IEEE J Biomed Health Inform. 2022 Oct;26(10):4966-4975. doi: 10.1109/JBHI.2022.3172956. Epub 2022 Oct 4.
Hospitals can predetermine the admission rate and facilitate resource allocation based on valid emergency requests and bed capacity estimation. The excess unoccupied beds can be determined with the help of forecasting the number of discharged patients. Extracting predictive features and mining the temporal patterns from historical observations are crucial for accurate and reliable forecasts. Machine learning algorithms have demonstrated the ability to learn temporal knowledge and make predictions for unseen inputs. This paper utilizes several machine learning algorithms to forecast the inpatient discharges of Singapore hospitals and compare them with statistical methods. A novel ensemble deep learning algorithm based on random vector functional links is established to predict inpatient discharges. The ensemble deep learning framework is optimized in a greedy layer-wise fashion. Several forecasting metrics and statistical tests are utilized to demonstrate the proposed method's superiority. The proposed algorithm statistically outperforms the benchmark with a ranking of 1.875. Finally, practical implications and future directions are discussed.
医院可以根据有效的急诊请求和床位容量估计来预先确定入院率,并方便资源分配。通过预测出院患者的数量,可以确定多余的未占用床位。从历史观测中提取预测特征并挖掘时间模式对于准确可靠的预测至关重要。机器学习算法已经证明了学习时间知识和对未见输入进行预测的能力。本文利用多种机器学习算法来预测新加坡医院的住院患者出院情况,并与统计方法进行比较。建立了一种基于随机向量功能链接的新的集成深度学习算法来预测住院患者出院情况。采用贪婪逐层方式优化集成深度学习框架。利用多个预测指标和统计检验来证明所提出方法的优越性。提出的算法在排名上以 1.875 的优势显著优于基准。最后,讨论了实际意义和未来方向。