Evidence map›Paper›PMID 38757352›Full record

SynthesisAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2024

Using natural language processing in emergency medicine health service research: A systematic review and meta-analysis.

Hao Wang, Naomi Alanis, Laura Haygood, Thomas K Swoboda, Nathan Hoot, Daniel Phillips, Heidi Knowles, Sara Ann Stinson, Prachi Mehta, Usha Sambamoorthi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Words to live by: Using medic impressions to identify the need for prehospital lifesaving interventions.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  4. 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

10 authors.

Hao WangDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.ORCID 0000-0002-5105-0951
Naomi AlanisDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.
Laura HaygoodHealth Sciences Librarian for Public Health, Brown University, Providence, Rhode Island, USA.
Thomas K SwobodaDepartment of Emergency Medicine, The Valley Health System, Touro University Nevada School of Osteopathic Medicine, Las Vegas, Nevada, USA.
Nathan HootDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.
Daniel PhillipsDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.
Heidi KnowlesDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.
Sara Ann StinsonMary Couts Burnett Library, Burnett School of Medicine at Texas Christian University, Fort Worth, Texas, USA.
Prachi MehtaDepartment of Emergency Medicine, JPS Health Network, Fort Worth, Texas, USA.
Usha SambamoorthiCollege of Pharmacy, University of North Texas Health Science Center, Fort Worth, Texas, USA.

Funding

AIM-AHEAD Coordinating Center - All Four CoresOT2OD032581 · OD · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI Paul Avillach, Bettina M. Beech · 2021 to 2026
$168.7M
Texas Minority Health, Research and Outreach (MiHERO)S21MD012472 · NIMHD · UNIVERSITY OF NORTH TEXAS HLTH SCI CTR · PI JAMBOOR K. VISHWANATHA · 2017 to 2026
$18.0M
National Institute of Health Common Fund 1OT2OD032581-01NIH HHS OT2 OD032581NIMHD NIH HHS 5S21MD012472-05NIMHD NIH HHS S21 MD012472
6 · The paper itself

Abstract

objectivesNatural language processing (NLP) represents one of the adjunct technologies within artificial intelligence and machine learning, creating structure out of unstructured data. This study aims to assess the performance of employing NLP to identify and categorize unstructured data within the emergency medicine (EM) setting.

methodsWe systematically searched publications related to EM research and NLP across databases including MEDLINE, Embase, Scopus, CENTRAL, and ProQuest Dissertations & Theses Global. Independent reviewers screened, reviewed, and evaluated article quality and bias. NLP usage was categorized into syndromic surveillance, radiologic interpretation, and identification of specific diseases/events/syndromes, with respective sensitivity analysis reported. Performance metrics for NLP usage were calculated and the overall area under the summary of receiver operating characteristic curve (SROC) was determined.

resultsA total of 27 studies underwent meta-analysis. Findings indicated an overall mean sensitivity (recall) of 82%-87%, specificity of 95%, with the area under the SROC at 0.96 (95% CI 0.94-0.98). Optimal performance using NLP was observed in radiologic interpretation, demonstrating an overall mean sensitivity of 93% and specificity of 96%.

conclusionsOur analysis revealed a generally favorable performance accuracy in using NLP within EM research, particularly in the realm of radiologic interpretation. Consequently, we advocate for the adoption of NLP-based research to augment EM health care management.

Indexed as

Emergency MedicineNatural Language ProcessingHealth Services ResearchHumanselectronic health recordsemergency medicinenatural language processingperformance accuracyprecisionrecall

Identifiers

PMID38757352
PMCPMC11246236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.