Watanabe Ohmi, Narita Norio, Katsuki Masahito, Ishida Naoya, Cai Siqi, Otomo Hiroshi, Yokota Kenichi
Kesennuma City Hospital, Kesennuma, Miyagi 988-0181, Japan.
Department of Neurosurgery, Kesennuma City Hospital, Kesennuma, Miyagi 988-0181, Japan.
Open Access Emerg Med. 2021 Jan 28;13:23-32. doi: 10.2147/OAEM.S293551. eCollection 2021.
With the aging population in Japan, the prediction of ambulance transports is needed to save the limited medical resources. Some meteorological factors were risks of ambulance transports, but it is difficult to predict in a classically statistical way because Japan has 4 seasons. We tried to make prediction models for ambulance transports using the deep learning (DL) framework, Prediction One (Sony Network Communications Inc., Tokyo, Japan), with the meteorological and calendarial variables.
We retrospectively investigated the daily ambulance transports and meteorological data between 2017 and 2019. First, to confirm their association, we performed classically statistical analysis. Second, to test the DL framework's utility for ambulance transports prediction, we made 3 prediction models for daily ambulance transports (total daily ambulance transports more than 5 or not, cardiopulmonary arrest (CPA), and trauma) using meteorological and calendarial factors and evaluated their accuracies by internal cross-validation.
During the 1095 days of 3 years, the total ambulance transports were 5948, including 240 CPAs and 337 traumas. Cardiogenic CPA accounted for 72.3%, according to the Utstein classification. The relation between ambulance transports and meteorological parameters by polynomial curves were statistically obtained, but their rs were small. On the other hand, all DL-based prediction models obtained satisfactory accuracies in the internal cross-validation. The areas under the curves obtained from each model were all over 0.947.
We could statistically make polynomial curves between the meteorological variables and the number of ambulance transport. We also preliminarily made DL-based prediction models. The DL-based prediction for daily ambulance transports would be used in the future, leading to solving the lack of medical resources in Japan.
随着日本人口老龄化,为节省有限的医疗资源,需要对救护车运输进行预测。一些气象因素是救护车运输的风险因素,但由于日本有四季,很难用传统的统计方法进行预测。我们尝试使用深度学习(DL)框架Prediction One(索尼网络通信公司,东京,日本),结合气象和日历变量,建立救护车运输的预测模型。
我们回顾性调查了2017年至2019年期间的每日救护车运输情况和气象数据。首先,为确认它们之间的关联,我们进行了传统的统计分析。其次,为测试DL框架在救护车运输预测中的效用,我们使用气象和日历因素建立了3个每日救护车运输的预测模型(每日总救护车运输量是否超过5次、心肺骤停(CPA)和创伤),并通过内部交叉验证评估其准确性。
在3年的1095天里,救护车运输总量为5948次,其中包括240次心肺骤停和337次创伤。根据乌斯坦分类,心源性心肺骤停占72.3%。通过多项式曲线统计得出了救护车运输与气象参数之间的关系,但其相关系数较小。另一方面,所有基于DL的预测模型在内部交叉验证中都获得了令人满意的准确性。每个模型得到的曲线下面积均超过0.947。
我们可以通过统计方法得出气象变量与救护车运输次数之间的多项式曲线。我们还初步建立了基于DL的预测模型。未来将使用基于DL的每日救护车运输预测,以解决日本医疗资源短缺的问题。