Abstract
It is difficult to predict RBC consumption accurately. This paper aims to use big data to establish a XGBoost Model to understand the trend of RBC accurately, and forecast the demand in time. XGBoost, which implements machine learning algorithms under the Gradient Boosting framework can provide a parallel tree boosting. The daily RBC usage and inventory (May 2014–September 2017) were investigated, and rules for RBC usage were analysed. All data were divided into training sets and testing sets. A XGBoost Model was established to predict the future RBC demand for durations ranging from a day to a week. In addition, the alert range was added to the predicted value to ensure RBC demand of emergency patients and surgical accidents. The gap between RBC usage and inventory was fluctuant, and had no obvious rule. The maximum residual inventory of a certain blood group was up to 700 units one day, while the minimum was nearly 0 units. Upon comparing MAE (mean absolute error):A:10.69, B:11.19, O:10.93, and AB:5.91, respectively, the XGBoost Model was found to have a predictive advantage over other state-of-the-art approaches. It showed the model could fit the trend of daily RBC usage. An alert range could manage the demand of emergency patients or surgical accidents. The model had been built to predict RBC demand, and the alert range of RBC inventory is designed to increase the safety of inventory management.
Similar content being viewed by others
References
Ping H, Xing N (2016) Blood shortages and donation in China. Lancet 387(10031):1905–1906
Yin YH, Li CQ, Liu Z (2015) Blood donation in China: sustaining efforts and challenges in achieving safety and availability. Transfusion 55(10):2523–2530
Volken T et al (2018) Red blood cell use in Switzerland: trends and demographic challenges. Blood Transfus 16(1):73–82
Ellingson KD et al (2017) Continued decline in blood collection and transfusion in the United States-2015. Transfusion 57(Suppl 2):1588–1598
Mahmood E et al (2018) Multifactorial risk index for prediction of intraoperative blood transfusion in endovascular aneurysm repair. J Vasc Surg 67(3):778–784
Erickson ML et al (2008) Management of blood shortages in a tertiary care academic medical center: the Yale-New Haven Hospital frozen blood reserve. Transfusion 48(10):2252–2263
Cywinski JB et al (2014) Prediction of intraoperative transfusion requirements during orthotopic liver transplantation and the influence on postoperative patient survival. Anesth Analg 118(2):428–437
Hamet P, Tremblay J (2017) Artificial intelligence in medicine. Metabolism 69:S36–S40
Tan SS, Gao G, Koch S (2015) Big Data and Analytics in Healthcare. Methods Inf Med 54(6):546–547
Guan L et al (2017) Big data modeling to predict platelet usage and minimize wastage in a tertiary care system. Proc Natl Acad Sci U S A 114(43):11368–11373
Pendry K (2015) The use of big data in transfusion medicine. Transfus Med 25(3):129–137
Butwick AJ, Goodnough LT (2015) Transfusion and coagulation management in major obstetric hemorrhage. Curr Opin Anaesthesiol 28(3):275–284
Douglas WG, Uffort E, Denning D (2015) Transfusion and management of surgical patients with hematologic disorders. Surg Clin North Am 95(2):367–377
Lau EH et al (2013) Predicting future blood demand from thalassemia major patients in Hong Kong. PLoS ONE 8(12):e81846
Ndoula ST et al (2014) Phenotypic and allelic distribution of the ABO and Rhesus (D) blood groups in the Cameroonian population. Int J Immunogenet 41(3):206–210
Ng KS et al (2017) Acute lower gastrointestinal haemorrhage: outcomes and risk factors for intervention in 949 emergency cases. Int J Colorectal Dis 32(9):1327–1335
Spradbrow J et al (2017) Iron deficiency anemia in the emergency department: over-utilization of red blood cell transfusion and infrequent use of iron supplementation. CJEM 19(3):167–174
Compaore GD et al (2014) Readiness of district and regional hospitals in Burkina Faso to provide caesarean section and blood transfusion services: a cross-sectional study. BMC Pregnancy Childbirth 14:158
Adjepong KO, Otegbeye F, Adjepong YA (2018) Perioperative Management of Sickle Cell Disease. Mediterr J Hematol Infect Dis 10(1):e2018032
Carson JL et al (2016) Transfusion thresholds and other strategies for guiding allogeneic red blood cell transfusion. Cochrane Database Syst Rev 10:CD002042
Bishnoi AK et al (2019) Effect of red blood cell storage duration on outcome after paediatric cardiac surgery: a prospective observational study. Heart Lung Circ 28(5):784–791
Davies P et al (2007) Calculating the required transfusion volume in children. Transfusion 47(2):212–216
Takanishi DM et al (2008) Peripheral blood hematocrit in critically ill surgical patients: an imprecise surrogate of true red blood cell volume. Anesth Analg 106(6):1808–1812
Garraud O et al (2016) Voluntariness and blood donation: Proceedings of an ethics seminar held at the National Institute for Blood Transfusion. Transfus Clin Biol 23(3): 168–174
Furuta Y et al (2018) Pre-operative autologous blood donation and transfusion-related adverse reactions: a 14-year experience at a university hospital. Transfus Apher Sci 57(5):651–655
Acknowledgement
This work was supported by Medical big data research and development project of PLA general hospital (2016MBD-023).
Author information
Authors and Affiliations
Contributions
Conceived and designed the experiment: DQW, YY Analysed the data and wrote the paper: XLS, ZHX Managed the data collection: QQY, YNF, YX.
Corresponding authors
Ethics declarations
Conflict of interest
The Authors declare no conflicts of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Sun, X., Xu, Z., Feng, Y. et al. RBC Inventory-Management System Based on XGBoost Model. Indian J Hematol Blood Transfus 37, 126–133 (2021). https://doi.org/10.1007/s12288-020-01333-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12288-020-01333-5