Evidence map›Paper›PMID 40241839›Full record

ReviewJournal of intensive medicine2025

Large language models in critical care.

Laurens A Biesheuvel, Jessica D Workum, Merijn Reuland, Michel E van Genderen, Patrick Thoral, Dave Dongelmans, Paul Elbers

Abstract readReview
In one paragraph

Review in Journal of intensive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Artificial intelligence-guided nutritional therapy in the ICU.Current opinion in clinical nutrition and metabolic care · 2026
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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

7 authors.

Laurens A BiesheuvelDepartment of Intensive Care Medicine, Center for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam Public Health, Amsterdam Institute for Immunity and Infectious Diseases, Amsterdam Cardiovascular Science, Amsterdam UMC, Vrije Universiteit, University of Amsterdam, Amsterdam, The Netherlands.
Jessica D WorkumDepartment of Intensive Care, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
Merijn ReulandDepartment of Intensive Care Medicine, Center for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam Public Health, Amsterdam Institute for Immunity and Infectious Diseases, Amsterdam Cardiovascular Science, Amsterdam UMC, Vrije Universiteit, University of Amsterdam, Amsterdam, The Netherlands.
Michel E van GenderenDepartment of Adult Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.
Patrick ThoralDepartment of Intensive Care Medicine, Center for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam Public Health, Amsterdam Institute for Immunity and Infectious Diseases, Amsterdam Cardiovascular Science, Amsterdam UMC, Vrije Universiteit, University of Amsterdam, Amsterdam, The Netherlands.
Dave DongelmansDepartment of Intensive Care Medicine, Amsterdam UMC, National Intensive Care Evaluation (NICE) Foundation, Amsterdam UMC location University of Amsterdam, Department of Medical Informatics, Amsterdam Public Health, Amsterdam, The Netherlands.
Paul ElbersDepartment of Intensive Care Medicine, Center for Critical Care Computational Intelligence, Amsterdam Medical Data Science, Amsterdam Public Health, Amsterdam Institute for Immunity and Infectious Diseases, Amsterdam Cardiovascular Science, Amsterdam UMC, Vrije Universiteit, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of chat generative pre-trained transformer (ChatGPT) and large language models (LLMs) has revolutionized natural language processing (NLP). These models possess unprecedented capabilities in understanding and generating human-like language. This breakthrough holds significant promise for critical care medicine, where unstructured data and complex clinical information are abundant. Key applications of LLMs in this field include administrative support through automated documentation and patient chart summarization; clinical decision support by assisting in diagnostics and treatment planning; personalized communication to enhance patient and family understanding; and improving data quality by extracting insights from unstructured clinical notes. Despite these opportunities, challenges such as the risk of generating inaccurate or biased information "hallucinations", ethical considerations, and the need for clinician artificial intelligence (AI) literacy must be addressed. Integrating LLMs with traditional machine learning models - an approach known as Hybrid AI - combines the strengths of both technologies while mitigating their limitations. Careful implementation, regulatory compliance, and ongoing validation are essential to ensure that LLMs enhance patient care rather than hinder it. LLMs have the potential to transform critical care practices, but integrating them requires caution. Responsible use and thorough clinician training are crucial to fully realize their benefits.

Indexed as

Artificial intelligenceCritical care medicineIntensive care medicineLarge language modelsMachine learningNatural language processing

Identifiers

PMID40241839
PMCPMC11997603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.