A data-driven combined prediction method for the demand for intensive care unit healthcare resources in public health emergencies

• Published in: BMC health services research Vol. 24; no. 1; p. 477
• Main Authors: Zhang, Weiwei, Li, Xinchun
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 17.04.2024; BioMed Central; BMC
• Subjects: Algorithms; Care and treatment; China; Combined prediction; Communicable diseases; COVID-19; Critical Illness - epidemiology; Delivery of Health Care; Diagnosis; Disease transmission; Emergencies; Epidemics; Fatalities; Health aspects; Humans; ICU healthcare resource demand; Infectious diseases; Intensive Care Units; Machine learning; Methods; Neural networks; Public Health; Public health emergency; Risk factors; China; Public health emergency; Combined prediction; ICU healthcare resource demand; Machine learning
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-024-10955-8

Public health emergencies are characterized by uncertainty, rapid transmission, a large number of cases, a high rate of critical illness, and a high case fatality rate. The intensive care unit (ICU) is the "last line of defense" for saving lives. And ICU resources play a critical role in the treatment of critical illness and combating public health emergencies. This study estimates the demand for ICU healthcare resources based on an accurate prediction of the surge in the number of critically ill patients in the short term. The aim is to provide hospitals with a basis for scientific decision-making, to improve rescue efficiency, and to avoid excessive costs due to overly large resource reserves. A demand forecasting method for ICU healthcare resources is proposed based on the number of current confirmed cases. The number of current confirmed cases is estimated using a bilateral long-short-term memory and genetic algorithm support vector regression (BILSTM-GASVR) combined prediction model. Based on this, this paper constructs demand forecasting models for ICU healthcare workers and healthcare material resources to more accurately understand the patterns of changes in the demand for ICU healthcare resources and more precisely meet the treatment needs of critically ill patients. Data on the number of COVID-19-infected cases in Shanghai between January 20, 2020, and September 24, 2022, is used to perform a numerical example analysis. Compared to individual prediction models (GASVR, LSTM, BILSTM and Informer), the combined prediction model BILSTM-GASVR produced results that are closer to the real values. The demand forecasting results for ICU healthcare resources showed that the first (ICU human resources) and third (medical equipment resources) categories did not require replenishment during the early stages but experienced a lag in replenishment when shortages occurred during the peak period. The second category (drug resources) is consumed rapidly in the early stages and required earlier replenishment, but replenishment is timelier compared to the first and third categories. However, replenishment is needed throughout the course of the epidemic. The first category of resources (human resources) requires long-term planning and the deployment of emergency expansion measures. The second category of resources (drugs) is suitable for the combination of dynamic physical reserves in healthcare institutions with the production capacity reserves of corporations. The third category of resources (medical equipment) is more dependent on the physical reserves in healthcare institutions, but care must be taken to strike a balance between normalcy and emergencies.