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人工智能语言模型在面部创伤术后患者指导中的应用

Utility of an Artificial Intelligence Language Model for Post-Operative Patient Instructions Following Facial Trauma.

作者信息

Mohan Suresh, Souza Spenser, Fakurnejad Shayan, Knott P Daniel

机构信息

Division of Otolaryngology, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology, University of California-San Francisco, San Francisco, CA, USA.

出版信息

Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):291-294. doi: 10.1177/19433875231222803. Epub 2023 Dec 16.

Abstract

STUDY DESIGN

Qualitative Descriptive Study.

OBJECTIVE

To evaluate the utility of post-operative instructions (POIs) for facial trauma provided by the language model ChatGPT as compared to those from electronic medical record (EMR) templates and Google search engine.

METHODS

POIs for four common facial trauma procedures (mandibular fracture, maxillary fracture, nasal fracture, and facial laceration) were generated by ChatGPT, extracted from EMR templates, or obtained from Google search engine. The POIs were evaluated by a panel of surgeons using the Patient Education Materials Assessment Tool (PEMAT-P).

RESULTS

Average PEMAT-P understandability scores across all 3 sources ranged from 55% to 94%. Actionability scores ranged from 33% to 94%, and procedure-specific scores ranged from 50% to 92%. ChatGPT-generated POIs ranged from 82% to 88% for understandability, 60% to 80% for actionability, and 50% to 75% for procedure-specific items.

CONCLUSIONS

ChatGPT has great potential to be a useful adjunct in providing post-operative instructions for patients undergoing facial trauma procedures. Detailed and patient-specific prompts are necessary to output tailored instructions that are accurate, understandable, and actionable.

摘要

研究设计

定性描述性研究。

目的

评估语言模型ChatGPT提供的面部创伤术后指导(POIs)与电子病历(EMR)模板及谷歌搜索引擎提供的术后指导相比的实用性。

方法

通过ChatGPT生成、从EMR模板中提取或从谷歌搜索引擎获取四种常见面部创伤手术(下颌骨骨折、上颌骨骨折、鼻骨骨折和面部裂伤)的POIs。由一组外科医生使用患者教育材料评估工具(PEMAT-P)对这些POIs进行评估。

结果

所有三种来源的PEMAT-P平均可理解性得分在55%至94%之间。可操作性得分在33%至94%之间,特定手术得分在50%至92%之间。ChatGPT生成的POIs可理解性在82%至88%之间,可操作性在60%至80%之间,特定手术项目在50%至75%之间。

结论

ChatGPT在为接受面部创伤手术的患者提供术后指导方面有很大潜力成为有用的辅助工具。需要详细且针对患者的提示来输出准确、易懂且可操作的定制化指导。

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