Evidence map›Paper›PMID 40979784›Full record

ArticleWorld journal of emergency medicine2025

Performance of a novel medical artificial intelligence large language model on supporting decision-making for emergency patients with suspected sepsis.

Sen Jiang, Xiandong Liu, Tong Liu, Yi Gu, Bo An, Chunxue Wang, Dongyang Zhao, Haitao Zhang, Lunxian Tang

Abstract read
In one paragraph

Article in World journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

9 authors.

Sen Jiang1Shanghai East Clinical Medical College, Nanjing Medical University, Shanghai 200120, China.
Xiandong Liu1Shanghai East Clinical Medical College, Nanjing Medical University, Shanghai 200120, China.
Tong Liu2Department of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China.
Yi Gu1Shanghai East Clinical Medical College, Nanjing Medical University, Shanghai 200120, China.
Bo An3Institute of Ethnology and Anthropology, Chinese Academy of Social Sciences, Beijing 100081, China.
Chunxue Wang2Department of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China.
Dongyang Zhao2Department of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China.
Haitao Zhang2Department of Internal Emergency Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai 200120, China.
Lunxian Tang1Shanghai East Clinical Medical College, Nanjing Medical University, Shanghai 200120, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge language models (LLMs) are being explored for disease prediction and diagnosis; however, their efficacy for early sepsis identification in emergency departments (EDs) remains unexplored. This study aims to evaluate MedGo, a novel medical LLM, as a decision-support tool for clinicians managing patients with suspected sepsis.

methodsThis retrospective study included anonymized medical records of 203 patients (mean age 79.9±10.2 years) with confirmed sepsis from a tertiary hospital ED between January 2023 and January 2024. MedGo performance across nine sepsis-related assessment tasks was compared with that of two junior (<3 years of experience) and two senior (>10 years of experience) ED physicians. Assessments were scored on a 5-point Likert scale for accuracy, comprehensiveness, readability, and case-analysis skills.

resultsMedGo demonstrated diagnostic performance comparable to that of senior physicians across most metrics, achieving a median Likert score of 4 in accuracy, comprehensiveness, and readability. MedGo significantly outperformed junior physicians (

conclusionMedGo shows significant diagnostic efficacy for sepsis and effectively supports clinicians in the ED, particularly enhancing junior physicians' performance. Our study highlights the potential of MedGo as a valuable decision-support tool for sepsis management, paving the way for specialized sepsis AI models.

Indexed as

Emergency departmentLarge language modelsSepsis

Identifiers

PMID40979784
PMCPMC12444244

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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.