arXiv:2601.15481cs.LGmath.OC2026-01

用机器学习提前预测急诊入院量,帮医院优化资源分配。

Early predicting of hospital admission using machine learning algorithms: Priority queues approach

  • 分8类病房+临床复杂度,用XGBoost、LSTM等模型预测每日入院数。
  • XGBoost预测总入院量误差最小(MAE 6.63),SARIMAX对重症更准(MAE 3.77)。
  • 适合医疗管理、智能调度系统研究者,尤其关注疫情后数据修正方法。

急诊科拥挤是危及患者安全与运营效率的关键问题,需精准需求预测以实现资源合理配置。本研究评估并比较三种预测模型:含外生变量的季节性自回归积分滑动平均(SARIMAX)、极端梯度提升(XGBoost)和长短期记忆网络(LSTM),用于预测未来七天每日急诊科入院人数。基于澳大利亚一家三级转诊医院2017年1月至2021年12月的数据,研究将需求分解为八类特定病房,并按临床复杂度分层。为应对新冠肺炎疫情造成的数据异常,采用Prophet模型生成伪正常值进行补偿。实验结果表明,所有模型均显著优于季节性简单基准模型。其中,XGBoost在预测总入院量上表现最佳,平均绝对误差(MAE)为6.63;统计模型SARIMAX在预测高复杂度病例时略胜一筹,MAE为3.77。研究结论指出,尽管这些方法能有效捕捉日常规律,但对突发、罕见的患者量激增仍存在低估问题。

原文摘要 · Abstract (English)

Emergency Department overcrowding is a critical issue that compromises patient safety and operational efficiency, necessitating accurate demand forecasting for effective resource allocation. This study evaluates and compares three distinct predictive models: Seasonal AutoRegressive Integrated Moving Average with eXogenous regressors (SARIMAX), EXtreme Gradient Boosting (XGBoost) and Long Short-Term Memory (LSTM) networks for forecasting daily ED arrivals over a seven-day horizon. Utilizing data from an Australian tertiary referral hospital spanning January 2017 to December 2021, this research distinguishes itself by decomposing demand into eight specific ward categories and stratifying patients by clinical complexity. To address data distortions caused by the COVID-19 pandemic, the study employs the Prophet model to generate synthetic counterfactual values for the anomalous period. Experimental results demonstrate that all three proposed models consistently outperform a seasonal naive baseline. XGBoost demonstrated the highest accuracy for predicting total daily admissions with a Mean Absolute Error of 6.63, while the statistical SARIMAX model proved marginally superior for forecasting major complexity cases with an MAE of 3.77. The study concludes that while these techniques successfully reproduce regular day-to-day patterns, they share a common limitation in underestimating sudden, infrequent surges in patient volume.

急诊预测机器学习医疗资源时间序列

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