Evidence map›Paper›PMID 41181570›Full record

ArticleDigital health

A comparative study on the application of large language models: Deepseek-R1, GPT-4o, and Claude-Sonnet-4 in post-cardiac surgery rehabilitation-A cross-sectional study.

Wenbo Li, Qiujie Li

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

2 authors.

Wenbo LiDepartment of Clinical Nursing Education, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0009-0005-0204-751X
Qiujie LiDepartment of Clinical Nursing Education, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0009-0005-6962-3278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to systematically evaluate the performance of three advanced Chinese large language models (LLMs)-DeepSeek-R1, GPT-4o, and Claude-Sonnet-4-in supporting patient education during post-cardiac surgery rehabilitation. Methods: A total of 35 patient-centered questions were developed based on clinical guidelines, covering five core domains: postoperative care, medication and diet, mental health, complication prevention, and physical activity. Each model was prompted with the same questions five times. Responses were independently assessed by clinical experts for accuracy, completeness, readability (using FRE and FKGL), and reproducibility under repeated prompting. Statistical analyses were conducted using analysis of variance and post-hoc least significant difference (LSD) tests. Results: DeepSeek-R1 demonstrated the highest overall performance in terms of accuracy (mean score: 4.64) and completeness (4.20), and achieved the highest response stability (85.7%). GPT-4o outperformed the others in readability (FRE: 53.19) and linguistic fluency but showed lower reproducibility (62.9%). Claude-Sonnet-4 showed moderate and variable performance, with limitations in clinical detail. All observed differences were statistically significant ( Conclusion: DeepSeek-R1 is most suitable for structured, guideline-based rehabilitation education. GPT-4o may be preferable in emotionally supportive or patient-facing scenarios due to its superior readability. Claude-Sonnet-4, while less consistent, may offer stylistic balance in diverse communication settings. Overall, LLMs show promising potential in digital cardiac rehabilitation, but task-specific model alignment remains essential.

Indexed as

cardiac surgerychatbotChatGPTClaudeDeepSeeklarge language models

Identifiers

PMID41181570
PMCPMC12576215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.