Evidence map›Paper›PMID 41501064›Full record

ArticleNature communications2026

Prehospital real-time AI for trauma mortality prediction: a multi-institutional and multi-national validation study.

Na-Eun Oh, Thomas Young-Chul Oh, Jeremy Hsu, Do Wan Kim, Byungchul Yu, Jayun Cho, Junepill Seok, Jin Young Lee, Woocheol Jang, Jina Kim and 6 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Nature communications, 2026. 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. Review
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

16 authors.

Na-Eun Oh *Department of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID http://orcid.org/0009-0009-6168-0584
Thomas Young-Chul Oh *Trauma Service, Westmead Hospital, University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0009-0004-7124-3824
Jeremy HsuTrauma Service, Westmead Hospital, University of Sydney, Sydney, NSW, Australia.
Do Wan KimDepartment of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital and Chonnam National University Medical School, Gwangju, Republic of Korea.
Byungchul YuTraumatology, Gachon University College of Medicine, Department of trauma surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Jayun ChoDepartment of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.
Junepill SeokDepartment of Thoracic and Cardiovascular Surgery, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Jin Young LeeDepartment of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Woocheol JangDepartment of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID http://orcid.org/0000-0003-4728-5448
Jina KimDepartment of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, Republic of Korea.ORCID http://orcid.org/0009-0006-4661-7905
Robert J FemiaRonald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-8162-5085
Paul A TestaRonald O. Perelman Department of Emergency Medicine, New York University Grossman School of Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0002-1512-9638
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University College of Medicine, Seoul, South Korea.ORCID http://orcid.org/0000-0003-1628-9948
Daniel K SodicksonBernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University Grossman School of Medicine, New York, NY, USA.
Wu Seong KangDepartment of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Republic of Korea. wuseongkang@naver.com.ORCID http://orcid.org/0000-0003-0136-4458
Jinseok LeeDepartment of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, Republic of Korea. gonasago@khu.ac.kr.ORCID http://orcid.org/0000-0002-8580-490X

Funding

TR&D 4: Revealing Microstructure: Biophysical modeling and validation for discovery and clinical careP41EB017183 · NIBIB · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Christopher M Collins · 2014 to 2026
$19.3M
NIBIB NIH HHS P41 EB017183
6 · The paper itself

Abstract

Early identification of high-risk trauma patients in the prehospital setting is crucial for optimizing resource allocation and improving survival. We developed and externally validated a real-time AI model predicting emergency room mortality using 21 prehospital variables. Model development and internal validation utilized the Korean Trauma Data Bank (KTDB; 204,189 patients), and external validation included four South Korean trauma centers (8,358 patients) and one Australian Level 1 center (3,578 patients). Our Prehospital-AI model, an ensemble of XGBoost, LightGBM, and random forest, achieved an AUROC of 0.923 (sensitivity: 0.780, specificity: 0.880) on the test set, outperforming the shock index (AUROC: 0.712). External validation yielded AUROCs of 0.925-0.956 across South Korean centers and 0.895 in the Australian center. Here we show that the Prehospital-AI model enables accurate, real-time risk assessment in the prehospital setting, outperforming traditional triage tools and improving trauma system efficiency. Nonetheless, additional multinational studies are warranted to further evaluate its generalizability across diverse trauma care systems.

Indexed as

Artificial IntelligenceEmergency Medical ServicesWounds and InjuriesAustraliaBoosting Machine Learning AlgorithmsFemaleHumansPrediction AlgorithmsRandom ForestRepublic of KoreaRisk AssessmentROC CurveTrauma CentersTriage

Identifiers

PMID41501064
PMCPMC12886923

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.