Wolkewitz Martin, Lambert Jerome, von Cube Maja, Bugiera Lars, Grodd Marlon, Hazard Derek, White Nicole, Barnett Adrian, Kaier Klaus
Institute of Medical Biometry and Statistics, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia.
Clin Epidemiol. 2020 Sep 3;12:925-928. doi: 10.2147/CLEP.S256735. eCollection 2020.
By definition, in-hospital patient data are restricted to the time between hospital admission and discharge (alive or dead). For hospitalised cases of COVID-19, a number of events during hospitalization are of interest regarding the influence of risk factors on the likelihood of experiencing these events. The same is true for predicting times from hospital admission of COVID-19 patients to intensive care or from start of ventilation (invasive or non-invasive) to extubation. This logical restriction of the data to the period of hospitalisation is associated with a substantial risk that inappropriate methods are used for analysis. Here, we briefly discuss the most common types of bias which can occur when analysing in-hospital COVID-19 data.
根据定义,住院患者数据仅限于住院期间至出院(无论存活或死亡)这段时间。对于新冠肺炎住院病例,住院期间的一些事件对于了解风险因素对发生这些事件可能性的影响很重要。对于预测新冠肺炎患者从入院到重症监护的时间,或从开始通气(有创或无创)到拔管的时间也是如此。将数据逻辑上限制在住院期间存在一个重大风险,即可能使用了不恰当的分析方法。在此,我们简要讨论在分析新冠肺炎住院数据时可能出现的最常见偏差类型。