Evidence map›Paper›PMID 40522351›Full record

SynthesisJournal of medical systems2025

A Meta-Analysis of the Diagnostic Test Accuracy of Artificial Intelligence for Predicting Emergency Department Revisits.

Kuang-Ming Kuo, Wen-Shiann Wu, Chao Sheng Chang

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Journal of medical systems, 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. Article
  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

3 authors.

Kuang-Ming Kuo *Department of Business Management, National United University, No.1, Lienda, Miaoli, 360301, Taiwan.
Wen-Shiann Wu *Department of Cardiology, Chi Mei Medical Center, Tainan City, Taiwan.
Chao Sheng ChangDepartment of Emergency Medicine, E-Da Hospital, Kaohsiung City, Taiwan. zincfinger522@yahoo.com.tw.

Funding

National Science and Technology Council MOST-111-2410-H-239-002
6 · The paper itself

Abstract

The revisit of the emergency department (ED) is a key indicator of emergency care quality. Various strategies have been proposed to reduce ED revisits, including the use of artificial intelligence (AI) models for prediction. However, AI model performance varies significantly, and its true predictive capability remains unclear. To address these gaps, the primary purpose of this study is to evaluate the performance of AI in predicting ED revisits through a meta-analysis. Specifically, this study aims to (1) Quantitatively assess the predictive performance of AI in ED revisit prediction and (2) Identify covariates contributing to between-study heterogeneity. A systematic search was conducted on December 31, 2024, across multiple electronic databases, including Scopus, SpringerLink, ScienceDirect, PubMed, Wiley, Sage, and Google Scholar, to identify relevant studies meeting the following criteria: (1) Utilized machine learning, deep learning, or artificial intelligence techniques to predict patient return visits to the ED, (2) Written in English, and (3) Peer-reviewed. Diagnostic accuracy was assessed using pooled sensitivity, specificity, and area under receiver operating characteristic curve (AUROC), while subgroup analysis explored factors contributing to heterogeneity. This meta-analysis included 20 articles, comprising 27 AI models. The summary estimates for ED revisit prediction were as follows: (1) Sensitivity: 0.56 (95% Confidence Interval [CI]: 0.44-0.67), (2) Specificity: 0.92 (95% CI: 0.86-0.96), and (3) AUROC: 0.81 (95% CI: 0.71-0.88). Subgroup analysis identified nationality, missing value-handling strategies, and specific disease samples as potential contributors to between-study heterogeneity. Future research should focus on improving missing value processing and using specific disease samples to enhance model reliability.

Indexed as

Artificial IntelligenceEmergency Service, HospitalPatient ReadmissionHumansMachine LearningROC CurveSensitivity and SpecificityDiagnostic test accuracyEmergency department revisitMachine learningMeta-analysis

Identifiers

What OpenQuestion holds

Textmetadata
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.