Forecasting Mortality Associated Emergency Department Crowding with LightGBM and Time Series Data.

Emergency department (ED) crowding is a global public health issue that has been repeatedly associated with increased mortality. Predicting future service demand would enable preventative measures aiming to eliminate crowding along with its detrimental effects. Recent findings in our ED indicate tha...

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Publicado en:Journal of Medical Systems Vol. 49; no. 1; pp. 1 - 15
Autores principales: Nevanlinna, Jalmari, Eidstø, Anna, Ylä-Mattila, Jari, Koivistoinen, Teemu, Oksala, Niku, Kanniainen, Juho, Palomäki, Ari, Roine, Antti
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature 1/15/2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/15/2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Forecasting Mortality Associated Emergency Department Crowding with LightGBM and Time Series Data.
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          Nevanlinna, Jalmari
          Eidstø, Anna
          Ylä-Mattila, Jari
          Koivistoinen, Teemu
          Oksala, Niku
          Kanniainen, Juho
          Palomäki, Ari
          Roine, Antti
        affil: https://ror.org/033003e23 Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
      sug:
        subj:
          Hospital Mortality Risk Factors
          Emergency Service
          Bed Occupancy
          Boosting Machine Learning Algorithms
          Prediction Models
          Funding Source
          Finland
          Human
          Hospitals, Urban
          Academic Medical Centers
          Retrospective Design
          Weather
          ROC Curve
          Confidence Intervals
          Descriptive Statistics
          Surgical Patients
          Medical Care
          Crowding
      ab: Emergency department (ED) crowding is a global public health issue that has been repeatedly associated with increased mortality. Predicting future service demand would enable preventative measures aiming to eliminate crowding along with its detrimental effects. Recent findings in our ED indicate that occupancy ratios exceeding 90% are associated with increased 10-day mortality. In this paper, we aim to predict these crisis periods using retrospective time series data such as weather, availability of hospital beds, calendar variables and occupancy statistics from a large Nordic ED with a LightGBM model. We predict mortality associated crowding for the whole ED and individually for its different operational sections. We demonstrate that afternoon crowding can be predicted at 11 a.m. with an AUC of 0.82 (95% CI 0.78-0.86) and at 8 a.m. with an AUC up to 0.79 (95% CI 0.75-0.83). Consequently we show that forecasting mortality-associated crowding using time series data is feasible.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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