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借助ChatGPT改善了基于美国指导方针的整形外科紧急情况的设施间转移的决策
Chandler Hinson1, Omar Allam2, Jasmine Glaspy3
1Frederick P Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA.
JPRAS open
|June 9, 2025
概括
人工智能 (AI) 可以帮助分类整形外科紧急情况. 聊天GPT-4.0在推设施间转移方面显示了77%的准确性,帮助前线提供者.
科学领域:
- 医疗信息学 医疗信息学
- 人工智能在医学中的应用
- 整形外科 整形外科 整形外科
背景情况:
- 整形外科紧急情况需要立即咨询专家.
- 前线提供者经常在没有直接的整形外科医生访问的情况下做出分拣决定,导致转移效率低下.
- 人工智能 (AI) 为支持这些关键决策提供了潜在的解决方案.
研究的目的:
- 评估ChatGPT-4.0的准确性,以评估在整形手术紧急情况中需要进行设施间转移的需要.
- 将AI建议与基于临床指南的黄金标准决策进行比较.
主要方法:
- 为整形手术紧急情况开发了60个标准化临床场景.
- 聊天GPT-4.0被提示使用三个不同的配方来生成180个转移建议.
- 人工智能建议与黄金标准转移决策进行了比较.
主要成果:
- 聊天GPT-4.0实现了77%的总体调整与基于指南的转移决策.
- 性能因即时配方而异,对齐率从73%到77%不等.
- 根据临床领域的准确性有所不同:上肢创伤 (83%),烧伤 (75%) 和面部创伤 (68%).
结论:
- 聊天GPT-4.0可以为整形外科紧急转移提供一般适当的建议.
- 准确性受到临床情景和提示措辞的影响.
- 人工智能工具显示出支持分拣的前景,特别是在资源有限的环境中,但需要临床监督.
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