Evidence map›Paper›PMID 39345332›Full record

ArticleOTO open

Development of an Automated Triage System for Longstanding Dizzy Patients Using Artificial Intelligence.

Santiago Romero-Brufau, Robert J Macielak, Jeffrey P Staab, Scott D Z Eggers, Colin L W Driscoll, Neil T Shepard, Douglas J Totten, Sabrina M Albertson, Kalyan S Pasupathy, Devin L McCaslin

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. A digital neurotology history: Characteristics and inter-rater reliability.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
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  3. 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.

Santiago Romero-BrufauDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Robert J MacielakDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.ORCID 0000-0002-0393-594X
Jeffrey P StaabDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Scott D Z EggersDepartment of Neurology Mayo Clinic Rochester Minnesota USA.
Colin L W DriscollDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Neil T ShepardDepartment of Otolaryngology-Head and Neck Surgery Mayo Clinic Rochester Minnesota USA.
Douglas J TottenDepartment of Otolaryngology-Head and Neck Surgery Indiana University School of Medicine Indianapolis Indiana USA.
Sabrina M AlbertsonDepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
Kalyan S PasupathyDepartment of Biomedical and Health information Sciences University of Illinois-Chicago Chicago Illinois USA.
Devin L McCaslinDepartment of Otolaryngology-Head and Neck Surgery University of Michigan Ann Arbor Michigan USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To report the first steps of a project to automate and optimize scheduling of multidisciplinary consultations for patients with longstanding dizziness utilizing artificial intelligence. Study Design: Retrospective case review. Setting: Quaternary referral center. Methods: A previsit self-report questionnaire was developed to query patients about their complaints of longstanding dizziness. We convened an expert panel of clinicians to review diagnostic outcomes for 98 patients and used a consensus approach to retrospectively determine what would have been the ideal appointments based on the patient's final diagnoses. These results were then compared retrospectively to the actual patient schedules. From these data, a machine learning algorithm was trained and validated to automate the triage process. Results: Compared with the ideal itineraries determined retrospectively with our expert panel, visits scheduled by the triage clinicians showed a mean concordance of 70%, and our machine learning algorithm triage showed a mean concordance of 79%. Conclusion: Manual triage by clinicians for dizzy patients is a time-consuming and costly process. The formulated first-generation automated triage algorithm achieved similar results to clinicians when triaging dizzy patients using data obtained directly from an online previsit questionnaire.

Indexed as

dizzinessDizziness Handicap Inventoryfunctional vestibular disorderpsychiatric disordervestibular dysfunction

Identifiers

PMID39345332
PMCPMC11427795

What OpenQuestion holds

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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.