using the CES-D scale in a large cohort study and dealing with missing data: Application to the French E3N cohort

2011 ◽  
Vol 26 (S2) ◽  
pp. 572-572
Author(s):  
N. Resseguier ◽  
H. Verdoux ◽  
F. Clavel-Chapelon ◽  
X. Paoletti
Keyword(s):  
Sensitivity Analysis ◽  
Missing Data ◽  
Multiple Imputation ◽  
Missing Values ◽  
Large Population ◽  
Missing At Random ◽  
Population Based ◽  
Missing Value ◽  
Perform Sensitivity Analysis ◽  
The Impact

IntroductionThe CES-D scale is commonly used to assess depressive symptoms (DS) in large population-based studies. Missing values in items of the scale may create biases.ObjectivesTo explore reasons for not completing items of the CES-D scale and to perform sensitivity analysis of the prevalence of DS to assess the impact of different missing data hypotheses.Methods71412 women included in the French E3N cohort returned in 2005 a questionnaire containing the CES-D scale. 45% presented at least one missing value in the scale. An interview study was carried out on a random sample of 204 participants to examine the different hypotheses for the missing value mechanism. The prevalence of DS was estimated according to different methods for handling missing values: complete cases analysis, single imputation, multiple imputation under MAR (missing at random) and MNAR (missing not at random) assumptions.ResultsThe interviews showed that participants were not embarrassed to fill in questions about DS. Potential reasons of nonresponse were identified. MAR and MNAR hypotheses remained plausible and were explored.Among complete responders, the prevalence of DS was 26.1%. After multiple imputation under MAR assumption, it was 28.6%, 29.8% and 31.7% among women presenting up to 4, to 10 and to 20 missing values, respectively. The estimates were robust after applying various scenarios of MNAR data for the sensitivity analysis.ConclusionsThe CES-D scale can easily be used to assess DS in large cohorts. Multiple imputation under MAR assumption allows to reliably handle missing values.

scholarly journals Analysis of the Impact of Interpolation Methods of Missing RR-intervals Caused by Motion Artifacts on HRV Features Estimations

Sensors ◽  
2019 ◽  
Vol 19 (14) ◽  
pp. 3163 ◽  
Author(s):  
Davide Morelli ◽  
Alessio Rossi ◽  
Massimo Cairo ◽  
David A. Clifton
Keyword(s):  
Heart Rate ◽  
Missing Data ◽  
Missing Values ◽  
Time Windows ◽  
Motion Artifacts ◽  
Linear Quadratic ◽  
Optimal Method ◽  
Rr Intervals ◽  
Interpolation Methods ◽  
The Impact

Wearable physiological monitors have become increasingly popular, often worn during people’s daily life, collecting data 24 hours a day, 7 days a week. In the last decade, these devices have attracted the attention of the scientific community as they allow us to automatically extract information about user physiology (e.g., heart rate, sleep quality and physical activity) enabling inference on their health. However, the biggest issue about the data recorded by wearable devices is the missing values due to motion and mechanical artifacts induced by external stimuli during data acquisition. This missing data could negatively affect the assessment of heart rate (HR) response and estimation of heart rate variability (HRV), that could in turn provide misleading insights concerning the health status of the individual. In this study, we focus on healthy subjects with normal heart activity and investigate the effects of missing variation of the timing between beats (RR-intervals) caused by motion artifacts on HRV features estimation by randomly introducing missing values within a five min time windows of RR-intervals obtained from the nsr2db PhysioNet dataset by using Gilbert burst method. We then evaluate several strategies for estimating HRV in the presence of missing values by interpolating periods of missing values, covering the range of techniques often deployed in the literature, via linear, quadratic, cubic, and cubic spline functions. We thereby compare the HRV features obtained by handling missing data in RR-interval time series against HRV features obtained from the same data without missing values. Finally, we assess the difference between the use of interpolation methods on time (i.e., the timestamp when the heartbeats happen) and on duration (i.e., the duration of the heartbeats), in order to identify the best methodology to handle the missing RR-intervals. The main novel finding of this study is that the interpolation of missing data on time produces more reliable HRV estimations when compared to interpolation on duration. Hence, we can conclude that interpolation on duration modifies the power spectrum of the RR signal, negatively affecting the estimation of the HRV features as the amount of missing values increases. We can conclude that interpolation in time is the optimal method among those considered for handling data with large amounts of missing values, such as data from wearable sensors.

scholarly journals Imputing Biomarker Status from RWE Datasets—A Comparative Study

2021 ◽  
Vol 11 (12) ◽  
pp. 1356
Author(s):  
Carlos Traynor ◽  
Tarjinder Sahota ◽  
Helen Tomkinson ◽  
Ignacio Gonzalez-Garcia ◽  
Neil Evans ◽  
...  
Keyword(s):  
Missing Data ◽  
Missing Values ◽  
Synthetic Data ◽  
Generative Adversarial Networks ◽  
Adversarial Networks ◽  
Predictive Mean Matching ◽  
Real World Evidence ◽  
Expectation Maximisation ◽  
Incomplete Datasets ◽  
The Impact

Missing data is a universal problem in analysing Real-World Evidence (RWE) datasets. In RWE datasets, there is a need to understand which features best correlate with clinical outcomes. In this context, the missing status of several biomarkers may appear as gaps in the dataset that hide meaningful values for analysis. Imputation methods are general strategies that replace missing values with plausible values. Using the Flatiron NSCLC dataset, including more than 35,000 subjects, we compare the imputation performance of six such methods on missing data: predictive mean matching, expectation-maximisation, factorial analysis, random forest, generative adversarial networks and multivariate imputations with tabular networks. We also conduct extensive synthetic data experiments with structural causal models. Statistical learning from incomplete datasets should select an appropriate imputation algorithm accounting for the nature of missingness, the impact of missing data, and the distribution shift induced by the imputation algorithm. For our synthetic data experiments, tabular networks had the best overall performance. Methods using neural networks are promising for complex datasets with non-linearities. However, conventional methods such as predictive mean matching work well for the Flatiron NSCLC biomarker dataset.

scholarly journals Factor Retention in Exploratory Factor Analysis With Missing Data

2021 ◽  
pp. 001316442110220
Author(s):  
David Goretzko
Keyword(s):  
Factor Analysis ◽  
Missing Data ◽  
Random Forest ◽  
Exploratory Factor Analysis ◽  
Missing Values ◽  
Small Sample ◽  
Parallel Analysis ◽  
Number Of Factors ◽  
The Impact ◽  
Comparison Data

Determining the number of factors in exploratory factor analysis is arguably the most crucial decision a researcher faces when conducting the analysis. While several simulation studies exist that compare various so-called factor retention criteria under different data conditions, little is known about the impact of missing data on this process. Hence, in this study, we evaluated the performance of different factor retention criteria—the Factor Forest, parallel analysis based on a principal component analysis as well as parallel analysis based on the common factor model and the comparison data approach—in combination with different missing data methods, namely an expectation-maximization algorithm called Amelia, predictive mean matching, and random forest imputation within the multiple imputations by chained equations (MICE) framework as well as pairwise deletion with regard to their accuracy in determining the number of factors when data are missing. Data were simulated for different sample sizes, numbers of factors, numbers of manifest variables (indicators), between-factor correlations, missing data mechanisms and proportions of missing values. In the majority of conditions and for all factor retention criteria except the comparison data approach, the missing data mechanism had little impact on the accuracy and pairwise deletion performed comparably well as the more sophisticated imputation methods. In some conditions, especially small-sample cases and when comparison data were used to determine the number of factors, random forest imputation was preferable to other missing data methods, though. Accordingly, depending on data characteristics and the selected factor retention criterion, choosing an appropriate missing data method is crucial to obtain a valid estimate of the number of factors to extract.

Missing Data - Better "Not to Have Them", but What If You Do? (Part 1)

Marketing ZFP ◽  
2019 ◽  
Vol 41 (4) ◽  
pp. 21-32
Author(s):  
Dirk Temme ◽  
Sarah Jensen
Keyword(s):  
Missing Data ◽  
Statistical Power ◽  
Missing Values ◽  
Graphical Representation ◽  
Marketing Research ◽  
Likelihood Estimation ◽  
Parameter Estimates ◽  
Full Information Maximum Likelihood ◽  
Definition Of ◽  
Traditional Approaches

Missing values are ubiquitous in empirical marketing research. If missing data are not dealt with properly, this can lead to a loss of statistical power and distorted parameter estimates. While traditional approaches for handling missing data (e.g., listwise deletion) are still widely used, researchers can nowadays choose among various advanced techniques such as multiple imputation analysis or full-information maximum likelihood estimation. Due to the available software, using these modern missing data methods does not pose a major obstacle. Still, their application requires a sound understanding of the prerequisites and limitations of these methods as well as a deeper understanding of the processes that have led to missing values in an empirical study. This article is Part 1 and first introduces Rubin’s classical definition of missing data mechanisms and an alternative, variable-based taxonomy, which provides a graphical representation. Secondly, a selection of visualization tools available in different R packages for the description and exploration of missing data structures is presented.

Examining Nonnormal Latent Variable Distributions for Non-Ignorable Missing Data

2021 ◽  
Vol 45 (3) ◽  
pp. 159-177
Author(s):  
Chen-Wei Liu
Keyword(s):  
Missing Data ◽  
Latent Variable ◽  
Bivariate Normal Distribution ◽  
Parameter Estimates ◽  
Missing Responses ◽  
Variable Distribution ◽  
Item Responses ◽  
Nonnormal Distribution ◽  
The Impact ◽  
Biased Estimates

Missing not at random (MNAR) modeling for non-ignorable missing responses usually assumes that the latent variable distribution is a bivariate normal distribution. Such an assumption is rarely verified and often employed as a standard in practice. Recent studies for “complete” item responses (i.e., no missing data) have shown that ignoring the nonnormal distribution of a unidimensional latent variable, especially skewed or bimodal, can yield biased estimates and misleading conclusion. However, dealing with the bivariate nonnormal latent variable distribution with present MNAR data has not been looked into. This article proposes to extend unidimensional empirical histogram and Davidian curve methods to simultaneously deal with nonnormal latent variable distribution and MNAR data. A simulation study is carried out to demonstrate the consequence of ignoring bivariate nonnormal distribution on parameter estimates, followed by an empirical analysis of “don’t know” item responses. The results presented in this article show that examining the assumption of bivariate nonnormal latent variable distribution should be considered as a routine for MNAR data to minimize the impact of nonnormality on parameter estimates.

scholarly journals Dynamic model updating (DMU) approach for statistical learning model building with missing data

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rahi Jain ◽  
Wei Xu
Keyword(s):  
Missing Data ◽  
Dynamic Model ◽  
Statistical Models ◽  
Missing Values ◽  
Model Building ◽  
Model Updating ◽  
Biological Data ◽  
Bayesian Regression ◽  
Biological Research ◽  
Original Dataset

Abstract Background Developing statistical and machine learning methods on studies with missing information is a ubiquitous challenge in real-world biological research. The strategy in literature relies on either removing the samples with missing values like complete case analysis (CCA) or imputing the information in the samples with missing values like predictive mean matching (PMM) such as MICE. Some limitations of these strategies are information loss and closeness of the imputed values with the missing values. Further, in scenarios with piecemeal medical data, these strategies have to wait to complete the data collection process to provide a complete dataset for statistical models. Method and results This study proposes a dynamic model updating (DMU) approach, a different strategy to develop statistical models with missing data. DMU uses only the information available in the dataset to prepare the statistical models. DMU segments the original dataset into small complete datasets. The study uses hierarchical clustering to segment the original dataset into small complete datasets followed by Bayesian regression on each of the small complete datasets. Predictor estimates are updated using the posterior estimates from each dataset. The performance of DMU is evaluated by using both simulated data and real studies and show better results or at par with other approaches like CCA and PMM. Conclusion DMU approach provides an alternative to the existing approaches of information elimination and imputation in processing the datasets with missing values. While the study applied the approach for continuous cross-sectional data, the approach can be applied to longitudinal, categorical and time-to-event biological data.

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