Evidence map›Paper›PMID 39696224›Full record

ArticleBMC medical informatics and decision making2024

Enhanced forecasting of emergency department patient arrivals using feature engineering approach and machine learning.

Bruno Matos Porto, Flavio Sanson Fogliatto

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

2 authors.

Bruno Matos PortoIndustrial Engineering Department, Federal University of Rio Grande do Sul, Av. Osvaldo Aranha, 99, 5th floor, Porto Alegre, RS, 90020-035, Brazil. bmatosporto@gmail.com.
Flavio Sanson FogliattoIndustrial Engineering Department, Federal University of Rio Grande do Sul, Av. Osvaldo Aranha, 99, 5th floor, Porto Alegre, RS, 90020-035, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency department (ED) overcrowding is an important problem in many countries. Accurate predictions of ED patient arrivals can help management to better allocate staff and medical resources. In this study, we investigate the use of calendar and meteorological predictors, as well as feature-engineered variables, to predict daily patient arrivals using datasets from eleven different EDs across three countries.

methodsSix machine learning (ML) algorithms were tested on forecasting horizons of 7 and 45 days. Three of them - Light Gradient Boosting Machine (LightGBM), Support Vector Machine with Radial Basis Function (SVM-RBF), and Neural Network Autoregression (NNAR) - were never before reported for predicting ED patient arrivals. Algorithms' hyperparameters were tuned through a grid-search with cross-validation. Prediction performance was assessed using fivefold cross-validation and four performance metrics.

resultsThe eXtreme Gradient Boosting (XGBoost) was the best-performing model on both prediction horizons, also outperforming results reported in past studies on ED arrival prediction. XGBoost and NNAR achieved the best performance in nine out of the eleven analyzed datasets, with MAPE values ranging from 5.03% to 14.1%. Feature engineering (FE) improved the performance of the ML algorithms.

conclusionAccuracy in predicting ED arrivals, achieved through the FE approach, is key for managing human and material resources, as well as reducing patient waiting times and lengths of stay.

Indexed as

Emergency Service, HospitalForecastingMachine LearningCrowdingHumansEmergency departmentFeature engineeringMachine learning algorithmsPatient arrivalsPatient visits forecastTime series forecasting

Identifiers

PMID39696224
PMCPMC11653554

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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.