Dataset Information

Association between air pollution and COVID-19 disease severity via Bayesian multinomial logistic regression with partially missing outcomes.

ABSTRACT: Recent ecological analyses suggest air pollution exposure may increase susceptibility to and severity of coronavirus disease 2019 (COVID-19). Individual-level studies are needed to clarify the relationship between air pollution exposure and COVID-19 outcomes. We conduct an individual-level analysis of long-term exposure to air pollution and weather on peak COVID-19 severity. We develop a Bayesian multinomial logistic regression model with a multiple imputation approach to impute partially missing health outcomes. Our approach is based on the stick-breaking representation of the multinomial distribution, which offers computational advantages, but presents challenges in interpreting regression coefficients. We propose a novel inferential approach to address these challenges. In a simulation study, we demonstrate our method's ability to impute missing outcome data and improve estimation of regression coefficients compared to a complete case analysis. In our analysis of 55,273 COVID-19 cases in Denver, Colorado, increased annual exposure to fine particulate matter in the year prior to the pandemic was associated with increased risk of severe COVID-19 outcomes. We also found COVID-19 disease severity to be associated with interactions between exposures. Our individual-level analysis fills a gap in the literature and helps to elucidate the association between long-term exposure to air pollution and COVID-19 outcomes.

SUBMITTER: Hoskovec L

PROVIDER: S-EPMC9353392 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

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Association between air pollution and COVID-19 disease severity via Bayesian multinomial logistic regression with partially missing outcomes.

Hoskovec Lauren L Martenies Sheena S Burket Tori L TL Magzamen Sheryl S Wilson Ander A

Environmetrics 20220731

Recent ecological analyses suggest air pollution exposure may increase susceptibility to and severity of coronavirus disease 2019 (COVID-19). Individual-level studies are needed to clarify the relationship between air pollution exposure and COVID-19 outcomes. We conduct an individual-level analysis of long-term exposure to air pollution and weather on peak COVID-19 severity. We develop a Bayesian multinomial logistic regression model with a multiple imputation approach to impute partially missin ...[more]

PMID: 35945947

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Project description:BackgroundAccurate differential diagnosis of neurodegenerative parkinsonisms is challenging due to overlapping early symptoms and high rates of misdiagnosis. To improve the diagnostic accuracy, we developed an integrated classification algorithm using multinomial logistic regression and Scaled Subprofile Model/Principal Component Analysis (SSM/PCA) applied to 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) brain images. In this novel classification approach, SSM/PCA is applied to FDG-PET brain images of patients with various parkinsonisms, which are compared against the constructed undetermined images. This process involves spatial normalization of the images and dimensionality reduction via PCA. The resulting principal components are then used in a multinomial logistic regression model, which generates disease-specific topographies that can be used to classify new patients. The algorithm was trained and optimized on a cohort of patients with neurodegenerative parkinsonisms and subsequently validated on a separate cohort of patients with parkinsonisms.ResultsThe Area Under the Curve (AUC) values were the highest for progressive supranuclear palsy (PSP) (AUC = 0.95), followed by Parkinson's disease (PD) (AUC = 0.93) and multiple system atrophy (MSA) (AUC = 0.90). When classifying the patients based on their calculated probability for each group, the desired tradeoff between sensitivity and specificity had to be selected. With a 99% probability threshold for classification into a disease group, 82% of PD patients, 29% of MSA patients, and 77% of PSP patients were correctly identified. Only 5% of PD, 6% of MSA and 6% of PSP patients were misclassified, whereas the remaining patients (13% of PD, 65% of MSA and 18% of PSP) are undetermined by our classification algorithm.ConclusionsCompared to existing algorithms, this approach offers comparable accuracy and reliability in diagnosing PD, MSA, and PSP with no need of healthy control images. It can also distinguish between multiple types of parkinsonisms simultaneously and offers the flexibility to easily accommodate new groups.

Dataset Information

Association between air pollution and COVID-19 disease severity via Bayesian multinomial logistic regression with partially missing outcomes.

Publications

Association between air pollution and COVID-19 disease severity via Bayesian multinomial logistic regression with partially missing outcomes.

Similar Datasets

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