Fast Variational Bayesian Inference for Correlated Survival Data: An Application to Invasive Mechanical Ventilation Duration Analysis
Bibliographic record
Abstract
Correlated survival data are prevalent in various clinical settings and have been extensively discussed in the literature. A common example is clustered survival data, where survival times are associated due to shared characteristics within clusters. In our study, we analyze invasive mechanical ventilation data collected from multiple intensive care units (ICUs) across Ontario, Canada. Patients within the same ICU exhibit similarities in clinical profiles and mechanical ventilation settings, leading to a correlation in their ventilation durations. To address this association, we introduce a shared frailty log-logistic accelerated failure time model that accounts for intra-cluster correlation through a cluster-specific random intercept. We present a novel, fast variational Bayes (VB) algorithm for parameter inference and evaluate its performance using simulation studies varying the number of clusters and their sizes. We further compare the performance of our proposed VB algorithm with the h-likelihood method and a Markov Chain Monte Carlo (MCMC) algorithm. The proposed algorithm delivers satisfactory results and demonstrates computational efficiency over the MCMC algorithm. We apply our method to ICU ventilation data from Ontario to investigate the ICU-site random effect on ventilation duration.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.031 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.003 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".