Evidence map›Paper›PMID 34115603›Full record

ArticleJMIR formative research2021

Clinical Utility and Functionality of an Artificial Intelligence-Based App to Predict Mortality in COVID-19: Mixed Methods Analysis.

Ahmed Abdulaal, Aatish Patel, Ahmed Al-Hindawi, Esmita Charani, Saleh A Alqahtani, Gary W Davies, Nabeela Mughal, Luke Stephen Prockter Moore

Abstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
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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

8 authors.

Ahmed AbdulaalChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0002-3536-4803
Aatish PatelChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0002-2503-2602
Ahmed Al-HindawiChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0003-4547-6056
Esmita CharaniNational Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-5938-1202
Saleh A AlqahtaniJohns Hopkins University, Baltimore, MD, United States.ORCID https://orcid.org/0000-0003-2017-3526
Gary W DaviesChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-9945-4616
Nabeela MughalChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-8013-5412
Luke Stephen Prockter MooreChelsea and Westminster NHS Foundation Trust, London, United Kingdom.ORCID https://orcid.org/0000-0001-7095-7922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe artificial neural network (ANN) is an increasingly important tool in the context of solving complex medical classification problems. However, one of the principal challenges in leveraging artificial intelligence technology in the health care setting has been the relative inability to translate models into clinician workflow.

objectiveHere we demonstrate the development of a COVID-19 outcome prediction app that utilizes an ANN and assesses its usability in the clinical setting.

methodsUsability assessment was conducted using the app, followed by a semistructured end-user interview. Usability was specified by effectiveness, efficiency, and satisfaction measures. These data were reported with descriptive statistics. The end-user interview data were analyzed using the thematic framework method, which allowed for the development of themes from the interview narratives. In total, 31 National Health Service physicians at a West London teaching hospital, including foundation physicians, senior house officers, registrars, and consultants, were included in this study.

resultsAll participants were able to complete the assessment, with a mean time to complete separate patient vignettes of 59.35 (SD 10.35) seconds. The mean system usability scale score was 91.94 (SD 8.54), which corresponds to a qualitative rating of "excellent." The clinicians found the app intuitive and easy to use, with the majority describing its predictions as a useful adjunct to their clinical practice. The main concern was related to the use of the app in isolation rather than in conjunction with other clinical parameters. However, most clinicians speculated that the app could positively reinforce or validate their clinical decision-making.

conclusionsTranslating artificial intelligence technologies into the clinical setting remains an important but challenging task. We demonstrate the effectiveness, efficiency, and system usability of a web-based app designed to predict the outcomes of patients with COVID-19 from an ANN.

Indexed as

appartificial intelligencecoronavirusCOVID-19developmentfunctiongraphical user interfacemachine learningmodelmortalityneural networkpredictionusabilityutility

Identifiers

PMID34115603
PMCPMC8320734

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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.