R,如何根据多个条件在列表列中累积值

R, How to accumulate values in a list column, based on multiple criteria

我有一个患者在不同医院(仅限住院患者)接受治疗的数据集,其中一些分析揭示了一些不一致之处。其中之一是 - 软件允许患者在不关闭之前开放的情况下入院 case_id

为了更好地理解它,让我们考虑示例数据集

示例数据

dput(df)

df <- structure(list(case_id = 1:22, patient_id = c(1L, 1L, 1L, 1L, 
1L, 1L, 1L, 2L, 2L, 2L, 1L, 3L, 3L, 3L, 4L, 4L, 5L, 5L, 6L, 7L, 
8L, 8L), pack_id = c(12L, 62L, 59L, 68L, 77L, 86L, 20L, 55L, 
86L, 72L, 7L, 54L, 75L, 26L, 21L, 12L, 49L, 35L, 51L, 31L, 10L, 
54L), hosp_id = c(1L, 1L, 2L, 2L, 1L, 1L, 2L, 3L, 3L, 4L, 2L, 
3L, 3L, 3L, 4L, 5L, 6L, 6L, 7L, 7L, 8L, 8L), admn_date = structure(c(18262, 
18264, 18265, 18266, 18277, 18279, 18283, 18262, 18264, 18277, 
18287, 18275, 18301, 18291, 18366, 18374, 18309, 18319, 18364, 
18303, 18328, 18341), class = "Date"), discharge_date = structure(c(18275, 
18276, 18271, 18275, 18288, 18280, 18286, 18275, 18276, 18288, 
18291, 18283, 18309, 18297, 18375, 18381, 18347, 18328, 18367, 
18309, 18341, 18344), class = "Date")), row.names = c(NA, -22L
), class = "data.frame")

> df
   case_id patient_id pack_id hosp_id  admn_date discharge_date
1       1          1      12       1 2020-01-01     2020-01-14
2       2          1      62       1 2020-01-03     2020-01-15
3       3          1      59       2 2020-01-04     2020-01-10
4       4          1      68       2 2020-01-05     2020-01-14
5       5          1      77       1 2020-01-16     2020-01-27
6       6          1      86       1 2020-01-18     2020-01-19
7       7          1      20       2 2020-01-22     2020-01-25
8       8          2      55       3 2020-01-01     2020-01-14
9       9          2      86       3 2020-01-03     2020-01-15
10     10          2      72       4 2020-01-16     2020-01-27
11     11          1       7       2 2020-01-26     2020-01-30
12     12          3      54       3 2020-01-14     2020-01-22
13     13          3      75       3 2020-02-09     2020-02-17
14     14          3      26       3 2020-01-30     2020-02-05
15     15          4      21       4 2020-04-14     2020-04-23
16     16          4      12       5 2020-04-22     2020-04-29
17     17          5      49       6 2020-02-17     2020-03-26
18     18          5      35       6 2020-02-27     2020-03-07
19     19          6      51       7 2020-04-12     2020-04-15
20     20          7      31       7 2020-02-11     2020-02-17
21     21          8      10       8 2020-03-07     2020-03-20
22     22          8      54       8 2020-03-20     2020-03-23

如果我们在上面的数据中看到,id 1 的患者于 1 月 1 日在 hospital_1(第 1 行)入院,并于 1 月 14 日出院。出院前,患者再次入住同一家医院(第 2 行);并在 hospital_2 中再次两次(第 3 和 4 行),然后最终在 1 月 15 日(第 2 行)关闭所有这四个记录。

我已经过滤了 patient/s 在多个 hospitals/same 医院多次入院的记录;通过以下代码

代码已尝试

df_2 <- df %>% arrange(patient_id, admn_date, discharge_date) %>%
  mutate(sort_key = row_number()) %>%
  pivot_longer(c(admn_date, discharge_date), names_to ="activity", 
               values_to ="date", names_pattern = "(.*)_date") %>%
  mutate(activity = factor(activity, ordered = T, 
                           levels = c("admn", "discharge")),
         admitted = ifelse(activity == "admn", 1, -1)) %>%
  group_by(patient_id) %>%
  arrange(date, sort_key, activity, .by_group = TRUE) %>% 
  mutate (admitted = cumsum(admitted)) %>%
  ungroup()
  
 > df_2
# A tibble: 44 x 8
   case_id patient_id pack_id hosp_id sort_key activity  date       admitted
    <int>      <int>   <int>   <int>    <int> <ord>     <date>        <dbl>
 1      1          1      12       1        1 admn      2020-01-01        1
 2      2          1      62       1        2 admn      2020-01-03        2
 3      3          1      59       2        3 admn      2020-01-04        3
 4      4          1      68       2        4 admn      2020-01-05        4
 5      3          1      59       2        3 discharge 2020-01-10        3
 6      1          1      12       1        1 discharge 2020-01-14        2
 7      4          1      68       2        4 discharge 2020-01-14        1
 8      2          1      62       1        2 discharge 2020-01-15        0
 9      5          1      77       1        5 admn      2020-01-16        1
10      6          1      86       1        6 admn      2020-01-18        2
# ... with 34 more rows

有了这段代码df_2 %>% filter(admitted >1 & activity == "admn")我可以一次性过滤掉不一致的记录

但是,我想 include/generate 一个 list column 在没有关闭任何先前的 hsopital_ids 的情况下打开新的 record/case_id每当 activity == 'admn' 和 hospital_id 从现有条目中删除时 activity == 'discharge'。所以基本上我想要的 df_2 输出是这样的:

期望的输出

# A tibble: 44 x 8
   case_id patient_id pack_id hosp_id sort_key activity  date       admitted    open_records
    <int>      <int>   <int>   <int>    <int> <ord>     <date>        <dbl>     <list>
 1      1          1      12       1        1 admn      2020-01-01        1     1
 2      2          1      62       1        2 admn      2020-01-03        2     1, 1
 3      3          1      59       2        3 admn      2020-01-04        3     1, 1, 2
 4      4          1      68       2        4 admn      2020-01-05        4     1, 1, 2, 2
 5      3          1      59       2        3 discharge 2020-01-10        3     1, 1, 2
 6      1          1      12       1        1 discharge 2020-01-14        2     1, 2
 7      4          1      68       2        4 discharge 2020-01-14        1     1,
 8      2          1      62       1        2 discharge 2020-01-15        0     <NULL>
 9      5          1      77       1        5 admn      2020-01-16        1     1
10      6          1      86       1        6 admn      2020-01-18        2     1, 1
# ... with 34 more rows

注意 我知道列表列不会显示在 tibble/data.frame 中,就像我为解释目的而显示的那样。但是,如果有任何可以打印的方法,我肯定想知道。

MOREOVER 如果有更好的策略将医院 ID 存储在列中而不是生成列表列,我也想知道。

如果您不介意使用循环

library(stringi)

df3 <- df2
df3$open_records <- NA
df3$hosp_id <- as.character(df3$hosp_id) #makes pasting easier

for(i in 1:nrow(df3)){
  #if re-admn
  if(df3$activity[i] == "admn"){
    df3$open_records[i] <- paste(lag(df3$open_records, default = "")[i],
                                 df3$hosp_id[i],
                                 sep = ",")
  #we'll handle pretty commas later
  }
  
  #if discharge
  if(df3$activity[i] == "discharge"){
    df3$open_records[i] <- sub(df3$hosp_id[i], "",
                               stri_reverse(df3$open_records[i-1]))
  #sub out one hospital if discharge
  #we reverse the string before removing to get the last hosp_id
  }
  
  #if admitted == 0
  if(df3$admitted[i] == 0) df3$open_records[i] <- NA
  
  #if just starting the group
  if(df3$activity[i] == "admn" & df3$admitted[i] == 1){
    df3$open_records[i] <- df3$hosp_id[i]
  }
}
  
#comma clean
df3$open_records <- gsub("^,*|(?<=,),|,*$", "", df3$open_records, perl=T)
df3$open_records <- gsub(",", ", ", df3$open_records)

如果您的数据集非常大,这可能不是最佳选择。向每个 if 语句添加 next() 命令可能也是值得的(如果你这样做,我认为将起始组 if 语句移动到循环顶部是有意义的)。

(逗号干净来源:Removing multiple commas and trailing commas using gsub

编辑,基于不需要使用循环

library(tidyverse)

paste3 <- function(out, input, activity, sep = ",") {
  if (activity == "admn") {
    paste(out, input, sep = sep)
  } else
    if (activity == "discharge") {
      sub(input, "", out)
    }
}

df4 <- df2 %>%
  mutate(temp_act = lead(activity)) %>%
  mutate(open_records = accumulate2(hosp_id, head(temp_act, -1), paste3)
  ) %>%
  select(-temp_act)


df4$open_records <- gsub("^,*|(?<=,),|,*$", "", df4$open_records, perl=T)
df4$open_records <- gsub(",", ", ", df4$open_records)

我注意到病人可以同时住进同一家医院不止一次。您可能要考虑的一件事是连接 case_idhosp_id,这样当放电发生时,您可以删除对应于正确 hosp_id 的第一个匹配 hosp_id =13=]。 (用您的新变量替换代码中的 hosp_id。)

这不会出现在您的示例代码中,但是如果某人有 open_records 个 2, 1, 2, 1, 2 并且从他们的第三次准入中出院,我的代码将 return 1, 2, 1, 2 当你可能想要 2, 1, 1, 2.

这是一个不错的 tidyverse 解决方案:

library(dplyr)
library(purrr)

df_2 %>%
  group_by(patient_id) %>%
  mutate(open_records = accumulate(2:n(), .init = paste0(hosp_id[1], ","), 
                                   ~ if(activity[.y] == "admn") {
                                     paste0(.x, hosp_id[.y], ",")
                                   } else {
                                     sub(paste0(hosp_id[.y], ","), "", .x)
                                   }),
         open_records = gsub("([d,]*)\,$", "", open_records))

# A tibble: 44 x 9
# Groups:   patient_id [8]
   case_id patient_id pack_id hosp_id sort_key activity  date       admitted open_records
     <int>      <int>   <int>   <int>    <int> <ord>     <date>        <dbl> <chr>       
 1       1          1      12       1        1 admn      2020-01-01        1 "1"         
 2       2          1      62       1        2 admn      2020-01-03        2 "1,1"       
 3       3          1      59       2        3 admn      2020-01-04        3 "1,1,2"     
 4       4          1      68       2        4 admn      2020-01-05        4 "1,1,2,2"   
 5       3          1      59       2        3 discharge 2020-01-10        3 "1,1,2"     
 6       1          1      12       1        1 discharge 2020-01-14        2 "1,2"       
 7       4          1      68       2        4 discharge 2020-01-14        1 "1"         
 8       2          1      62       1        2 discharge 2020-01-15        0 ""          
 9       5          1      77       1        5 admn      2020-01-16        1 "1"         
10       6          1      86       1        6 admn      2020-01-18        2 "1,1"       
# ... with 34 more rows