Privacy-Preserving Prediction of Victim’s Mortality and Their Need for Transportation to Health Facilities

Abstract

Emergency medical services (EMS) provide crucial prehospital care, such as in the case of cardiac arrest, where the victim requires immediate first-aid. For this reason, it is vital to improving EMS response time. This article proposes a novel methodology based on machine learning (ML) techniques to predict both the victims’ mortality and their need for transportation to health facilities using data gathered from the start of the emergency call until the Departmental Fire and Rescue Service of the Doubs (SDIS25) is notified. We first analyzed SDIS25 calls to find out associations between the call processing times and victims’ mortality, and to measure the variables’ importance. Next, we validated our proposed ML-based methodology, where mortality could be predicted with accuracy and area under the receiver operating characteristic curve (AUC) scores of 96.44% and 96.04%, respectively, while the need for transportation achieved an accuracy and AUC scores of 73.62% and 78.91%, respectively. What is more, we found out that it was still possible to predict both targets perturbating the input data by applying <italic xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">k</i> -anonymity and differential privacy techniques. In conclusion, the results showed the potential of ML for EMS, which can be used as a decision-support tool to early identify mortality and the use of resources (transportation) and, thus, help EMS to save more lives and avoid service disruptions.