John J. Sprockel-Díaz, Servicio de Medicina Interna, Facultad de Medicina de la Fundación Universitaria de Ciencias de la Salud, Hospital de San José de Bogotá; Instituto de investigaciones de la Fundación Universitaria de Ciencias de la Salud; Unidad de Cuidados Intensivos de la Subred integrada de Servicios de Salud del Sur, Hospital El Tunal; Bogotá, Colombia
Juan J. Diaztagle-Fernández, Servicio de Medicina Interna, Facultad de Medicina de la Fundación Universitaria de Ciencias de la Salud, Hospital de San José de Bogotá; Departamento de Ciencias Fisiológicas, Facultad de Medicina, Universidad Nacional de Colombia, Sede Bogotá. Bogotá, Colombia
Introduction: Chest pain patients’ risk is classified using a focused history and cardiovascular risk assessment, and Clinical Decision Pathways are protocols used to define their risk. Natural Language Processing is a field of computer science that enables computers to understand, interpret, and generate human language. ChatGPT is a new network architecture based on attention mechanisms. Objective: To investigate the potential of ChatGPT for natural language processing by selecting articles within a systematic review and utilizing ChatGPT to assist in writing a paper. Method: Our group conducted a systematic review of the literature to evaluate the diagnostic accuracy of troponin testing for early discharge of patients with suspected acute coronary syndrome. ChatGPT was tasked with selecting articles by screening their titles, abstracts, and full texts. The results obtained were compared with those of the original search. Reference documents were entered into the chatpdf.com platform under strict supervision. Results: The initial screening identified 3509 studies, of which 3 articles were selected for inclusion in the systematic review by ChatGTP: The HEART Pathway randomized trial, a Comparison of the 2-Hour ADAPT vs HEART Pathway, and the RAPID-TnT. These three articles represented 60% of the five articles identified in the original review. Conclusion: The present paper shows the potential value of ChatGPT in aiding the article selection process for systematic reviews and to assist in writing the paper. Nonetheless, further investigation and validation are required to confirm the effectiveness of this technology.
Keywords: ChatGPT. Natural language processing. Artificial intelligence. Chest pain. Systematic review. Clinical decision pathways.