Methodological Evaluation of Emergency Care Units in South Africa Using Time-Series Forecasting Models for Clinical Outcome Assessment

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Main Authors: Cele, Sipho, Hlongwane, Thabo, Mogotsi, Mpho
Format: Recurso digital
Language:English
Published: Zenodo 2003
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_version_ 1866901977925943296
author Cele, Sipho
Hlongwane, Thabo
Mogotsi, Mpho
author_facet Cele, Sipho
Hlongwane, Thabo
Mogotsi, Mpho
contents <p>Emergency care units (ECUs) in South Africa are critical for managing acute medical conditions, yet their effectiveness varies significantly across different regions and facilities. A time-series forecasting model was employed to analyse data from four major hospitals, focusing on patient admission rates, length of stay, and mortality rates over a two-year period. Robust standard errors were used to account for potential measurement uncertainties. The analysis revealed a significant reduction in hospital mortality (by 15%) among patients admitted through ECUs compared to those not admitted via this route, with confidence intervals indicating these differences are statistically significant. This study provides evidence that time-series forecasting models can effectively assess clinical outcomes in emergency care units and highlights the potential for improving patient survival rates by optimising ECU operations. Based on the findings, specific recommendations include enhancing training programmes for healthcare staff, implementing standardised protocols, and expanding access to ECUs across underserved regions. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.</p>
format Recurso digital
id zenodo_https___doi_org_10_5281_zenodo_18778559
institution Zenodo
language eng
publishDate 2003
publisher Zenodo
record_format zenodo
spellingShingle Methodological Evaluation of Emergency Care Units in South Africa Using Time-Series Forecasting Models for Clinical Outcome Assessment
Cele, Sipho
Hlongwane, Thabo
Mogotsi, Mpho
Sub-Saharan
Geographic Variation
Time-Series Analysis
Forecasting Models
Clinical Outcomes
Hierarchical Modelling
Random Forest
<p>Emergency care units (ECUs) in South Africa are critical for managing acute medical conditions, yet their effectiveness varies significantly across different regions and facilities. A time-series forecasting model was employed to analyse data from four major hospitals, focusing on patient admission rates, length of stay, and mortality rates over a two-year period. Robust standard errors were used to account for potential measurement uncertainties. The analysis revealed a significant reduction in hospital mortality (by 15%) among patients admitted through ECUs compared to those not admitted via this route, with confidence intervals indicating these differences are statistically significant. This study provides evidence that time-series forecasting models can effectively assess clinical outcomes in emergency care units and highlights the potential for improving patient survival rates by optimising ECU operations. Based on the findings, specific recommendations include enhancing training programmes for healthcare staff, implementing standardised protocols, and expanding access to ECUs across underserved regions. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.</p>
title Methodological Evaluation of Emergency Care Units in South Africa Using Time-Series Forecasting Models for Clinical Outcome Assessment
topic Sub-Saharan
Geographic Variation
Time-Series Analysis
Forecasting Models
Clinical Outcomes
Hierarchical Modelling
Random Forest
url https://doi.org/10.5281/zenodo.18778559