NPJ Digit Med. 2026 Jun 17. doi: 10.1038/s41746-026-02904-y. Online ahead of print.
ABSTRACT
Acute coronary syndrome triage at first medical contact begins with patient narratives, while definitive diagnosis often requires waiting for cardiac troponin or electrocardiogram results. We developed TriageMaster-70B, a large language model using only patient narratives and vital signs for the triage. In 16,428 retrospective and 512 prospective cases, it showed high sensitivity, with per-case processing 39% faster than independent retrospective cardiologist review. These findings suggest TriageMaster-70B may support rapid, accurate, and interpretable triage in emergency departments. Clinical trial registration: ClinicalTrials.gov NCT06493175; first posted September 20, 2024.
PMID:42310091 | DOI:10.1038/s41746-026-02904-y