基于乘积季节性ARIMA模型对神经内科医院感染发病率的预测研究
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范馨月

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R181.3+2

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贵州省大数据重点实验室开放课题(2017BDKFJJ012);贵州大学"本科教学工程建设"项目(JG201723)


Prediction of incidence of healthcare-associated infection in department of neurology based on ARIMA model
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    摘要:

    目的 建立神经内科病房医院感染预警模型,预测神经内科患者发生医院感染的风险,为早期防控提供依据。方法 收集贵州省某三级甲等医院神经内科病房医院感染发病率数据,构建乘积季节性ARIMA(p,d,q)×(P,D,Q)s模型,对建立的模型进行参数估计、模型诊断,选择最优预测模型。利用构建的最佳模型对神经内科病房医院感染发病率进行预测,并对预测效果进行评价。结果 以该院2014-2017年神经内科月度医院感染发病率数据作为训练样本,获得最优预测模型ARIMA(2,1,2)×(1,1,1)4。以2018年1-5月数据作为模型预测验证样本,结果显示,模型预测值的动态趋势与实际情况基本一致,实际发病率均在预测值的95%置信区间内。用此模型对2018年6-12月神经内科医院感染发病率作预测,预测结果显示预测值均位于95%的置信区间内。结论 ARIMA(2,1,2)×(1,1,1)4模型能较好地模拟神经内科病房医院感染发病率变化趋势,具有良好的预测效果。

    Abstract:

    Objective To establish an early warning model of healthcare-associated infection(HAI) in the department of neurology, predict the risk of HAI in patients in department of neurology, and provide basis for early prevention and control. Methods Data on incidence of HAI in neurology ward of a tertiary first-class hospital in Guizhou Province were collected, the ARIMA(p,d,q)×(P,D,Q)s model was constructed, parameter estimation and model diagnosis were performed for the established model, and the optimal prediction model was selected. The best constructed model was used to predict the incidence of HAI in the department of neurology, and the prediction efficacy was evaluated. Results The data of monthly incidence of HAI in department of neurology in this hospital from 2014 to 2017 was as training specimens, the optimal prediction model ARIMA(2,1,2)×(1,1,1)4 was obtained. Data of January-May 2018 was as validation sample for model prediction, the results showed that the dyna-mic trend of predicted value of model was basically consistent with the actual condition, the actual incidence was within the 95% confidence interval of the predicted value. This model was used to predict the incidence of HAI in department of neurology from June to December 2018, the predicted results showed that the predicted values were within 95% confidence interval. Conclusion The ARIMA(2,1,2)×(1,1,1)4 model can better simulate the trend of HAI rate in the department of neurology, and it has preferable prediction effect.

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王清青, 范馨月, 查筑红,等.基于乘积季节性ARIMA模型对神经内科医院感染发病率的预测研究[J]. 中国感染控制杂志,2019,18(1):59-63. DOI:10.12138/j. issn.1671-9638.20193911.
WANG Qing-qing, FAN Xin-yue, ZHA Zhu-hong, et al. Prediction of incidence of healthcare-associated infection in department of neurology based on ARIMA model[J]. Chin J Infect Control, 2019,18(1):59-63. DOI:10.12138/j. issn.1671-9638.20193911.

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  • 收稿日期:2018-05-17
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  • 在线发布日期: 2019-01-28
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