Evidence map›Paper›PMID 38648098›Full record

ArticleJournal of medical Internet research2024

ChatGPT's Performance in Cardiac Arrest and Bradycardia Simulations Using the American Heart Association's Advanced Cardiovascular Life Support Guidelines: Exploratory Study.

Cecilia Pham, Romi Govender, Salik Tehami, Summer Chavez, Omolola E Adepoju, Winston Liaw

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

6 authors.

Cecilia PhamTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0009-0001-5172-1487
Romi GovenderTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0009-0006-3728-4248
Salik TehamiTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0000-0002-2804-502X
Summer ChavezTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0000-0003-4249-6692
Omolola E AdepojuTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0000-0002-5585-7146
Winston LiawTilman J Fertitta Family College of Medicine, University of Houston, Houston, TX, United States.ORCID 0000-0002-7865-1685

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChatGPT is the most advanced large language model to date, with prior iterations having passed medical licensing examinations, providing clinical decision support, and improved diagnostics. Although limited, past studies of ChatGPT's performance found that artificial intelligence could pass the American Heart Association's advanced cardiovascular life support (ACLS) examinations with modifications. ChatGPT's accuracy has not been studied in more complex clinical scenarios. As heart disease and cardiac arrest remain leading causes of morbidity and mortality in the United States, finding technologies that help increase adherence to ACLS algorithms, which improves survival outcomes, is critical.

objectiveThis study aims to examine the accuracy of ChatGPT in following ACLS guidelines for bradycardia and cardiac arrest.

methodsWe evaluated the accuracy of ChatGPT's responses to 2 simulations based on the 2020 American Heart Association ACLS guidelines with 3 primary outcomes of interest: the mean individual step accuracy, the accuracy score per simulation attempt, and the accuracy score for each algorithm. For each simulation step, ChatGPT was scored for correctness (1 point) or incorrectness (0 points). Each simulation was conducted 20 times.

resultsChatGPT's median accuracy for each step was 85% (IQR 40%-100%) for cardiac arrest and 30% (IQR 13%-81%) for bradycardia. ChatGPT's median accuracy over 20 simulation attempts for cardiac arrest was 69% (IQR 67%-74%) and for bradycardia was 42% (IQR 33%-50%). We found that ChatGPT's outputs varied despite consistent input, the same actions were persistently missed, repetitive overemphasis hindered guidance, and erroneous medication information was presented.

conclusionsThis study highlights the need for consistent and reliable guidance to prevent potential medical errors and optimize the application of ChatGPT to enhance its reliability and effectiveness in clinical practice.

Indexed as

Advanced Cardiac Life SupportAmerican Heart AssociationBradycardiaHeart ArrestAlgorithmsHumansPractice Guidelines as TopicUnited StatesACLSadvanced cardiovascular life supportAIalgorithmsAmericaAmericanartificial intelligencebradycardiabradycardia simulationscardiaccardiac arrestChatGPTclinical decision supportdiagnosticsexploratory studyheartheart associationheart attacklarge language modellife supportLLMsimulation

Identifiers

PMID38648098
PMCPMC11074885

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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.