Evidence map›Paper›PMID 37568103›Full record

ArticleInternational journal of emergency medicine2023

The impact on clinical outcomes after 1 year of implementation of an artificial intelligence solution for the detection of intracranial hemorrhage.

Dmitry Kotovich, Gilad Twig, Zeev Itsekson-Hayosh, Maximiliano Klug, Asaf Ben Simon, Gal Yaniv, Eli Konen, Noam Tau, Daniel Raskin, Paul J Chang and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Dmitry KotovichThe Institute for Research in Military Medicine, The Faculty of Medicine, The Hebrew University of Jerusalem, Tel Aviv, Israel. Dmitry.kotovich@mail.huji.ac.il.
Gilad TwigThe Institute for Research in Military Medicine, The Faculty of Medicine, The Hebrew University of Jerusalem, Tel Aviv, Israel.
Zeev Itsekson-HayoshCenter of Stroke and Neurovascular Disorders, Sheba Medical Center, Tel HaShomer, Ramat Gan, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Maximiliano KlugDepartment of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Asaf Ben SimonSackler School of Medicine, Faculty of Medicine, Tel Aviv University, 69978, Tel Aviv, Israel.
Gal YanivDepartment of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Eli KonenDepartment of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Noam TauDepartment of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Daniel RaskinDepartment of Diagnostic Imaging, Sheba Medical Center, Tel HaShomer, Ramat Gan, Israel, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Paul J ChangDepartment of Radiology, University of Chicago Medical Center, Chicago, Illinois, 60637, USA.
David OrionCenter of Stroke and Neurovascular Disorders, Sheba Medical Center, Tel HaShomer, Ramat Gan, affiliated to Sackler Faculty of Medicine, Tel Aviv University, 52621, Tel Aviv, Israel.
Tel Aviv University · ILSheba Medical Center · IL3M (Israel) · ILIsrael Corp (Israel) · ILUniversity of Chicago Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the effect of a commercial artificial intelligence (AI) solution implementation in the emergency department on clinical outcomes in a single level 1 trauma center.

methodsA retrospective cohort study for two time periods-pre-AI (1.1.2017-1.1.2018) and post-AI (1.1.2019-1.1.2020)-in a level 1 trauma center was performed. The ICH algorithm was applied to 587 consecutive patients with a confirmed diagnosis of ICH on head CT upon admission to the emergency department. Study variables included demographics, patient outcomes, and imaging data. Participants admitted to the emergency department during the same time periods for other acute diagnoses (ischemic stroke (IS) and myocardial infarction (MI)) served as control groups. Primary outcomes were 30- and 120-day all-cause mortality. The secondary outcome was morbidity based on Modified Rankin Scale for Neurologic Disability (mRS) at discharge.

resultsFive hundred eighty-seven participants (289 pre-AI-age 71 ± 1, 169 men; 298 post-AI-age 69 ± 1, 187 men) with ICH were eligible for the analyzed period. Demographics, comorbidities, Emergency Severity Score, type of ICH, and length of stay were not significantly different between the two time periods. The 30- and 120-day all-cause mortality were significantly reduced in the post-AI group when compared to the pre-AI group (27.7% vs 17.5%; p = 0.004 and 31.8% vs 21.7%; p = 0.017, respectively). Modified Rankin Scale (mRS) at discharge was significantly reduced post-AI implementation (3.2 vs 2.8; p = 0.044).

conclusionThe added value of this study emphasizes the introduction of artificial intelligence (AI) computer-aided triage and prioritization software in an emergent care setting that demonstrated a significant reduction in a 30- and 120-day all-cause mortality and morbidity for patients diagnosed with intracranial hemorrhage (ICH). Along with mortality rates, the AI software was associated with a significant reduction in the Modified Ranking Scale (mRs).

Indexed as

Artificial intelligenceIntracranial hemorrhageModified ranking scale

Identifiers

PMID37568103
PMCPMC10422703
OpenAlexW4385760355

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.