Competing risks models and time-dependent covariates

Crit Care. 2008;12(2):134. doi: 10.1186/cc6840. Epub 2008 Apr 11.

Abstract

New statistical models for analysing survival data in an intensive care unit context have recently been developed. Two models that offer significant advantages over standard survival analyses are competing risks models and multistate models. Wolkewitz and colleagues used a competing risks model to examine survival times for nosocomial pneumonia and mortality. Their model was able to incorporate time-dependent covariates and so examine how risk factors that changed with time affected the chances of infection or death. We briefly explain how an alternative modelling technique (using logistic regression) can more fully exploit time-dependent covariates for this type of data.

Publication types

  • Comment

MeSH terms

  • Cross Infection / mortality*
  • Female
  • Humans
  • Intensive Care Units*
  • Intubation, Intratracheal
  • Length of Stay / statistics & numerical data
  • Male
  • Models, Statistical
  • Pneumonia / mortality*
  • Population Surveillance
  • Respiration, Artificial
  • Risk Assessment / methods*
  • Risk Factors
  • Surgical Procedures, Operative