Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model

Objective To identify factors associated with recovery time from coronavirus disease 2019 (COVID-19). Methods In this retrospective study, data for patients with COVID-19 were obtained between 21 June and 30 August 2020. An accelerated failure time (AFT) model was used to identify covariates associa...

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Main Authors: Gayathri Thiruvengadam, Ravanan Ramanujam, Lakshmi Marappa
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605211040263
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author Gayathri Thiruvengadam
Ravanan Ramanujam
Lakshmi Marappa
author_facet Gayathri Thiruvengadam
Ravanan Ramanujam
Lakshmi Marappa
author_sort Gayathri Thiruvengadam
collection DOAJ
description Objective To identify factors associated with recovery time from coronavirus disease 2019 (COVID-19). Methods In this retrospective study, data for patients with COVID-19 were obtained between 21 June and 30 August 2020. An accelerated failure time (AFT) model was used to identify covariates associated with recovery time (days from hospital admission to discharge). AFT models with different distributions (exponential, log-normal, Weibull, generalized gamma, and log-logistic) were generated. Akaike’s information criterion (AIC) was used to identify the most suitable model. Results A total of 730 patients with COVID-19 were included (92.5% recovered and 7.5% censored). Based on its low AIC value, the log-logistic AFT model was the best fit for the data. The covariates affecting length of hospital stay were oxygen saturation, lactate dehydrogenase, neutrophil-lymphocyte ratio, D-dimer, ferritin, creatinine, total leucocyte count, age > 80 years, and coronary artery disease. Conclusions The log-logistic AFT model accurately described the recovery time of patients with COVID-19.
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spelling doaj.art-df26683d072942c1a5713e326ad51c6b2022-12-21T19:11:26ZengSAGE PublishingJournal of International Medical Research1473-23002021-08-014910.1177/03000605211040263Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time modelGayathri ThiruvengadamRavanan RamanujamLakshmi MarappaObjective To identify factors associated with recovery time from coronavirus disease 2019 (COVID-19). Methods In this retrospective study, data for patients with COVID-19 were obtained between 21 June and 30 August 2020. An accelerated failure time (AFT) model was used to identify covariates associated with recovery time (days from hospital admission to discharge). AFT models with different distributions (exponential, log-normal, Weibull, generalized gamma, and log-logistic) were generated. Akaike’s information criterion (AIC) was used to identify the most suitable model. Results A total of 730 patients with COVID-19 were included (92.5% recovered and 7.5% censored). Based on its low AIC value, the log-logistic AFT model was the best fit for the data. The covariates affecting length of hospital stay were oxygen saturation, lactate dehydrogenase, neutrophil-lymphocyte ratio, D-dimer, ferritin, creatinine, total leucocyte count, age > 80 years, and coronary artery disease. Conclusions The log-logistic AFT model accurately described the recovery time of patients with COVID-19.https://doi.org/10.1177/03000605211040263
spellingShingle Gayathri Thiruvengadam
Ravanan Ramanujam
Lakshmi Marappa
Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
Journal of International Medical Research
title Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
title_full Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
title_fullStr Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
title_full_unstemmed Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
title_short Modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
title_sort modeling the recovery time of patients with coronavirus disease 2019 using an accelerated failure time model
url https://doi.org/10.1177/03000605211040263
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