Evidence map›Paper›PMID 32922515›Full record

ReviewTherapeutic advances in neurological disorders2020

Using artificial intelligence for improving stroke diagnosis in emergency departments: a practical framework.

Vida Abedi, Ayesha Khan, Durgesh Chaudhary, Debdipto Misra, Venkatesh Avula, Dhruv Mathrawala, Chadd Kraus, Kyle A Marshall, Nayan Chaudhary, Xiao Li and 4 more

Abstract readReview
In one paragraph

Review in Therapeutic advances in neurological disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Machine Learning-Based Prediction of Stroke in Emergency Departments.Therapeutic advances in neurological disorders · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Vida AbediDepartment of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.
Ayesha KhanNeuroscience Institute, Geisinger Health System, Danville, PA, USA.
Durgesh ChaudharyNeuroscience Institute, Geisinger Health System, Danville, PA, USA.
Debdipto MisraDivision of Informatics, Geisinger Health System, Danville, PA, USA.
Venkatesh AvulaDepartment of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.
Dhruv MathrawalaDivision of Informatics, Geisinger Health System, Danville, PA, USA.
Chadd KrausDepartment of Emergency Medicine, Geisinger Health System, Danville, PA, USA.
Kyle A MarshallDepartment of Emergency Medicine, Geisinger Health System, Danville, PA, USA.
Nayan ChaudharyGenentech/Roche inc., South San Francisco, CA, USA.
Xiao LiGenentech/Roche inc., South San Francisco, CA, USA.
Clemens M SchirmerNeuroscience Institute, Geisinger Health System, Danville, PA, USA.
Fabien ScalzoDepartment of Neurology, University of California, Los Angeles, CA, USA.
Jiang LiDepartment of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.
Ramin ZandNeuroscience Institute, Geisinger Health System, Stroke Program, Geisinger Northeast Region, GRA Stroke Task Force, American Heart Association, Department of Neurosciences, 100 N Academy Ave, Danville, PA 17822-2101, USA.ORCID https://orcid.org/0000-0002-9477-0094

Funding

Electronic Health Record Data and Predictive Analytic Methods for HFR56HL116832 · NHLBI · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI YAN, XIAOWEI SHERRY · 2018 to 2018
$761k
NHLBI NIH HHS R56 HL116832
6 · The paper itself

Abstract

Stroke is the fifth leading cause of death in the United States and a major cause of severe disability worldwide. Yet, recognizing the signs of stroke in an acute setting is still challenging and leads to loss of opportunity to intervene, given the narrow therapeutic window. A decision support system using artificial intelligence (AI) and clinical data from electronic health records combined with patients' presenting symptoms can be designed to support emergency department providers in stroke diagnosis and subsequently reduce the treatment delay. In this article, we present a practical framework to develop a decision support system using AI by reflecting on the various stages, which could eventually improve patient care and outcome. We also discuss the technical, operational, and ethical challenges of the process.

Indexed as

acute strokeartificial intelligencecerebrovascular disease/strokecomputer aided diagnosisischemic strokemachine learningstroke diagnosisstroke in emergency department

Identifiers

PMID32922515
PMCPMC7453441

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.