Evidence map›Paper›PMID 40854972›Full record

ArticleScientific reports2025

Development and internal validation of an AI-based emergency triage model for predicting critical outcomes in emergency department.

Patipan Sitthiprawiat, Borwon Wittayachamnankul, Wachiranun Sirikul, Korsin Laohavisudhi

Abstract readValidation Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  3. Review
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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

4 authors.

Patipan SitthiprawiatDepartment of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Borwon WittayachamnankulDepartment of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Wachiranun SirikulDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Korsin LaohavisudhiDepartment of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. korsin.laohavisudhi@cmu.ac.th.

Funding

Faculty of Medicine, Chiang Mai University INV08/2567, 2024
6 · The paper itself

Abstract

Emergency department (ED) overcrowding contributes to delayed patient care and worse clinical outcomes. Traditional triage systems face accuracy and consistency limitations. This study developed and internally validated a machine learning model predicting intensive care unit (ICU) admissions and resource utilization in ED patients. A retrospective analysis of 163,452 ED visits (2018-2022) from Maharaj Nakhon Chiang Mai Hospital evaluated logistic regression, random forest, and XGBoost models against the Canadian Triage and Acuity Scale (CTAS). The XGBoost model achieved superior predictive performance (AUROC 0.917 vs. 0.882, AUPRC 0.629 vs. 0.333). Key predictors included mode of arrival, patient age, and free-text chief complaints analyzed with multilingual sentence embeddings. These results demonstrate that machine learning, incorporating unstructured text data, has the potential to enhance triage accuracy and resource allocation by more effectively identifying critically ill patients compared to traditional triage methods.

Indexed as

Emergency Service, HospitalTriageAdultAgedFemaleHumansIntensive Care UnitsMachine LearningMaleMiddle AgedRetrospective Studies

Identifiers

PMID40854972
PMCPMC12378333

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.