Concepedia

Towards AI-Augmented Clinical Decision-Making: An Examination of ChatGPT's Utility in Acute Ulcerative Colitis Presentations

Asaf Levartovsky, Shomron Ben‐Horin, Uri Kopylov, Eyal Klang, Yiftach Barash

The American Journal of Gastroenterology · 2023 · 44 citations · 6 references

Concepts

ComputingEmergency MedicineHealth InformaticsClinical Decision SupportDiagnostic ReasoningGastroenterologyClinical Decision Support EvaluationDiagnostic Decision SupportGastrointestinal AssessmentGastrointestinal InflammationInflammatory Bowel DiseaseInflammatory Bowel Disease CareAcute Gastrointestinal CareAssessment Of Clinical JudgmentClinical Judgment DevelopmentComparative Disease SeverityDisease Severity EstimationDisease Severity Index

Abstract

This study explores the potential of OpenAI's ChatGPT as a decision support tool for acute ulcerative colitis presentations in the setting of an emergency department. We assessed ChatGPT's performance in determining disease severity using TrueLove and Witts criteria and the necessity of hospitalization for patients with ulcerative colitis, comparing results with those of expert gastroenterologists. Of 20 cases, ChatGPT's assessments were found to be 80% consistent with gastroenterologist evaluations and indicated a high degree of reliability. This suggests that ChatGPT could provide as a clinical decision support tool in assessing acute ulcerative colitis, serving as an adjunct to clinical judgment.