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Table 2 Approaches and their properties

From: Estimands to quantify prolonged hospital stay associated with nosocomial infections

Approach

Properties / pros and cons

A 1

- is a real quantity

 

- undesired properties related to hazard ratio \(\frac {\lambda _{12}}{\lambda _{02}}\)

 

- yields positive values even if NI patients are discharged faster, i.e., \(\frac {\lambda _{12}}{\lambda _{02}}>1\)

 

- does not distinguish between pre- and post-infection time

 

- does not allow causal interpretation about attributable length of stay associated with NI

 

- not appropriate to quantify the burden of NI

A 2

- is a hypothetical quantity

 

- desired properties related to hazard ratio \(\frac {\lambda _{12}}{\lambda _{02}}\)

 

- considers only the post-infection time for NI patients

 

- contributes pre-infection time to patients without NI

 

- allows a causal interpretation about attributable length of stay associated with NI

 

- appropriate to quantify the burden of NI at patient-level

A 3

- is a hypothetical quantity

 

- desired properties related to hazard ratio \(\frac {\lambda _{12}}{\lambda _{02}}\)

 

- considers only the post-infection time for NI patients

 

- contributes pre-infection time to patients without NI

 

- allows a causal interpretation about attributable length of stay associated with NI

 

- appropriate to quantify the burden of NI at population-level

A 4

- is a real quantity

 

- desired properties related to hazard ratio \(\frac {\lambda _{12}}{\lambda _{02}}\)

 

- distinguishes between pre- and post-infection time

 

- appropriate to quantify the burden of NI at patient-level