Evidence map›Paper›PMID 42120428›Full record

ArticleNature communications2026

Artificial intelligence for predicting hospital admissions from the emergency department: a prospective, quasi-experimental study.

Alexander J Ryu, Shant Ayanian, Ray Qian, Riddhi S Parikh, Sagar B Dugani, Karen M Fischer, Heather A Heaton, Jens P Boyum, Benjamin J Hinton, Donna K Lawson and 1 more

Registry-linked trialAbstract read
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. It is linked to trial NCT05683899 (Evaluation of Emergency Department AI Prediction Algorithm), which is not on this map. Not yet cited in PubMed.

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

NCT05683899 completednot on this map

Evaluation of Emergency Department AI Prediction Algorithm

TypeobservationalSponsorMayo ClinicRan2023 to 2023Enrolled80ConditionsHospital Admission, Length of Stay
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Alexander J Ryu *Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA. Ryu.alexander@mayo.edu.ORCID http://orcid.org/0000-0002-0138-5112
Shant Ayanian *Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-9319-9001
Ray QianDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Riddhi S ParikhDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sagar B DuganiDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Karen M FischerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Heather A HeatonDepartment of Emergency Medicine, Mayo Clinic, Rochester, MN, USA.
Jens P BoyumDepartment of Clinical Systems, Mayo Clinic, Rochester, MN, USA.
Benjamin J HintonCenter for Digital Health, Mayo Clinic, Rochester, MN, USA.
Donna K LawsonDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.
M Caroline BurtonDivision of Hospital Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

Rural Patient Risks and Exposures for Diabetes ConTrol (Rural PREDICT)K23MD016230 · NIMHD · MAYO CLINIC ROCHESTER · PI DUGANI, CHANDRASAGAR · 2021 to 2025
$763k
NIMHD NIH HHS K23 MD016230
6 · The paper itself

Abstract

The use of certain artificial intelligence (AI) tools may improve hospital operational efficiency, in particular in overcrowded emergency departments (ED). Here, we conduct a prospective, quasi experimental study evaluating an AI model predicting hospital admission risk, alternately displaying and hiding its outputs to clinicians in 2 week blocks over 11 months in 2023. Among 54,394 eligible ED visits, the AI tool does not change the number of ED patients discharged per day but reduces median ED length of stay by 12 min without increasing 72 h bounceback visits. Model performance remained stable (AUC 0.80-0.82), and hospitalist clinicians reported greater perceived usefulness than ED clinicians. These findings show that integrating a low burden AI prediction tool into ED workflows can improve operational efficiency. The study was registered on Clinicaltrials.gov (NCT05683899).

Indexed as

Artificial IntelligenceEmergency Service, HospitalHospitalizationPatient AdmissionEmergency Room VisitsHumansLength of StayPrediction AlgorithmsProspective Studies

Identifiers

PMID42120428
PMCPMC13377025

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Registered trials

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.