本文链接

数据的字段如下:

##  [1] "姓名"       "住院号"     "性别"       "性别1"      "住院天数"  
##  [6] "肺心"       "支气管扩张" "哮喘"       "呼吸衰竭"   "高血压"    
## [11] "冠心病"     "诊断"       "年龄"       "吸烟史1"    "职业"      
## [16] "知识水平"   "身高"       "体重"       "BMI"        "SAA"       
## [21] "PCT"        "CRP"        "WBC"        "NE"         "PH"        
## [26] "PCO2"       "PO2"        "IL-6"       "HCY"        "MMSE"      
## [31] "MMSE结果"   "MoCA"       "MoCA结果"   "ADL 结果"   "GDS结果"   
## [36] "GDS"        "肺功能"     "舒张试验"   "肺功能结果" "FVC"       
## [41] "FEV1"       "FEV1/FVC"

数据的摘要如下:

##      姓名               住院号            性别         性别1          
##  Length:100         Min.   :203574   Min.   :0.00   Length:100        
##  Class :character   1st Qu.:675792   1st Qu.:0.00   Class :character  
##  Mode  :character   Median :863193   Median :1.00   Mode  :character  
##                     Mean   :780172   Mean   :0.73                     
##                     3rd Qu.:924278   3rd Qu.:1.00                     
##                     Max.   :938234   Max.   :1.00                     
##                                                                       
##     住院天数           肺心        支气管扩张        哮喘         呼吸衰竭  
##  Min.   : 3.000   Min.   :0.00   Min.   :0.00   Min.   :0.00   Min.   :0.0  
##  1st Qu.: 6.000   1st Qu.:0.00   1st Qu.:0.00   1st Qu.:0.00   1st Qu.:0.0  
##  Median : 7.000   Median :0.00   Median :0.00   Median :0.00   Median :0.0  
##  Mean   : 7.091   Mean   :0.11   Mean   :0.19   Mean   :0.12   Mean   :0.2  
##  3rd Qu.: 8.000   3rd Qu.:0.00   3rd Qu.:0.00   3rd Qu.:0.00   3rd Qu.:0.0  
##  Max.   :29.000   Max.   :1.00   Max.   :1.00   Max.   :1.00   Max.   :1.0  
##  NA's   :1                                                                  
##      高血压         冠心病         诊断                年龄      
##  Min.   :0.00   Min.   :0.00   Length:100         Min.   :47.00  
##  1st Qu.:0.00   1st Qu.:0.00   Class :character   1st Qu.:66.75  
##  Median :0.00   Median :0.00   Mode  :character   Median :74.00  
##  Mean   :0.22   Mean   :0.04                      Mean   :73.10  
##  3rd Qu.:0.00   3rd Qu.:0.00                      3rd Qu.:79.00  
##  Max.   :1.00   Max.   :1.00                      Max.   :89.00  
##                                                                  
##    吸烟史1              职业             知识水平              身高      
##  Length:100         Length:100         Length:100         Min.   :1.350  
##  Class :character   Class :character   Class :character   1st Qu.:1.518  
##  Mode  :character   Mode  :character   Mode  :character   Median :1.585  
##                                                           Mean   :1.582  
##                                                           3rd Qu.:1.650  
##                                                           Max.   :1.750  
##                                                                          
##       体重            BMI            SAA                PCT           
##  Min.   :35.00   Min.   :14.45   Length:100         Length:100        
##  1st Qu.:44.75   1st Qu.:17.96   Class :character   Class :character  
##  Median :50.00   Median :20.48   Mode  :character   Mode  :character  
##  Mean   :51.78   Mean   :20.66                                        
##  3rd Qu.:59.00   3rd Qu.:22.81                                        
##  Max.   :96.00   Max.   :34.01                                        
##                                                                       
##      CRP                 WBC               NE              PH       
##  Length:100         Min.   : 4.000   Min.   :41.50   Min.   :7.267  
##  Class :character   1st Qu.: 6.080   1st Qu.:62.05   1st Qu.:7.395  
##  Mode  :character   Median : 7.855   Median :71.90   Median :7.425  
##                     Mean   : 8.546   Mean   :70.97   Mean   :7.420  
##                     3rd Qu.: 9.928   3rd Qu.:78.70   3rd Qu.:7.453  
##                     Max.   :38.140   Max.   :98.20   Max.   :7.493  
##                                                                     
##       PCO2             PO2             IL-6              HCY       
##  Min.   : 3.090   Min.   : 6.80   Min.   :  0.010   Min.   : 6.20  
##  1st Qu.: 4.683   1st Qu.:11.78   1st Qu.:  4.805   1st Qu.:11.35  
##  Median : 5.510   Median :13.15   Median : 11.060   Median :13.09  
##  Mean   : 5.882   Mean   :13.99   Mean   : 36.696   Mean   :13.43  
##  3rd Qu.: 6.525   3rd Qu.:15.93   3rd Qu.: 29.672   3rd Qu.:15.85  
##  Max.   :12.800   Max.   :25.90   Max.   :842.320   Max.   :21.39  
##                                                     NA's   :1      
##       MMSE         MMSE结果          MoCA         MoCA结果        ADL 结果    
##  Min.   :0.00   Min.   : 7.00   Min.   :0.00   Min.   : 4.00   Min.   :18.00  
##  1st Qu.:0.00   1st Qu.:21.00   1st Qu.:0.00   1st Qu.:19.00   1st Qu.:20.00  
##  Median :0.00   Median :27.00   Median :1.00   Median :24.50   Median :20.00  
##  Mean   :0.47   Mean   :24.89   Mean   :0.53   Mean   :22.45   Mean   :23.82  
##  3rd Qu.:1.00   3rd Qu.:30.00   3rd Qu.:1.00   3rd Qu.:28.00   3rd Qu.:23.00  
##  Max.   :1.00   Max.   :30.00   Max.   :1.00   Max.   :30.00   Max.   :56.00  
##                                                                               
##     GDS结果          GDS            肺功能        舒张试验   
##  Min.   :0.00   Min.   : 0.00   Min.   :1.00   Min.   :0.00  
##  1st Qu.:0.00   1st Qu.: 3.00   1st Qu.:2.00   1st Qu.:0.00  
##  Median :0.00   Median : 5.00   Median :3.00   Median :2.00  
##  Mean   :0.18   Mean   : 6.44   Mean   :2.98   Mean   :1.22  
##  3rd Qu.:0.00   3rd Qu.: 8.00   3rd Qu.:4.00   3rd Qu.:2.00  
##  Max.   :2.00   Max.   :30.00   Max.   :4.00   Max.   :2.00  
##                                                              
##   肺功能结果            FVC                 FEV1          FEV1/FVC    
##  Length:100         Length:100         Min.   :17.12   Min.   :35.86  
##  Class :character   Class :character   1st Qu.:29.74   1st Qu.:43.66  
##  Mode  :character   Mode  :character   Median :39.64   Median :51.66  
##                                        Mean   :42.92   Mean   :52.70  
##                                        3rd Qu.:54.77   3rd Qu.:60.51  
##                                        Max.   :86.43   Max.   :85.51  
## 

问题一:结局变量是哪个(些)?

问题二:自变量是哪些?

问题三:研究目的是什么?

回复: 胡主任,早上好,感谢您帮你看数据,关于提出的问题,答案如下:1.结局变量是MMSE、MOCA其中一个阳性。2.自变量是CRP、PCT、SAA、IL6、HCY这些炎症因子。3.目的是探讨这些炎症因子在COPD病人中是否能推测存在认知功能障碍。

结局变量和自变量单独筛选出来

## # A tibble: 6 × 7
##   姓名   住院号  MMSE MMSE结果  MoCA MoCA结果 MMSEoCA
##   <chr>   <dbl> <dbl>    <dbl> <dbl>    <dbl>   <dbl>
## 1 杨景轩 928966     1       20     1       18       1
## 2 曾柏香 530683     0       28     1       22       1
## 3 林福云 918460     0       29     1       23       1
## 4 张桂芳 282806     1       25     1       20       1
## 5 吴旭进 919761     0       29     0       28       0
## 6 彭成帝 927078     1       21     1       18       1
## # A tibble: 6 × 7
##   姓名   住院号 CRP                PCT   SAA    `IL-6`   HCY
##   <chr>   <dbl> <chr>              <chr> <chr>   <dbl> <dbl>
## 1 彭秀琼 923480 17.2               0.15  201.01  19.8   16.2
## 2 倪木江 923791 11.7               0.02  <5      10.7   18.7
## 3 许亚桂 856950 19.61              0.04  123.57  15.5   16.3
## 4 潘瑞新 923881 40.270000000000003 0.16  196.74   0.01  13.4
## 5 黄美蓉 458240 <5                 <0.02 <5       0.01  12.7
## 6 张亚福 912179 25.14              0.04  96.57   89.1   15.5

将结果值中的”<“符号剔除,<5看作5

## Warning in mask$eval_all_mutate(quo): NAs introduced by coercion

## Warning in mask$eval_all_mutate(quo): NAs introduced by coercion
## # A tibble: 6 × 12
##   姓名   住院号   CRP   PCT   SAA `IL-6`   HCY  MMSE MMSE结果  MoCA MoCA结果
##   <chr>   <dbl> <dbl> <dbl> <dbl>  <dbl> <dbl> <dbl>    <dbl> <dbl>    <dbl>
## 1 彭秀琼 923480  17.2  0.15 201.   19.8   16.2     1       20     1       19
## 2 倪木江 923791  11.7  0.02   5    10.7   18.7     0       30     0       28
## 3 许亚桂 856950  19.6  0.04 124.   15.5   16.3     0       30     0       28
## 4 潘瑞新 923881  40.3  0.16 197.    0.01  13.4     0       30     0       29
## 5 黄美蓉 458240   5    0.02   5     0.01  12.7     0       30     0       29
## 6 张亚福 912179  25.1  0.04  96.6  89.1   15.5     0       30     0       28
## # … with 1 more variable: MMSEoCA <dbl>
## # A tibble: 6 × 12
##   姓名   住院号   CRP   PCT   SAA `IL-6`   HCY  MMSE MMSE结果  MoCA MoCA结果
##   <chr>   <dbl> <dbl> <dbl> <dbl>  <dbl> <dbl> <dbl>    <dbl> <dbl>    <dbl>
## 1 杨景轩 928966  9.58  0.02  5      0.01  8.07     1       20     1       18
## 2 曾柏香 530683 10.7   0.15 13.0    7.16 13.5      0       28     1       22
## 3 林福云 918460  5     0.02  5      0.01 10.4      0       29     1       23
## 4 张桂芳 282806  9.67  0.03  9.21  33.0  14.1      1       25     1       20
## 5 吴旭进 919761  5     0.04  7.23   8.24 15.6      0       29     0       28
## 6 彭成帝 927078 17.8   0.09 15.3   13.4  17.8      1       21     1       18
## # … with 1 more variable: MMSEoCA <dbl>

查看并删除有缺失值的行

## # A tibble: 3 × 12
##   姓名   住院号   CRP   PCT   SAA `IL-6`   HCY  MMSE MMSE结果  MoCA MoCA结果
##   <chr>   <dbl> <dbl> <dbl> <dbl>  <dbl> <dbl> <dbl>    <dbl> <dbl>    <dbl>
## 1 张茂光 859129  141.  0.73   NA   842.   11.7     1       22     1       21
## 2 骆中强 925529  102.  0.09  279.   74.5  NA       0       30     0       28
## 3 邓国珍 580686   NA   0.69  290.  266.   10.3     1       18     1       24
## # … with 1 more variable: MMSEoCA <dbl>
##      姓名               住院号            CRP              PCT        
##  Length:97          Min.   :203574   Min.   :  5.00   Min.   :0.0200  
##  Class :character   1st Qu.:676317   1st Qu.:  5.00   1st Qu.:0.0200  
##  Mode  :character   Median :867257   Median : 11.70   Median :0.0300  
##                     Mean   :779916   Mean   : 26.04   Mean   :0.1263  
##                     3rd Qu.:924273   3rd Qu.: 25.14   3rd Qu.:0.0600  
##                     Max.   :938234   Max.   :181.19   Max.   :5.7500  
##       SAA              IL-6             HCY             MMSE       
##  Min.   :  5.00   Min.   :  0.01   Min.   : 6.20   Min.   :0.0000  
##  1st Qu.:  5.00   1st Qu.:  4.76   1st Qu.:11.37   1st Qu.:0.0000  
##  Median : 13.07   Median : 10.88   Median :13.10   Median :0.0000  
##  Mean   : 52.59   Mean   : 25.63   Mean   :13.48   Mean   :0.4639  
##  3rd Qu.: 69.84   3rd Qu.: 29.44   3rd Qu.:15.86   3rd Qu.:1.0000  
##  Max.   :235.83   Max.   :330.15   Max.   :21.39   Max.   :1.0000  
##     MMSE结果          MoCA           MoCA结果        MMSEoCA      
##  Min.   : 7.00   Min.   :0.0000   Min.   : 4.00   Min.   :0.0000  
##  1st Qu.:21.00   1st Qu.:0.0000   1st Qu.:19.00   1st Qu.:0.0000  
##  Median :27.00   Median :1.0000   Median :25.00   Median :1.0000  
##  Mean   :24.94   Mean   :0.5258   Mean   :22.39   Mean   :0.5464  
##  3rd Qu.:30.00   3rd Qu.:1.0000   3rd Qu.:28.00   3rd Qu.:1.0000  
##  Max.   :30.00   Max.   :1.0000   Max.   :30.00   Max.   :1.0000

逻辑回归, MMSEoCA

##                 
## predicted_labels  0  1
##                0 23 14
##                1 21 39
## 
## Call:
## glm(formula = MMSEoCA ~ CRP + PCT + SAA + `IL-6` + HCY, family = binomial, 
##     data = d)
## 
## Deviance Residuals: 
##     Min       1Q   Median       3Q      Max  
## -1.8741  -1.1612   0.5668   1.1546   1.5090  
## 
## Coefficients:
##              Estimate Std. Error z value Pr(>|z|)
## (Intercept) -0.069698   0.901144  -0.077    0.938
## CRP          0.004449   0.009494   0.469    0.639
## PCT          4.134405   3.505425   1.179    0.238
## SAA         -0.005294   0.004464  -1.186    0.236
## `IL-6`       0.009867   0.008845   1.115    0.265
## HCY         -0.006382   0.064531  -0.099    0.921
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 133.63  on 96  degrees of freedom
## Residual deviance: 126.35  on 91  degrees of freedom
## AIC: 138.35
## 
## Number of Fisher Scoring iterations: 7

逻辑回归,MMSE

##                 
## predicted_labels  0  1
##                0 47 34
##                1  5 11
## 
## Call:
## glm(formula = MMSE ~ CRP + PCT + SAA + `IL-6` + HCY, family = binomial, 
##     data = d)
## 
## Deviance Residuals: 
##     Min       1Q   Median       3Q      Max  
## -1.5769  -1.0781  -0.9746   1.2708   1.4016  
## 
## Coefficients:
##              Estimate Std. Error z value Pr(>|z|)
## (Intercept)  0.012088   0.863837   0.014    0.989
## CRP          0.007205   0.008776   0.821    0.412
## PCT          2.651574   3.061433   0.866    0.386
## SAA         -0.002245   0.004162  -0.539    0.590
## `IL-6`      -0.002455   0.006046  -0.406    0.685
## HCY         -0.027139   0.063031  -0.431    0.667
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 133.96  on 96  degrees of freedom
## Residual deviance: 129.93  on 91  degrees of freedom
## AIC: 141.93
## 
## Number of Fisher Scoring iterations: 6

逻辑回归,MoCA

##                 
## predicted_labels  0  1
##                0 25 24
##                1 21 27
## 
## Call:
## glm(formula = MoCA ~ CRP + PCT + SAA + `IL-6` + HCY, family = binomial, 
##     data = d)
## 
## Deviance Residuals: 
##     Min       1Q   Median       3Q      Max  
## -1.8436  -1.1589   0.4052   1.1728   1.5558  
## 
## Coefficients:
##              Estimate Std. Error z value Pr(>|z|)
## (Intercept) -0.189455   0.890265  -0.213    0.831
## CRP          0.004204   0.009311   0.451    0.652
## PCT          5.217923   3.593370   1.452    0.146
## SAA         -0.005636   0.004475  -1.259    0.208
## `IL-6`       0.004711   0.007922   0.595    0.552
## HCY          0.001084   0.064063   0.017    0.987
## 
## (Dispersion parameter for binomial family taken to be 1)
## 
##     Null deviance: 134.21  on 96  degrees of freedom
## Residual deviance: 127.26  on 91  degrees of freedom
## AIC: 139.26
## 
## Number of Fisher Scoring iterations: 7

检验自变量在不同水平是否存在差异, CRP

## 
##  Welch Two Sample t-test
## 
## data:  group1 and group2
## t = -1.0657, df = 93.344, p-value = 0.2893
## alternative hypothesis: true difference in means is not equal to 0
## 95 percent confidence interval:
##  -22.430879   6.763298
## sample estimates:
## mean of x mean of y 
##  21.75545  29.58925

检验自变量在不同水平是否存在差异, PCT

## 
##  Welch Two Sample t-test
## 
## data:  group1 and group2
## t = -1.2934, df = 53.07, p-value = 0.2015
## alternative hypothesis: true difference in means is not equal to 0
## 95 percent confidence interval:
##  -0.35825942  0.07735033
## sample estimates:
##  mean of x  mean of y 
## 0.04954545 0.19000000

检验自变量在不同水平是否存在差异, SAA

## 
##  Welch Two Sample t-test
## 
## data:  group1 and group2
## t = -0.2035, df = 91.338, p-value = 0.8392
## alternative hypothesis: true difference in means is not equal to 0
## 95 percent confidence interval:
##  -32.52391  26.47900
## sample estimates:
## mean of x mean of y 
##  50.94000  53.96245

检验自变量在不同水平是否存在差异, HCY

## 
##  Welch Two Sample t-test
## 
## data:  group1 and group2
## t = -0.077724, df = 91.803, p-value = 0.9382
## alternative hypothesis: true difference in means is not equal to 0
## 95 percent confidence interval:
##  -1.416042  1.309387
## sample estimates:
## mean of x mean of y 
##  13.44818  13.50151

检验自变量在不同水平是否存在差异, IL-6

## 
##  Welch Two Sample t-test
## 
## data:  group1 and group2
## t = -1.7796, df = 74.451, p-value = 0.07923
## alternative hypothesis: true difference in means is not equal to 0
## 95 percent confidence interval:
##  -30.28945   1.70851
## sample estimates:
## mean of x mean of y 
##  17.82500  32.11547