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Abstrakty
Overcrowding in emergency department (ED) causes lengthy waiting times, reduces adequate emergency care and increases rate of mortality. Accurate prediction of daily ED visits and allocating resources in advance is one of the solutions to ED overcrowding problem. In this paper, a deep stacked architecture is being proposed and applied to the daily ED visits prediction problem with deep components such as Long Short Term Memory (LSTM), Gated Recurrent Units (GRU) and simple Recurrent Neural Network (RNN). The proposed architecture achieves very high mean accuracy level (94.28–94.59%) in daily ED visits predictions. We have also compared the performance of this architecture with non-stacked deep models and traditional prediction models. The results indicate that deep stacked models outperform (4–7%) the traditional prediction models and other non-stacked deep learning models (1–2%) in our prediction tasks. The application of deep neural network in ED visits prediction is novel as this is one of the first studies to apply a deep stacked architecture in this field. Importantly, our models have achieved better prediction accuracy (in one case comparable) than the state-of-the-art in the literature.
Wydawca
Czasopismo
Rocznik
Tom
Strony
1051--1065
Opis fizyczny
Bibliogr. 82 poz., rys., tab., wykr.
Twórcy
autor
- Science, Mathematics and Technology Cluster, Singapore University of Technology and Design, Singapore
autor
- Science, Mathematics and Technology Cluster, Singapore University of Technology and Design, Singapore
autor
- Pre-hospital & Emergency Research Centre, Duke-National University of Singapore Medical School, Singapore
- Department of Emergency Medicine, Singapore General Hospital, Singapore
autor
- Health Services and Systems Research, Duke-NUS Medical School, Singapore
autor
- Department of Emergency Medicine, Singapore General Hospital, Singapore
- Health Services and Systems Research, Duke-NUS Medical School, Singapore
autor
- Science, Mathematics and Technology Cluster, Singapore University of Technology and Design, 8 Somapah Road, 487372, Singapore
Bibliografia
- [1] Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. Intern Emerg Med 2015;10(2):171–5.
- [2] Horwitz LI, Green J, Bradley EH. Us emergency department performance on wait time and length of visit. Ann Emerg Med 2010;55(2):133–41.
- [3] Schoenenberger LK, Bayer S, Ansah JP, Matchar DB, Mohanavalli RL, Lam SS, et al. Emergency department crowding in singapore: insights from a systems thinking approach. SAGE Open Med 2016;4. 2050312116671953.
- [4] Lau H, Dadich A, Nakandala D, Evans H, Zhao L. Development of a cost-optimization model to reduce bottlenecks: A health service case study. Expert Systems 2018;35(6) e12294.
- [5] Tang KJW, Ang CKE, Constantinides T, Rajinikanth V, Acharya UR, Cheong KH. Artificial intelligence and machine learning in emergency medicine. Biocybern Biomed Eng 2020;41(1):156–72.
- [6] Bobrovitz N, Lasserson DS, Briggs AD. Who breaches the four-hour emergency department wait time target? a retrospective analysis of 374,000 emergency department attendances between 2008 and 2013 at a type 1 emergency department in england. BMC Emergency Med 2017;17(1):1–10.
- [7] Khanna S, Boyle J, Good N, Bell A, Lind J. Analysing the emergency department patient journey: discovery of bottlenecks to emergency department patient flow. Emergency Med Australasia 2017;29(1):18–23.
- [8] P. Vezyridis, S. Timmons, National targets, process transformation and local consequences in an nhs emergency department (ed): a qualitative study, BMC Emergency Medecine 14 (1) (2014) 1–11.
- [9] Chang AM, Lin A, Fu R, McConnell KJ, Sun B. Associations of emergency department length of stay with publicly reported quality-of-care measures. Acad Emerg Med 2017;24(2):246–50.
- [10] Hobbs D, Kunzman SC, Tandberg D, Sklar D. Hospital factors associated with emergency center patients leaving without being seen. Am J Emerg Med 2000;18(7):767–72.
- [11] Singer AJ, Thode Jr HC, Viccellio P, Pines JM. The association between length of emergency department boarding and mortality. Acad Emerg Med 2011;18(12):1324–9.
- [12] Jo S, Jeong T, Jin YH, Lee JB, Yoon J, Park B. Ed crowding is associated with inpatient mortality among critically ill patients admitted via the ed: post hoc analysis from a retrospective study. Am J Emerg Med 2015;33(12):1725–31.
- [13] Abidova A, da Silva PA, Moreira S. Predictors of patient satisfaction and the perceived quality of healthcare in an emergency department in portugal. Western J Emergency Med 2020;21(2):391–403.
- [14] Derlet RW, Richards JR. Overcrowding in the nation’s emergency departments: complex causes and disturbing effects. Ann Emerg Med 2000;35(1):63–8.
- [15] Ho AFW, To BZYS, Koh JM, Cheong KH. Forecasting hospital emergency department patient volume using internet search data. IEEE Access 2019;7:93387–95.
- [16] Kadri F, Harrou F, Chaabane S, Tahon C. Time series modelling and forecasting of emergency department overcrowding. J Med Syst 2014;38(9):1–20.
- [17] Lucini FR, Fogliatto FS, Da Silveira GJ, Neyeloff JL, Anzanello MJ, Kuchenbecker RS, et al. Text mining approach to predict hospital admissions using early medical records from the emergency department. Int J Med Informatics 2017;100:1–8.
- [18] Yang T, Song J, Li L. A deep learning model integrating sk-tpcnn and random forests for brain tumor segmentation in mri. Biocybern Biomed Eng 2019;39(3):613–23.
- [19] Panicker RO, Kalmady KS, Rajan J, Sabu M. Automatic detection of tuberculosis bacilli from microscopic sputum smear images using deep learning methods. Biocybern Biomed Eng 2018;38(3):691–9.
- [20] Hegde RB, Prasad K, Hebbar H, Singh BMK. Comparison of traditional image processing and deep learning approaches for classification of white blood cells in peripheral blood smear images. Biocybern Biomed Eng 2019;39(2):382–92.
- [21] Kok C, Jahmunah V, Oh SL, Zhou X, Gururajan R, Tao X, et al. Automated prediction of sepsis using temporal convolutional network. Comput Biol Med 2020;127:103957.
- [22] Lai JW, Ang CKE, Acharya UR, Cheong KH. Schizophrenia: A survey of artificial intelligence techniques applied to detection and classification. Int J Environ Res Public Health 2021;18(11):6099.
- [23] Jiang F, Fu Y, Gupta BB, Liang Y, Rho S, Lou F, et al. Deep learning based multi-channel intelligent attack detection for data security. IEEE Trans Sustainable Computing 2018;5(2):204–12.
- [24] D’Angelo G, Palmieri F. Network traffic classification using deep convolutional recurrent autoencoder neural networks for spatial–temporal features extraction. J Network Computer Appl 2021;173:102890.
- [25] Altuve M, Lizarazo P, Villamizar J. Human activity recognition using improved complete ensemble emd with adaptive noise and long short-term memory neural networks. Biocybern Biomed Eng 2020;40(3):901–9.
- [26] Rajapriya R, Rajeswari K, Thiruvengadam S. Deep learning and machine learning techniques to improve hand movement classification in myoelectric control system. Biocybern Biomed Eng 2021;41(2):554–71.
- [27] Liang Y, Tang Z, Yan M, Liu J. Object detection based on deep learning for urine sediment examination. Biocybern Biomed Eng 2018;38(3):661–70.
- [28] Jiang W. Applications of deep learning in stock market prediction: recent progress. Expert Syst Appl 2021;184 115537.
- [29] Vijayalakshmi B, Ramar K, Jhanjhi N, Verma S, Kaliappan M, Vijayalakshmi K, et al. An attention-based deep learning model for traffic flow prediction using spatiotemporal features towards sustainable smart city. Int J Commun Syst 2021;34(3).
- [30] Han S-Y, Kwak N-S, Oh T, Lee S-W. Classification of pilots’ mental states using a multimodal deep learning network. Biocybern Biomed Eng 2020;40(1):324–36.
- [31] Kassania SH, Kassanib PH, Wesolowskic MJ, Schneidera KA, Detersa R. Automatic detection of coronavirus disease (covid-19) in x-ray and ct images: a machine learning based approach. Biocybern Biomed Eng 2021;41(3):867–79.
- [32] Mishra NK, Singh P, Joshi SD. Automated detection of covid-19 from ct scan using convolutional neural network. Biocybern Biomed Eng 2021;41(2):572–88.
- [33] Hashemzehi R, Mahdavi SJS, Kheirabadi M, Kamel SR. Detection of brain tumors from mri images base on deep learning using hybrid model cnn and nade. Biocybern Biomed Eng 2020;40(3):1225–32.
- [34] Karevan Z, Suykens JA. Transductive lstm for time-series prediction: An application to weather forecasting. Neural Networks 2020;125:1–9.
- [35] Z. King, J. Farrington, M. Utley, E. Kung, S. Elkhodair, S. Harris. et al. Machine learning for real-time aggregated prediction of hospital admission for emergency patients, medRxiv.
- [36] Pianykh OS, Guitron S, Parke D, Zhang C, Pandharipande P, Brink J, et al. Improving healthcare operations management with machine learning. Nature Mach Intell 2020;2(5):266–73.
- [37] Davazdahemami B, Peng P, Delen D. A deep learning approach for predicting early bounce-backs to the emergency departments. Healthcare Anal 2022:100018.
- [38] van Klaveren D, Rekkas A, Alsma J, Verdonschot RJ, Koning DT, Kamps MJ, et al. Covid outcome prediction in the emergency department (cope): using retrospective dutch hospital data to develop simple and valid models for predicting mortality and need for intensive care unit admission in patients who present at the emergency department with suspected covid-19. BMJ Open 2021;11(9)e051468.
- [39] Hsu C-C, Chu C-C, Lin C-H, Huang C-H, Ng C-J, Lin G-Y, et al. A machine learning model for predicting unscheduled 72 h return visits to the emergency department by patients with abdominal pain. Diagnostics 2021;12(1):82.
- [40] Cheong KH, Tang KJW, Zhao X, Koh JEW, Faust O, Gururajan R, et al. An automated skin melanoma detection system with melanoma-index based on entropy features. Biocybern Biomed Eng 2021;41(3):997–1012.
- [41] Liang W, Yao J, Chen A, Lv Q, Zanin M, Liu J, et al. Early triage of critically ill covid-19 patients using deep learning. Nature Commun 2020;11(1):1–7.
- [42] Joseph JW, Leventhal EL, Grossestreuer AV, Wong ML, Joseph LJ, Nathanson LA, et al. Deep-learning approaches to identify critically ill patients at emergency department triage using limited information. J Am College Emergency Physicians Open 2020;1(5):773–81.
- [43] Lee J-T, Hsieh C-C, Lin C-H, Lin Y-J, Kao C-Y. Prediction of hospitalization using artificial intelligence for urgent patients in the emergency department. Sci Reports 2021;11(1):1–8.
- [44] Feretzakis G, Sakagianni A, E. Loupelis, Karlis G, Kalles D, Tzelves L, et al., Predicting hospital admission for emergency department patients: A machine learning approach, in: Informatics and Technology in Clinical Care and Public Health, IOS Press, 2022, pp. 297–300.
- [45] Beiser DG, Jarou ZJ, Kassir AA, Puskarich MA, Vrablik MC, Rosenman ED, et al. Predicting 30-day return hospital admissions in patients with covid-19 discharged from the emergency department: A national retrospective cohort study. J Am College Emergency Physicians Open 2021;2(6)e12595.
- [46] Taylor SJ, Letham B. Forecasting at scale. Am Stat 2018;72(1):37–45.
- [47] Carvalho-Silva M, Monteiro MTT, de Sá-Soares F, Dória-Nóbrega S. Assessment of forecasting models for patients arrival at emergency department. Oper Res Health Care 2018;18:112–8.
- [48] Juang W-C, Huang S-J, Huang F-D, Cheng P-W, Wann S-R. Application of time series analysis in modelling and forecasting emergency department visits in a medical centre in southern taiwan. BMJ Open 2017;7(11) e018628.
- [49] Golmohammadi D. Predicting hospital admissions to reduce emergency department boarding. Int J Prod Econ 2016;182:535–44.
- [50] Araz OM, Olson D, Ramirez-Nafarrate A. Predictive analytics for hospital admissions from the emergency department using triage information. Int J Prod Econ 2019;208:199–207.
- [51] Sudarshan VK, Brabrand M, Range TM, Wiil UK. Performance evaluation of emergency department patient arrivals forecasting models by including meteorological and calendar information: A comparative study. Comput Biol Med 2021;135104541.
- [52] Kam HJ, Sung JO, Park RW. Prediction of daily patient numbers for a regional emergency medical center using time series analysis. Healthcare Inform Res 2010;16(3):158–65.
- [53] Boyle J, Jessup M, Crilly J, Green D, Lind J, Wallis M, et al. Predicting emergency department admissions. Emergency Med J 2012;29(5):358–65.
- [54] Marcilio I, Hajat S, Gouveia N. Forecasting daily emergency department visits using calendar variables and ambient temperature readings. Acad Emerg Med 2013;20(8):769–77.
- [55] Calegari R, Fogliatto FS, Lucini FR, Neyeloff J, Kuchenbecker RS, Schaan BD. Forecasting daily volume and acuity of patients in the emergency department. Comput Math Methods Med 2016.
- [56] M. Hertzum, Forecasting hourly patient visits in the emergency department to counteract crowding, The Ergonomics Open Journal 10 (1).
- [57] Whitt W, Zhang X. Forecasting arrivals and occupancy levels in an emergency department. Operations Res Health Care 2019;21:1–18.
- [58] Erkamp NS, van Dalen DH, de Vries E. Predicting emergency department visits in a large teaching hospital. Int J Emergency Med 2021;14(1):1–11.
- [59] Xu M, Wong T-C, Chin K-S. Modeling daily patient arrivals at emergency department and quantifying the relative importance of contributing variables using artificial neural network. Decis Support Syst 2013;54(3):1488–98.
- [60] N.B. Menke, N. Caputo, R. Fraser, J. Haber, C. Shields, M.N. Menke, A retrospective analysis of the utility of an artificial neural network to predicted volume, American Journal of Emergency Medicine 32 (6) (2014) 614–617.
- [61] Zlotnik A, Gallardo-Antolin A, Alfaro MC, Pérez MCP, Martínez JMM, et al. Emergency department visit forecasting and dynamic nursing staff allocation using machine learning techniques with readily available open-source software. CIN: Computers Inform, Nursing 2015;33(8):368–77.
- [62] Xu Q, Tsui K-L, Jiang W, Guo H. A hybrid approach for forecasting patient visits in emergency department. Quality Reliability Eng Int 2016;32(8):2751–9.
- [63] Khaldi R, El Afia A, Chiheb R. Forecasting of weekly patient visits to emergency department: real case study. Procedia Computer Science 2019;148:532–41.
- [64] Zhang Y, Luo L, Yang J, Liu D, Kong R, Feng Y. A hybrid arima-svr approach for forecasting emergency patient flow. J Ambient Intelligence Humanized Computing 2019;10(8):3315–23.
- [65] Zhang Y, Zhang J, Tao M, Shu J, Zhu D. Forecasting patient arrivals at emergency department using calendar and meteorological information. Appl Intell 2022:1–12.
- [66] Harrou F, Dairi A, Kadri F, Sun Y. Forecasting emergency department overcrowding: A deep learning framework. Chaos, Solitons Fractals 2020;139:110247.
- [67] Kadri F, Baraoui M, Nouaouri I. An lstm-based deep learning approach with application to predicting hospital emergency department admissions. In: 2019 International Conference on Industrial Engineering and Systems Management (IESM). IEEE; 2019. p. 1–6.
- [68] H.T. Karsanti, I. Ardiyanto, L.E. Nugroho, Deep learning-based patient visits forecasting using long short term memory, in: 2019 International Conference of Artificial Intelligence and Information Technology (ICAIIT), IEEE, 2019, pp. 344–349.
- [69] Yousefi M, Yousefi M, Fathi M, Fogliatto FS. Patient visit forecasting in an emergency department using a deep neural network approach. Kybernetes 2019;49(9):2335–48.
- [70] Chan T-H, Jia K, Gao S, Lu J, Zeng Z, Ma Y. Pcanet: A simple deep learning baseline for image classification? IEEE Trans Image Process 2015;24(12):5017–32.
- [71] Young T, Hazarika D, Poria S, Cambria E. Recent trends in deep learning based natural language processing. IEEE Comput Intell Mag 2018;13(3):55–75.
- [72] Arulkumaran K, Deisenroth MP, Brundage M, Bharath AA. Deep reinforcement learning: A brief survey. IEEE Signal Process Mag 2017;34(6):26–38.
- [73] Dairi A, Harrou F, Zeroual A, Hittawe MM, Sun Y. Comparative study of machine learning methods for covid-19 transmission forecasting. J Biomed Inform 2021;118:103791.
- [74] Hewamalage H, Bergmeir C, Bandara K. Recurrent neural networks for time series forecasting: Current status and future directions. Int J Forecast 2021;37(1):388–427.
- [75] Lv Y, Duan Y, Kang W, Li Z, Wang F-Y. Traffic flow prediction with big data: a deep learning approach. IEEE Trans Intell Transp Syst 2014;16(2):865–73.
- [76] LeCun Y, Bengio Y, Hinton G. Deep learning. Nature 2015;521(7553):436–44.
- [77] Telgarsky M. Benefits of depth in neural networks. In: Conference on learning theory, PMLR. p. 1517–39.
- [78] Sagheer A, Kotb M. Time series forecasting of petroleum production using deep lstm recurrent networks. Neurocomputing 2019;323:203–13.
- [79] Yamak PT, Yujian L, Gadosey PK. A comparison between arima, lstm, and gru for time series forecasting. In: Proceedings of the 2019 2nd International Conference on Algorithms, Computing and Artificial Intelligence. p. 49–55.
- [80] Sun Y, Heng BH, Seow YT, Seow E. Forecasting daily attendances at an emergency department to aid resource planning. BMC Emergency Med 2009;9(1):1–9.
- [81] Zhao X, Ang CKE, Acharya UR, Cheong KH. Application of artificial intelligence techniques for the detection of alzheimer’s disease using structural mri images. Biocybern Biomed Eng 2021;41(2):456–73.
- [82] Wang Peipei, Zheng Xinqi, Ai Gang, Liu Dongya, Zhu. Bangren. Time series prediction for the epidemic trends of COVID-19 using the improved LSTM deep learning method: Case studies in Russia, Peru and Iran. Chaos Solitons Fractals 2020;140:110214.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-018f793c-6008-4868-9a94-62cbafac451b