Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study

Abstract Introduction Overcrowding in emergency departments (ED) is a major public health issue, leading to increased workload and exhaustion for the teams, resulting poor outcomes. It seems interesting to be able to predict the admissions of patients in the ED. Aim The main objective of this study...

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Main Authors: Cyrielle Brossard, Christophe Goetz, Pierre Catoire, Lauriane Cipolat, Christophe Guyeux, Cédric Gil Jardine, Mahuna Akplogan, Laure Abensur Vuillaume
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Emergency Medicine
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Online Access:https://doi.org/10.1186/s12873-024-01141-4
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author Cyrielle Brossard
Christophe Goetz
Pierre Catoire
Lauriane Cipolat
Christophe Guyeux
Cédric Gil Jardine
Mahuna Akplogan
Laure Abensur Vuillaume
author_facet Cyrielle Brossard
Christophe Goetz
Pierre Catoire
Lauriane Cipolat
Christophe Guyeux
Cédric Gil Jardine
Mahuna Akplogan
Laure Abensur Vuillaume
author_sort Cyrielle Brossard
collection DOAJ
description Abstract Introduction Overcrowding in emergency departments (ED) is a major public health issue, leading to increased workload and exhaustion for the teams, resulting poor outcomes. It seems interesting to be able to predict the admissions of patients in the ED. Aim The main objective of this study was to build and test a prediction tool for ED admissions using artificial intelligence. Methods We performed a retrospective multicenter study in two French ED from January 1st, 2010 to December 31st, 2019.We tested several machine learning algorithms and compared the results. Results The arrival and departure times from the ED of 2 hospitals were collected from all consultations during the study period, then grouped into 87 600 one-hour slots. Through the development of two models (one for each location), we found that the XGBoost method with hyperparameter adaptations was the best, suggesting that the studied data could be predicted (mean absolute error) at 2.63 for Hospital 1 and 2.64 for Hospital 2). Conclusions This study ran the construction and validation of a powerful tool for predicting ED admissions in 2 French ED. This type of tool should be integrated into the overall organization of an ED, to optimize the resources of healthcare professionals.
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institution Kabale University
issn 1471-227X
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publishDate 2025-01-01
publisher BMC
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series BMC Emergency Medicine
spelling doaj-art-99336f38099d4014921f18b8caa381272025-01-12T12:10:37ZengBMCBMC Emergency Medicine1471-227X2025-01-0125111110.1186/s12873-024-01141-4Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective studyCyrielle Brossard0Christophe Goetz1Pierre Catoire2Lauriane Cipolat3Christophe Guyeux4Cédric Gil Jardine5Mahuna Akplogan6Laure Abensur Vuillaume7Emergency department, CHR Metz-ThionvilleClinical Research Support Unit, CHR Metz-ThionvilleEmergency department, CHU BordeauxEmergency department, CHR Metz-ThionvilleInstitut Femto-ST, UMR 6174 CNRS, Université de Bourgogne Franche-ComtéEmergency department, CHU BordeauxExtome, Research & Development TeamEmergency department, CHR Metz-ThionvilleAbstract Introduction Overcrowding in emergency departments (ED) is a major public health issue, leading to increased workload and exhaustion for the teams, resulting poor outcomes. It seems interesting to be able to predict the admissions of patients in the ED. Aim The main objective of this study was to build and test a prediction tool for ED admissions using artificial intelligence. Methods We performed a retrospective multicenter study in two French ED from January 1st, 2010 to December 31st, 2019.We tested several machine learning algorithms and compared the results. Results The arrival and departure times from the ED of 2 hospitals were collected from all consultations during the study period, then grouped into 87 600 one-hour slots. Through the development of two models (one for each location), we found that the XGBoost method with hyperparameter adaptations was the best, suggesting that the studied data could be predicted (mean absolute error) at 2.63 for Hospital 1 and 2.64 for Hospital 2). Conclusions This study ran the construction and validation of a powerful tool for predicting ED admissions in 2 French ED. This type of tool should be integrated into the overall organization of an ED, to optimize the resources of healthcare professionals.https://doi.org/10.1186/s12873-024-01141-4Emergency departmentArtificial intelligenceOvercrowding
spellingShingle Cyrielle Brossard
Christophe Goetz
Pierre Catoire
Lauriane Cipolat
Christophe Guyeux
Cédric Gil Jardine
Mahuna Akplogan
Laure Abensur Vuillaume
Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
BMC Emergency Medicine
Emergency department
Artificial intelligence
Overcrowding
title Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
title_full Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
title_fullStr Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
title_full_unstemmed Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
title_short Predicting emergency department admissions using a machine-learning algorithm: a proof of concept with retrospective study
title_sort predicting emergency department admissions using a machine learning algorithm a proof of concept with retrospective study
topic Emergency department
Artificial intelligence
Overcrowding
url https://doi.org/10.1186/s12873-024-01141-4
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