Integrating spatiotemporal features in LSTM for spatially informed COVID-19 hospitalization forecasting.

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Title: Integrating spatiotemporal features in LSTM for spatially informed COVID-19 hospitalization forecasting.
Authors: Wang, Zhongying1 (AUTHOR), Ngo, Thoai D.2 (AUTHOR), Zoraghein, Hamidreza3 (AUTHOR), Lucas, Benjamin1 (AUTHOR), Karimzadeh, Morteza1 (AUTHOR) karimzadeh@colorado.edu
Source: International Journal of Geographical Information Science. Aug2026, Vol. 40 Issue 8, p2622-2659. 38p.
Subjects: Long short-term memory, Spatiotemporal processes, COVID-19, Deep learning, Medical forecasting, Social distancing, Epidemiological models
Geographic Terms: United States
Abstract: The COVID-19 pandemic's severe impact highlighted the need for accurate and timely hospitalization forecasting to support effective healthcare planning. However, most forecasting models struggled, particularly during variant surges, when they were most needed. This study introduces a novel parallel-stream Long Short-Term Memory (LSTM) framework to forecast daily state-level incident hospitalizations in the United States. Our framework incorporates a spatiotemporal feature, Social Proximity to Hospitalizations (SPH), derived from Meta's Social Connectedness Index, to improve forecasts. SPH serves as a proxy for interstate population interaction, capturing transmission dynamics across space and time. Our architecture captures both short- and long-term temporal dependencies, and a multi-horizon ensembling strategy balances forecasting consistency and error. An evaluation against the COVID-19 Forecast Hub ensemble models during the Delta and Omicron surges reveals the superiority of our model. On average, our model surpasses the ensemble by 27, 42, 54, and 69 hospitalizations per state at the 7-, 14-, 21-, and 28-day horizons, respectively, during the Omicron surge. Data-ablation experiments confirm SPH's predictive power, highlighting its effectiveness in enhancing forecasting models. This research not only advances hospitalization forecasting but also underscores the significance of spatiotemporal features, such as SPH, in modeling the complex dynamics of infectious disease spread. KEY POLICY HIGHLIGHTS: 1. Deep learning can be used to more reliably forecast the spread of infectious diseases. 2. Social media friendship data can help quantify interstate disease transmission. 3. Spatial models that leverage multi-state data are more reliable for forecasting and policymaking. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geographical Information Science is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Integrating spatiotemporal features in LSTM for spatially informed COVID-19 hospitalization forecasting.
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Geographical+Information+Science%22">International Journal of Geographical Information Science</searchLink>. Aug2026, Vol. 40 Issue 8, p2622-2659. 38p.
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Label: Abstract
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  Data: The COVID-19 pandemic's severe impact highlighted the need for accurate and timely hospitalization forecasting to support effective healthcare planning. However, most forecasting models struggled, particularly during variant surges, when they were most needed. This study introduces a novel parallel-stream Long Short-Term Memory (LSTM) framework to forecast daily state-level incident hospitalizations in the United States. Our framework incorporates a spatiotemporal feature, Social Proximity to Hospitalizations (SPH), derived from Meta's Social Connectedness Index, to improve forecasts. SPH serves as a proxy for interstate population interaction, capturing transmission dynamics across space and time. Our architecture captures both short- and long-term temporal dependencies, and a multi-horizon ensembling strategy balances forecasting consistency and error. An evaluation against the COVID-19 Forecast Hub ensemble models during the Delta and Omicron surges reveals the superiority of our model. On average, our model surpasses the ensemble by 27, 42, 54, and 69 hospitalizations per state at the 7-, 14-, 21-, and 28-day horizons, respectively, during the Omicron surge. Data-ablation experiments confirm SPH's predictive power, highlighting its effectiveness in enhancing forecasting models. This research not only advances hospitalization forecasting but also underscores the significance of spatiotemporal features, such as SPH, in modeling the complex dynamics of infectious disease spread. KEY POLICY HIGHLIGHTS: 1. Deep learning can be used to more reliably forecast the spread of infectious diseases. 2. Social media friendship data can help quantify interstate disease transmission. 3. Spatial models that leverage multi-state data are more reliable for forecasting and policymaking. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Geographical Information Science is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13658816.2025.2527266
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 38
        StartPage: 2622
    Subjects:
      – SubjectFull: Long short-term memory
        Type: general
      – SubjectFull: Spatiotemporal processes
        Type: general
      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: Deep learning
        Type: general
      – SubjectFull: Medical forecasting
        Type: general
      – SubjectFull: Social distancing
        Type: general
      – SubjectFull: Epidemiological models
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Integrating spatiotemporal features in LSTM for spatially informed COVID-19 hospitalization forecasting.
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            NameFull: Wang, Zhongying
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              M: 08
              Text: Aug2026
              Type: published
              Y: 2026
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