Evidence map›Paper›PMID 42216027›Full record

SynthesisBMC medical informatics and decision making2026

Artificial intelligence-based models in predicting acute exacerbations and diagnosing pediatric asthma: a systematic review and meta-analysis.

Qingxia Shi, Lu Zhu, Wenwen Wang, Xuemei Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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

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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

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

4 authors.

Qingxia ShiDepartment of Pediatrics, Chongqing Health Center for Women and Children, Chongqing, 400000, China.
Lu ZhuDepartment of Pediatrics, Chongqing Health Center for Women and Children, Chongqing, 400000, China.
Wenwen WangDepartment of Pediatrics, Chongqing Health Center for Women and Children, Chongqing, 400000, China.
Xuemei LiDepartment of Pediatrics, Chongqing Health Center for Women and Children, Chongqing, 400000, China. 112019@hospital.cqmu.edu.cn.

Funding

the Chongqing Natural Science Foundation General Project CSTB2022NSCQ-MSX1050
6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis evaluated the performance of artificial intelligence (AI)-based models in diagnosing pediatric asthma and predicting acute asthma exacerbations.

methodsA comprehensive literature search was conducted across PubMed, Embase, and Web of Science. The initial search was conducted up to December 6, 2024, and a supplementary search was conducted in April 2025 to identify newly published or newly indexed studies. Diagnostic performance metrics, including sensitivity, specificity, area under the curve (AUC), and 2 × 2 diagnostic data, were extracted or reconstructed. A bivariate random-effects model was used for meta-analysis, and study quality was assessed using a modified QUADAS-2 tool with PROBAST-informed signaling questions.

resultsA total of 18 studies were included: 13 studies evaluated AI-based models for pediatric asthma diagnosis and five studies evaluated AI-based models for predicting acute asthma exacerbations. For asthma diagnosis, internal validation showed a sensitivity of 0.87, specificity of 0.93, and AUC of 0.96, while external validation showed a sensitivity of 0.81 and specificity of 0.94. For acute exacerbation prediction, internal validation showed a sensitivity of 0.59, specificity of 0.79, and AUC of 0.68. These estimates should be interpreted cautiously because heterogeneity was very high and external validation evidence was limited.

conclusionAI-based models showed promising but preliminary diagnostic performance for pediatric asthma, whereas their performance for predicting acute exacerbations remained limited. The findings should be interpreted cautiously because of substantial heterogeneity, potential publication bias, and limited external validation. Future studies should use standardized definitions and independent external validation before these models are implemented in clinical practice. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Artificial IntelligenceAsthmaDisease ProgressionChildHumansPredictive Learning ModelsSensitivity and SpecificityArtificial intelligenceAsthmaAsthma exacerbationsChildrenMeta-analysis

Identifiers

PMID42216027
PMCPMC13440168

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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.