Evidence map›Paper›PMID 41112209›Full record

ArticleFrontiers in digital health2025

Feasibility of a multimodal AI-based clinical assessment platform in emergency care: an exploratory pilot study.

Philipp Russ, Peter M Mross, Gunter Kräling, Fabian Lechner, Mohamed Eldakar, Nadine Schlicker, Simon Bedenbender, Sylvain Brouwer, Kirsten Zantvoort, Andreas Jerrentrup and 2 more

Abstract read
In one paragraph

Article in Frontiers in digital health, 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

12 authors.

Philipp RussInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Peter M MrossInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Gunter KrälingInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Fabian LechnerInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Mohamed EldakarInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Nadine SchlickerInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Simon BedenbenderDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Sylvain BrouwerInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Kirsten ZantvoortInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Andreas JerrentrupDepartment of Emergency Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Ivica GrgicInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.
Martin C HirschInstitute for Artificial Intelligence in Medicine, Marburg University, University Hospital Giessen and Marburg, Marburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Overcrowding in emergency departments (EDs) is a key challenge in modern healthcare, affecting not only patient and staff comfort but also mortality rates and quality of care. Artificial intelligence (AI) offers the potential to optimize ED workflows by automating processes such as triage, history-taking and documentation. To explore a potential approach to overcrowding, we developed a multimodal and modular AI-based platform that integrates these functions into a single system. This exploratory pilot study investigated the feasibility of implementing the platform, focusing particularly on usability and patient trust in the system. Methods: Ambulatory patients triaged as non-urgent at the Marburg University Hospital ED were recruited. After providing written consent, they underwent an AI-supported initial assessment, including vital sign monitoring, automated triage, suspected diagnosis and automatic report generation. Participants then completed validated questionnaires on usability, Trust in Automation (TiA), and a supplementary self-developed survey. Results: A total of 20 patients were enrolled (70% female, 30% male; mean age 45.1 years), with an average interaction time of 10.6 min. The majority (80%) reported feeling safe, satisfied, and willing to recommend the system, while areas for improvement were identified regarding patient inclusion in decision-making and the perceived quality of information received. Usability was rated as excellent, with a mean System Usability Scale (SUS) score of 90.6. Although familiarity with the system was low, trust-related measures assessed using the TiA questionnaire were generally high. Conclusion: This exploratory pilot study demonstrates the feasibility and user acceptance of a multimodal AI platform in an ED setting. The system achieved high patient satisfaction, excellent usability, and a generally high level of trust. While these findings are limited to feasibility and perception, they indicate that such systems could serve as a basis for multicenter studies that directly evaluate impacts on triage accuracy, patient engagement, and clinical efficiency.

Indexed as

artificial intelligence (AI)clinician decision supportdigital healthemergency departments (ED)overcrowdingtriage

Identifiers

PMID41112209
PMCPMC12533282

What OpenQuestion holds

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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.