Skip to main content
Log in

A hybrid ARIMA-SVR approach for forecasting emergency patient flow

  • Original Research
  • Published:
Journal of Ambient Intelligence and Humanized Computing Aims and scope Submit manuscript

Abstract

The goal of this study is to explore and evaluate the use of a hybrid ARIMA-SVR approach to forecast daily radiology emergency patient flow. Owing to the fact that emergency patient flow is highly uncertain and dynamic, the forecasting problem is regarded as a complicated task. As the emergency patient flow may have both linear and nonlinear patterns, this paper presents a hybrid ARIMA-SVR approach, which hybridizes autoregressive integrated moving average (ARIMA) model and support vector regression (SVR) model to predict emergency patient arrivals. The proposed model is applied to 4 years of daily emergency visits data in the radiology department of a large hospital to justify the performance of the hybrid model against single models. The MAPE, RMSE and MAE of the hybrid model are 7.02%, 19.20 and 14.97, respectively. Furthermore, the hybrid model achieves better prediction performance than its competitors because it can capture the linear and nonlinear patterns simultaneously. Experimental results indicate that the proposed hybrid ARIMA-SVR approach is a promising alternative for forecasting emergency patient flow. These findings are beneficial for efficient patient flow management and scheduling decisions optimization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  • Aboagye-Sarfo P, Mai Q, Sanfilippo FM, Preen DB, Stewart LM, Fatovich DM (2015) A comparison of multivariate and univariate time series approaches to modelling and forecasting emergency department demand in Western Australia. J Biomed Inform 57:62–73

    Article  Google Scholar 

  • Abraham G, Byrnes GB, Bain CA (2009) Short-term forecasting of emergency inpatient flow. IEEE Trans Inf Technol Biomed 13(3):380–383

    Article  Google Scholar 

  • Afilal M, Yalaoui F, Dugardin F, Amodeo L, Laplanche D, Blua P (2016) Forecasting the emergency department patients flow. J Med Syst 40(7):175

    Article  Google Scholar 

  • Alafeef M, Fraiwan M (2018) On the diagnosis of idiopathic Parkinson’s disease using continuous wavelet transform complex plot. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-1014-x

    Google Scholar 

  • Aye GC, Balcilar M, Gupta R, Majumdar A (2015) Forecasting aggregate retail sales: the case of South Africa. Int J Prod Econ 160:66–79

    Article  Google Scholar 

  • Bergs J, Heerinckx P, Verelst S (2013) Knowing what to expect, forecasting monthly emergency department visits: a time-series analysis. Int Emerg Nurs 22(2):112–115

    Article  Google Scholar 

  • Bi X, Ma H, Li JH, Ma YL, Chen DY (2018) A positive and unlabeled learning framework based on extreme learning machine for drug-drug interactions discovery. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0960-7

    Google Scholar 

  • Box GEP, Jenkins GM (1971) Time series analysis: forecasting and control. J Oper Res Soc 22(2):199–201

    Article  Google Scholar 

  • Chan EW, Taylor SE, Marriott J, Barger B (2010) An intervention to encourage ambulance paramedics to bring patients’ own medications to the ED: impact on medications brought in and prescribing errors. Emerg Med Australas 22(2):151–158

    Google Scholar 

  • Che JX, Wang JZ (2010) Short-term electricity prices forecasting based on support vector regression and auto-regressive integrated moving average modeling. Energy Convers Manag 51(10):1911–1917

    Article  Google Scholar 

  • Chen KY (2011) Combining linear and nonlinear model in forecasting tourism demand. Expert Syst Appl 38(8):10368–10376

    Article  Google Scholar 

  • Chen T (2018) An innovative fuzzy and artificial neural network approach for forecasting yield under an uncertain learning environment. J Ambient Intell Humaniz Comput 9(4):1013–1025. https://doi.org/10.1007/s12652-017-0504-6

    Article  Google Scholar 

  • Cui RM, Gallino S, Moreno A, Zhang DJ (2017) The operational value of social media information. Prod Oper Manag. https://doi.org/10.1111/poms.12707

    Google Scholar 

  • Ekström A, Kurland L, Farrokhnia N, Castrén M, Nordberg M (2015) Forecasting emergency department visits using Internet data. Ann Emerg Med 65(4):436–442

    Article  Google Scholar 

  • Ganesh SS, Arulmozhivarman P, Tatavarti VSNR (2018) Prediction of PM2.5 using an ensemble of artificial neural networks and regression models. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0801-8

    Google Scholar 

  • Han YZ, Deng Y (2018) A hybrid intelligent model for assessment of critical success factors in high-risk emergency system. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0882-4

    Google Scholar 

  • Huang JF, Carmeli B, Mandelbaum A (2015) Control of patient flow in emergency departments, or multiclass queues with deadlines and feedback. Oper Res 63(4):892–908

    Article  MathSciNet  MATH  Google Scholar 

  • Izabel M, Shakoor H, Nelson G (2013) Forecasting daily emergency department visits using calendar variables and ambient temperature readings. Acad Emerg Med 20(8):769–777

    Article  Google Scholar 

  • Jiang Y, Zhang T, Gou Y, He LL, Bai HT, Hu CQ (2018) High-resolution temperature and salinity model analysis using support vector regression. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0896-y

    Google Scholar 

  • Jin H, Wang HY, Gong C, Liu LX (2018) A study on the influencing factors of consumer information-seeking behavior in the context of ambient intelligence. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-1005-y

    Google Scholar 

  • Jones SS, Evans RS, Allen TL, Thomas A, Haug PJ, Welch SJ, Snow GL (2009) A multivariate time series approach to modeling and forecasting demand in the emergency department. J Biomed Inform 42(1):123–139

    Article  Google Scholar 

  • Krogh A, Vedelsby J (1994) Neural network ensembles, cross validation and active learning. In: International Conference on Neural Information Processing Systems, pp 231–238

  • Lee YS, Tong LI (2011) Forecasting time series using a methodology based on autoregressive integrated moving average and genetic programming. Knowl Based Syst 24(1):66–72

    Article  Google Scholar 

  • Liu ZL, Hajiali M, Torabi A, Ahmadi B, Simoes R (2018) Novel forecasting model based on improved wavelet transform, informative feature selection, and hybrid support vector machine on wind power forecasting. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0886-0

    Google Scholar 

  • Luo L, Luo L, Zhang XL, He XL (2017a) Hospital daily outpatient visits forecasting using a combinatorial model based on ARIMA and SES models. BMC Health Serv Res 17(1):469

    Article  Google Scholar 

  • Luo L, Zhou Y, Han BT, Li JL (2017b) An optimization model to determine appointment scheduling window for an outpatient clinic with patient no-shows. Health Care Manag Sci. https://doi.org/10.1007/s10729-017-9421-7

    Google Scholar 

  • Niroomand S, Bazyar A, Alborzi M, Miami H, Mahmoodirad A (2018) A hybrid approach for multi-criteria emergency center location problem considering existing emergency centers with interval type data: a case study. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-018-0804-5

    Google Scholar 

  • Prabukumar M, Agilandeeswari L, Ganesan K (2017) An intelligent lung cancer diagnosis system using cuckoo search optimization and support vector machine classifier. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-017-0655-5

    Google Scholar 

  • Qin MJ, Li ZH, Du ZH (2017) Red tide time series forecasting by combining ARIMA and deep belief network. Knowl Based Syst 125:39–52

    Article  Google Scholar 

  • Sen P, Roy M, Pal P (2016) Application of ARIMA for forecasting energy consumption and GHG emission: a case study of an Indian pig iron manufacturing organization. Energy 116:1031–1038

    Article  Google Scholar 

  • Vapnik VN (1995) The nature of statistical learning theory. Springer, New York

    Book  MATH  Google Scholar 

  • Wang L, Wang ZG, Qu H, Liu S (2018) Optimal forecast combination based on neural networks for time series forecasting. Appl Soft Comput 66:1–17

    Article  Google Scholar 

  • Wargon M, Guidet B, Hoang TD, Hejblum G (2009) A systematic review of models for forecasting the number of emergency department visits. Emerg Med J 26(6):395–399

    Article  Google Scholar 

  • Wiler JL, Bolandifar E, Griffey RT, Poirier RF, Olsen T (2013) An emergency department patient flow model based on queueing theory principles. Acad Emerg Med 20(9):939–946

    Article  Google Scholar 

  • Wu LJ, Cao GH (2016) Seasonal SVR with FOA algorithm for single-step and multi-step ahead forecasting in monthly inbound tourist flow. Knowl Based Syst 110(Supplement C):157–166

    Google Scholar 

  • Wu CH, Tzeng GH, Lin RH (2009) A Novel hybrid genetic algorithm for kernel function and parameter optimization in support vector regression. Expert Syst Appl 36(3):4725–4735

    Article  Google Scholar 

  • Xiong T, Li CG, Bao YK, Hu ZY, Zhang L (2015) A combination method for interval forecasting of agricultural commodity futures prices. Knowl Based Syst 77(C):92–102

    Article  Google Scholar 

  • Xu M, Wong TC, Chin KS (2013) Modeling daily patient arrivals at emergency department and quantifying the relative importance of contributing variables using artificial neural network. Decis Support Syst 54(3):1488–1498

    Article  Google Scholar 

  • Yolcu U, Egrioglu E, Aladag CH (2013) A new linear and nonlinear artificial neural network model for time series forecasting. Decis Support Syst 54(3):1340–1347

    Article  Google Scholar 

  • Zhang GP (2003) Time series forecasting using a hybrid ARIMA and neural network model. Neurocomputing 50(1):159–175

    Article  MATH  Google Scholar 

  • Zhu T, Luo L, Zhang XL, Shi YK, Shen WW (2017) Time series approaches for forecasting the number of hospital daily discharged inpatients. IEEE J Biomed Health Inform 21(2):515–526

    Article  Google Scholar 

Download references

Acknowledgements

The authors gratefully acknowledge the support from the radiology department and the department of operations management of WCH. This work is sponsored by the Nature Science Foundation of China (Grant Nos. 71532007, 71131006, 71172197, 71673011 and 71273036), Central University Fund of Sichuan University (Grant No. skgt201202), and Key Research and Development Plan of Science and Technology Department of Sichuan Province (Grant Nos. 2017GZ0315 and 2017GZ0333).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dunhu Liu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhang, Y., Luo, L., Yang, J. et al. A hybrid ARIMA-SVR approach for forecasting emergency patient flow. J Ambient Intell Human Comput 10, 3315–3323 (2019). https://doi.org/10.1007/s12652-018-1059-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12652-018-1059-x

Keywords

Navigation