Evidence map›Paper›PMID 41382069›Full record

ArticleBMC public health2025

Dynamic ensemble deep learning with multi-source data for robust influenza forecasting in Yangzhou.

Yin Wang, Shilei Zhai, Cheng Wu, Bi Chen, Wenhui Zhang, Jing Li, Xiaoqing Cheng, Lishun Xiao

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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3 · Its place in the literature

Who cites it

2 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

8 authors.

Yin Wang *Yangzhou Center for Disease Control and Prevention, Yangzhou, Jiangsu, 225007, China.
Shilei Zhai *School of Public Health, Xuzhou Medical University, No. 209 Tongshan Road, Xuzhou, Jiangsu, 221004, China.
Cheng WuYangzhou Center for Disease Control and Prevention, Yangzhou, Jiangsu, 225007, China.
Bi ChenDepartment of Pulmonary and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, 221006, China.
Wenhui ZhangDepartment of Pulmonary and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, 221006, China.
Jing LiSchool of Public Health, Xuzhou Medical University, No. 209 Tongshan Road, Xuzhou, Jiangsu, 221004, China. xzmc2009@126.com.
Xiaoqing ChengJiangsu Provincial Center for Disease Control and Prevention (Jiangsu Institution of Public Health), No. 172 Jiangsu Road, Nanjing, Jiangsu, 210009, China. 759347434@qq.com.
Lishun XiaoSchool of Public Health, Xuzhou Medical University, No. 209 Tongshan Road, Xuzhou, Jiangsu, 221004, China. xiaolishun@xzhmu.edu.cn.

Funding

China Postdoctoral Science Foundation 2020M671607National Natural Science Foundation of China 12171471Natural Science Foundation of the Jiangsu Higher Education Institutions of China 20KJB320011Open Project of Jiangsu Institute of Health Emergency JSWSYJ-20230204Open Research Project of the State Key Laboratory of Jiangsu Higher Education Institutions of China XZSYSKF2022004Scientific Research Project of Jiangsu Provincial Health Commission H2023005Xuzhou medical key talents project XWRCHT20220063
6 · The paper itself

Abstract

backgroundTraditional influenza surveillance often suffers from reporting delays, hindering timely public health response. This study aimed to mitigate this limitation by developing an accurate deep learning framework for influenza prediction.

methodsWe constructed a 13-year (652-week) multi-source dataset for Yangzhou City, China, integrating influenza-like illness (ILI) surveillance data with Baidu search indices and meteorological variables. Six state-of-the-art deep learning models-GRU, Transformer, LSTM, TFT (Temporal Fusion Transformer), TCN (Temporal Convolutional Network), and N-BEATS-were systematically compared under 1-, 5-, and 9-week sliding time windows. Based on their robust performance across windows, GRU, TCN, and Transformer were selected as core base learners. Using these models, we designed several ensemble strategies, culminating in a dynamic weighted ensemble with seasonal residual adjustment (DWE + SRA).

resultsMulti-source data integration improved predictive accuracy relative to using surveillance data alone. Forecasting performance varied with the sliding time window: under a 1-week window, all models showed comparable accuracy, with GRU achieving the lowest RMSE and highest R² and Transformer the lowest MAE; at 5 weeks, TCN achieved the best overall performance, while Transformer, and GRU also maintained relatively good accuracy; at 9 weeks, GRU, TCN, and Transformer remained competitive, whereas TFT and N-BEATS degraded. Overall, GRU, TCN, and Transformer exhibited the most robust performance across window lengths. The proposed DWE + SRA strategy, built on these three base learners, further enhanced forecasting accuracy and stability, reducing test-set RMSE and MAE by approximately 28% and 17%, respectively, compared with the best single model (GRU), and closely tracking observed ILI dynamics during both peak and off-peak periods.

conclusionThis study presents a multi-source deep learning framework that effectively integrates heterogeneous data to compensate for surveillance delays. Key contributions include: (i) a systematic sliding-window comparison that reveals the temporal strengths of different architectures; and (ii) a DWE + SRA ensemble strategy that dynamically adjusts model weights and corrects seasonal biases to substantially improve prediction stability. This work provides a scalable, data-driven paradigm for localized influenza forecasting and early warning.

Indexed as

Deep LearningInfluenza, HumanPopulation SurveillanceChinaForecastingHumansDeep learningInfluenza predictionModel ensemblingMulti-source data fusion

Identifiers

PMID41382069
PMCPMC12802191

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.