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Incorporating repeated measurements into prediction models in the critical care setting: a framework, systematic review and meta-analysis

, , , , , and . BMC Med Res Methodol, 19 (1): 199-199 (October 2019)
DOI: 10.1186/s12874-019-0847-0

Abstract

The incorporation of repeated measurements into multivariable prediction research may greatly enhance predictive performance. However, the methodological possibilities vary widely and a structured overview of the possible and utilized approaches lacks. Therefore, we 1 propose a structured framework for these approaches, 2 determine what methods are currently used to incorporate repeated measurements in prediction research in the critical care setting and, where possible, 3 assess the added discriminative value of incorporating repeated measurements.The proposed framework consists of three domains: the observation window (static or dynamic), the processing of the raw data (raw data modelling, feature extraction and reduction) and the type of modelling. A systematic review was performed to identify studies which incorporate repeated measurements to predict (e.g. mortality) in the critical care setting. The within-study difference in c-statistics between models with versus without repeated measurements were obtained and pooled in a meta-analysis.From the 2618 studies found, 29 studies incorporated multiple repeated measurements. The annual number of studies with repeated measurements increased from 2.8/year (2000-2005) to 16.0/year (2016-2018). The majority of studies that incorporated repeated measurements for prediction research used a dynamic observation window, and extracted features directly from the data. Differences in c statistics ranged from - 0.048 to 0.217 in favour of models that utilize repeated measurements.Repeated measurements are increasingly common to predict events in the critical care domain, but their incorporation is lagging. A framework of possible approaches could aid researchers to optimize future prediction models.

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Incorporating repeated measurements into prediction models in the critical care setting: a framework, systematic review and meta-analysis. - PubMed - NCBI

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