Evidence map›Paper›PMID 37430313›Full record

ArticleCritical care (London, England)2023

A user evaluation of speech/phrase recognition software in critically ill patients: a DECIDE-AI feasibility study.

M Musalia, S Laha, J Cazalilla-Chica, J Allan, L Roach, J Twamley, S Nanda, M Verlander, A Williams, I Kempe and 4 more

Abstract read
In one paragraph

Article in Critical care (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Utility of a Novel Mobile Lip-Reading Application for Patients After Total Laryngectomy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  2. Article
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.

M MusaliaCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
S LahaCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK. Shondipon.Laha@lthtr.nhs.uk.
J Cazalilla-ChicaCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
J AllanFaculty of Biology Medicine and Health, University of Manchester, Manchester, UK.
L RoachFaculty of Biology Medicine and Health, University of Manchester, Manchester, UK.
J TwamleyCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
S NandaCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
M VerlanderCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
A WilliamsCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
I KempeCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
I I PatelCritical Care Unit, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
F Campbell-WestLiopa, Northern Ireland Science Park, Belfast, UK.
B BlackwoodWellcome-Wolfson Institute for Experimental Medicine, Queens University Belfast, Belfast, UK.
D F McAuleyWellcome-Wolfson Institute for Experimental Medicine, Queens University Belfast, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvaluating effectiveness of speech/phrase recognition software in critically ill patients with speech impairments.

designProspective study.

settingTertiary hospital critical care unit in the northwest of England.

participants14 patients with tracheostomies, 3 female and 11 male.

main outcome measuresEvaluation of dynamic time warping (DTW) and deep neural networks (DNN) methods in a speech/phrase recognition application. Using speech/phrase recognition app for voice impaired (SRAVI), patients attempted mouthing various supported phrases with recordings evaluated by both DNN and DTW processing methods. Then, a trio of potential recognition phrases was displayed on the screen, ranked from first to third in order of likelihood.

resultsA total of 616 patient recordings were taken with 516 phrase identifiable recordings. The overall results revealed a total recognition accuracy across all three ranks of 86% using the DNN method. The rank 1 recognition accuracy of the DNN method was 75%. The DTW method had a total recognition accuracy of 74%, with a rank 1 accuracy of 48%.

conclusionThis feasibility evaluation of a novel speech/phrase recognition app using SRAVI demonstrated a good correlation between spoken phrases and app recognition. This suggests that speech/phrase recognition technology could be a therapeutic option to bridge the gap in communication in critically ill patients. WHAT IS ALREADY KNOWN ABOUT THIS TOPIC: Communication can be attempted using visual charts, eye gaze boards, alphabet boards, speech/phrase reading, gestures and speaking valves in critically ill patients with speech impairments. WHAT THIS STUDY ADDS: Deep neural networks and dynamic time warping methods can be used to analyse lip movements and identify intended phrases. HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE AND POLICY: Our study shows that speech/phrase recognition software has a role to play in bridging the communication gap in speech impairment.

Indexed as

Mobile ApplicationsSpeechCritical IllnessFeasibility StudiesFemaleHumansMaleProspective StudiesAccuracyLip readingSpeechSRAVITracheostomy

Identifiers

PMID37430313
PMCPMC10332046

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Registered trials

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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.