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José María Quintana

Publications and source records attributed to José María Quintana.

2 recordsLinked to original sources

Variable Domain Multivariate Functional Principal Component Analysis

Multivariate functional principal component analysis (MFPCA) is a powerful dimension reduction technique for analyzing multiple functional variables simultaneously. However, existing MFPCA methods assume that all functional observations are recorded over a common, fixed domain. This assumption is often violated in practical applications where the observation period varies across subjects, leading to what is known as variable domain functional data. We propose a novel approach for MFPCA that explicitly accommodates variable domains by extending existing multivariate functional principal component analysis to the variable domain setting. Our methodology involves performing univariate variable domain FPCA for each functional variable separately, stacking the resulting univariate scores, and then smoothing the empirical covariance matrix of these stacked scores over the domain length. This allows us to estimate multivariate eigenfunctions and scores that properly account for varying observation periods. We demonstrate through extensive simulation studies that our proposed method outperforms approaches that ignore the variable domain structure and rely on binning strategies. The practical utility of our method is illustrated through an application analyzing body temperature and capillary oxygen saturation (SpO$_2$) trajectories in COVID-19 hospital admitted patients, where patients experienced varying lengths of stay and monitoring periods.

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A study on group fairness in healthcare outcomes for nursing home residents during the COVID-19 pandemic in the Basque Country

We explore the effect of nursing home status on healthcare outcomes such as hospitalisation, mortality and in-hospital mortality during the COVID-19 pandemic. Some claim that in specific Autonomous Communities (geopolitical divisions) in Spain, elderly people in nursing homes had restrictions on access to hospitals and treatments, which raised a public outcry about the fairness of such measures. In this work, the case of the Basque Country is studied under a rigorous statistical approach and a physician's perspective. As fairness/unfairness is hard to model mathematically and has strong real-world implications, this work concentrates on the following simplification: establishing if the nursing home status had a direct effect on healthcare outcomes once accounted for other meaningful patients' information such as age, health status and period of the pandemic, among others. The methods followed here are a combination of established techniques as well as new proposals from the fields of causality and fair learning. The current analysis suggests that as a group, people in nursing homes were significantly less likely to be hospitalised, and considerably more likely to die, even in hospitals, compared to their non-residents counterparts during most of the pandemic. Further data collection and analysis are needed to guarantee that this is solely/mainly due to nursing home status.

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