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Marginal and multilevel statistical techniques have been developed to deal with data arranged in a natural hierarchy [ 15, 16, 24].
This paper outlines the application and interpretation of marginal and multilevel modelling to patient-level cardiac surgery outcomes observed across multiple hospitals.
Marginal and multilevel logistic regression methods can estimate associations between hospital-level factors and patient-level 30-day mortality outcomes after cardiac surgery.
Marginal and multilevel models take different approaches to account for correlation between patients within hospitals and they lead to different interpretations for hospital-level odds ratios.
The interpretation of effect estimates differs for marginal and multilevel models for binary outcomes and this is understood when interpreting patient-level risk factors [ 29, 30].
Appropriately reflecting the between-hospital heterogeneity, the 95% confidence intervals for hospital-level variables in the marginal and multilevel model were wider than in the ordinary logistic regression.
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In the context of patients-in-hospitals two-level data, marginal [ 26] and multilevel logistic regression [ 27, 28] have been used to examine the impact of risk factors on outcomes when adjusting for differences in patient and hospital characteristics.
The marginal logistic regression model was fitted with Stata's xtgee command and multilevel models were fitted using adaptive quadrature with 12 integration points to evaluate and maximize the marginal log likelihood by Stata's xtlogit command.
Links and analogies abound, and multilevel cultural references are plentiful.
Zimmermann envisioned a set that allowed multimedia elements and multilevel performance areas.
Under his tenure, ridership reached record highs and multilevel trains were introduced.
More suggestions(15)
marginal and adequate
marginal and conditional
marginal and inconsistent
marginal and irrelevant
marginal and average
marginal and malleable
marginal and reversible
marginal and poor
marginal and nonsignificant
marginal and perverse
marginal and canonical
marginal and ineffective
marginal and velamentous
marginal and self-excluding
marginal and questionable
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