Evidence map›Paper›PMID 38701064›Full record

ArticlePloS one2024

Predictive modelling of transport decisions and resources optimisation in pre-hospital setting using machine learning techniques.

Hassan Farhat, Ahmed Makhlouf, Padarath Gangaram, Kawther El Aifa, Ian Howland, Fatma Babay Ep Rekik, Cyrine Abid, Mohamed Chaker Khenissi, Nicholas Castle, Loua Al-Shaikh and 4 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hassan FarhatAmbulance Service, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0001-5448-9401
Ahmed MakhloufAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Padarath GangaramFaculty of Health Sciences, Durban University of Technology, Durban, South Africa.
Kawther El AifaAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Ian HowlandAmbulance Service, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-3462-7026
Fatma Babay Ep RekikAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Cyrine AbidLaboratory of Screening Cellular and Molecular Process, Centre of Biotechnology of Sfax, University of Sfax, Sfax, Tunisia.ORCID 0000-0003-2358-6510
Mohamed Chaker KhenissiAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Nicholas CastleAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Loua Al-ShaikhAmbulance Service, Hamad Medical Corporation, Doha, Qatar.
Moncef KhadhraouiHigher Institute of Biotechnology, University of Sfax, Sfax, Tunisia.
Imed GargouriFaculty of Medicine, University of Sfax, Sfax, Tunisia.
James LaughtonAmbulance Service, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0002-9486-5157
Guillaume AlinierAmbulance Service, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-4255-4450

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global evolution of pre-hospital care systems faces dynamic challenges, particularly in multinational settings. Machine learning (ML) techniques enable the exploration of deeply embedded data patterns for improved patient care and resource optimisation. This study's objective was to accurately predict cases that necessitated transportation versus those that did not, using ML techniques, thereby facilitating efficient resource allocation.

methodsML algorithms were utilised to predict patient transport decisions in a Middle Eastern national pre-hospital emergency medical care provider. A comprehensive dataset comprising 93,712 emergency calls from the 999-call centre was analysed using R programming language. Demographic and clinical variables were incorporated to enhance predictive accuracy. Random Forest (RF), Support Vector Machine (SVM), Extreme Gradient Boosting (XGBoost), and Adaptive Boosting (AdaBoost) algorithms were trained and validated.

resultsAll the trained algorithm models, particularly XGBoost (Accuracy = 83.1%), correctly predicted patients' transportation decisions. Further, they indicated statistically significant patterns that could be leveraged for targeted resource deployment. Moreover, the specificity rates were high; 97.96% in RF and 95.39% in XGBoost, minimising the incidence of incorrectly identified "Transported" cases (False Positive).

conclusionThe study identified the transformative potential of ML algorithms in enhancing the quality of pre-hospital care in Qatar. The high predictive accuracy of the employed models suggested actionable avenues for day and time-specific resource planning and patient triaging, thereby having potential to contribute to pre-hospital quality, safety, and value improvement. These findings pave the way for more nuanced, data-driven quality improvement interventions with significant implications for future operational strategies.

Indexed as

Emergency Medical ServicesMachine LearningAdolescentAdultAgedAlgorithmsFemaleHumansMaleMiddle AgedSupport Vector MachineTransportation of PatientsYoung Adult

Identifiers

PMID38701064
PMCPMC11068197

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.