Evidence map›Paper›PMID 40297198›Full record

ArticleJournal of the American College of Emergency Physicians open2025

National Cost Savings From Use of Artificial Intelligence Guided Echocardiography in the Assessment of Intermediate-Risk Patients With Syncope in the Emergency Department.

Andrew Goldsmith, Nicole M Duggan, Yonatan G Keschner, Da'Marcus E Baymon, Andrew D Luo, Arun Nagdev, Tina Kapur, Samuel Caplan, David A Meguerdichian, Christopher W Baugh

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Andrew GoldsmithDepartment of Emergency Medicine, Lahey Hospital, University of Massachusetts Medical School, Burlington, Massachusetts, USA.
Nicole M DugganDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yonatan G KeschnerDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Da'Marcus E BaymonDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Andrew D LuoDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Arun NagdevDepartment of Emergency Medicine, Alameda Health System/Highland Hospital, Oakland, California, USA.
Tina KapurDepartment of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Samuel CaplanDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
David A MeguerdichianDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Christopher W BaughDepartment of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Our primary objective was to estimate the realistic impact of an artificial intelligence (AI)-based trans-thoracic echocardiogram (TTE)-first strategy on the annual national cost savings among eligible adult emergency department (ED) patients presenting with syncope in the United States. Our secondary outcomes were the estimated reduction in avoidable ED bed hours and comprehensive TTE studies. Methods: Using publicly available estimates for inputs such as the size of the adult ED syncope population, typical disposition and risk stratification proportions, and frequency of comprehensive TTE studies, we created a model and ran 1000 trials of a Monte Carlo simulation. Using this simulation, we modeled the national annual cost savings and potential bed hours averted through the impact of avoiding comprehensive TTE studies. We report the descriptive statistics modeling the distribution of all endpoints. Results: An AI-assisted TTE-first strategy was estimated to save a mean (±SD) of $815 million (±$260 million) by avoiding 468,000 (±141,000) comprehensive TTE studies resulting in 12,500,000 (±4,600,000) bed hours saved. Conclusion: If adopted widely, an AI-based TTE-first strategy applied to eligible ED patients presenting with syncope could yield substantial benefits by averting avoidable comprehensive TTE studies and saving bed hours.

Indexed as

artificial intelligencecost savingsechocardiographyemergency departmentsyncope

Identifiers

PMID40297198
PMCPMC12035915

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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.