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ChatGPT 4, kritik hastaları yönetmekle ilgili soruları uygunsuz bir şekilde yanıtlayabilir

Yıl 2025, Cilt: 16 Sayı: 4, 688 - 692, 01.01.2026
https://doi.org/10.18663/tjcl.1762561

Öz

Yoğun bakım hastaları son derece karmaşık patolojilere sahiptir ve bu da tedavi yönetimlerini zorlaştırır. Bu çalışmada, büyük dilli bir model olan ChatGPT 4'ü kritik hasta yönetimi konusundaki bilgi birikimi açısından değerlendirmeyi amaçladık. Yoğun bakım ünitelerinde çalışan bir yoğun bakım uzmanı, anestezist ve nörolog tarafından kafa travması, pulmoner emboli, miyokard enfarktüsü, kronik obstrüktif akciğer hastalığı, kronik böbrek hastalığı ve enfektif endokardit, septik şok ve status epileptikus dahil olmak üzere mekanik ventilasyon içeren senaryolar oluşturuldu. Bu senaryolarla ilgili hasta yönetimiyle ilgili sorular ChatGPT 4'e önerildi. ChatGPT 4 soruların çoğunu doğru yanıtlasa da, yine de tıbbi girdi gerektiriyor.

Kaynakça

  • Lu Y, Wu H, Qi S, Cheng K. Artificial Intelligence in Intensive Care Medicine: Toward a ChatGPT/GPT-4 Way? Ann Biomed Eng. 2023;51:1898-903.
  • https://github.com/barisaakan/llm-patients
  • Monjezi M, Jamaati H. The effects of pressure- versus volume-controlled ventilation on ventilator work of breathing. Biomed Eng Online. 2020;19:72.
  • Chiumello D, Meli A, Pozzi T, Lucenteforte M, Simili P, Sterchele E, Coppola S. Different Inspiratory Flow Waveform during Volume-Controlled Ventilation in ARDS Patients. J Clin Med. 2021;10:4756.
  • McDonald EG, Aggrey G, Aslan AT, Casias M, Cortes-Penfield N, Dong MQD et al. Guidelines for Diagnosis and Management of Infective Endocarditis in Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2023;6:e2326366.
  • Zhu X, Wang Z, Ferrari MW, Ferrari-Kuehne K, Hsi et al. Management of anticoagulation in patients with infective endocarditis. Thromb Res. 2023;229:15-25.
  • Ibrahim F, Murr NI. Lafora Disease 2024. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
  • Parihar R, Ganesh S. Lafora progressive myoclonus epilepsy: Disease mechanism and therapeutic attempts. J Biosci. 2024;49:22.
  • Meo SA, Al-Masri AA, Alotaibi M, Meo MZS, Meo MOS. ChatGPT Knowledge Evaluation in Basic and Clinical Medical Sciences: Multiple Choice Question Examination-Based Performance. Healthcare (Basel). 2023;11:2046.
  • Wang X, Tang J, Feng Y, Tang C, Wang X. Can ChatGPT-4 perform as a competent physician based on the Chinese critical care examination? J Crit Care. 2025;86:155010.

ChatGPT 4 may inappropriately answer questions about managing critically ill patients

Yıl 2025, Cilt: 16 Sayı: 4, 688 - 692, 01.01.2026
https://doi.org/10.18663/tjcl.1762561

Öz

Intensive care patients have extremely complex pathologies, making their treatment management difficult. In this study, we aim to evaluate ChatGPT 4, a large language model, regarding its knowledge of critically ill patient management. Scenarios involving mechanical ventilation were created by an intensivist, anesthesiologist, and neurologist working in intensive care units, including head trauma, pulmonary embolism, myocardial infarction, chronic obstructive pulmonary disease, chronic kidney disease, and infective endocarditis, septic shock, and status epilepticus. Questions about patient management related to these scenarios were proposed to ChatGPT 4. Although ChatGPT 4 answered most of the questions correctly, it still requires medical input.

Etik Beyan

This study does not require copyrighting for ChatGPT 4 outputs. According to OpenAI's Content Policy and Terms of Use, ChatGPT users own all outputs they create with large language models, including the text and images. We obtained ChatGPT 4’s responses to our designed questions. ChatGPT's answers to our questions are available at: https://github.com/barisaakan/llm-patients

Destekleyen Kurum

This research received no external funding.

Kaynakça

  • Lu Y, Wu H, Qi S, Cheng K. Artificial Intelligence in Intensive Care Medicine: Toward a ChatGPT/GPT-4 Way? Ann Biomed Eng. 2023;51:1898-903.
  • https://github.com/barisaakan/llm-patients
  • Monjezi M, Jamaati H. The effects of pressure- versus volume-controlled ventilation on ventilator work of breathing. Biomed Eng Online. 2020;19:72.
  • Chiumello D, Meli A, Pozzi T, Lucenteforte M, Simili P, Sterchele E, Coppola S. Different Inspiratory Flow Waveform during Volume-Controlled Ventilation in ARDS Patients. J Clin Med. 2021;10:4756.
  • McDonald EG, Aggrey G, Aslan AT, Casias M, Cortes-Penfield N, Dong MQD et al. Guidelines for Diagnosis and Management of Infective Endocarditis in Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2023;6:e2326366.
  • Zhu X, Wang Z, Ferrari MW, Ferrari-Kuehne K, Hsi et al. Management of anticoagulation in patients with infective endocarditis. Thromb Res. 2023;229:15-25.
  • Ibrahim F, Murr NI. Lafora Disease 2024. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
  • Parihar R, Ganesh S. Lafora progressive myoclonus epilepsy: Disease mechanism and therapeutic attempts. J Biosci. 2024;49:22.
  • Meo SA, Al-Masri AA, Alotaibi M, Meo MZS, Meo MOS. ChatGPT Knowledge Evaluation in Basic and Clinical Medical Sciences: Multiple Choice Question Examination-Based Performance. Healthcare (Basel). 2023;11:2046.
  • Wang X, Tang J, Feng Y, Tang C, Wang X. Can ChatGPT-4 perform as a competent physician based on the Chinese critical care examination? J Crit Care. 2025;86:155010.
Toplam 10 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Yoğun Bakım
Bölüm Editöre Mektup
Yazarlar

Derya Gokcinar 0000-0002-0870-2168

Belgin Akan 0000-0003-1589-3553

Oğuzhan Kurşun 0000-0003-3831-4227

Abdullah Halit Gökçınar 0000-0001-6638-5087

Barış Akan 0009-0009-2392-9852

Gönderilme Tarihi 11 Ağustos 2025
Kabul Tarihi 13 Ekim 2025
Yayımlanma Tarihi 1 Ocak 2026
Yayımlandığı Sayı Yıl 2025 Cilt: 16 Sayı: 4

Kaynak Göster

APA Gokcinar, D., Akan, B., Kurşun, O., … Gökçınar, A. H. (2026). ChatGPT 4 may inappropriately answer questions about managing critically ill patients. Turkish Journal of Clinics and Laboratory, 16(4), 688-692. https://doi.org/10.18663/tjcl.1762561
AMA Gokcinar D, Akan B, Kurşun O, Gökçınar AH, Akan B. ChatGPT 4 may inappropriately answer questions about managing critically ill patients. TJCL. Ocak 2026;16(4):688-692. doi:10.18663/tjcl.1762561
Chicago Gokcinar, Derya, Belgin Akan, Oğuzhan Kurşun, Abdullah Halit Gökçınar, ve Barış Akan. “ChatGPT 4 may inappropriately answer questions about managing critically ill patients”. Turkish Journal of Clinics and Laboratory 16, sy. 4 (Ocak 2026): 688-92. https://doi.org/10.18663/tjcl.1762561.
EndNote Gokcinar D, Akan B, Kurşun O, Gökçınar AH, Akan B (01 Ocak 2026) ChatGPT 4 may inappropriately answer questions about managing critically ill patients. Turkish Journal of Clinics and Laboratory 16 4 688–692.
IEEE D. Gokcinar, B. Akan, O. Kurşun, A. H. Gökçınar, ve B. Akan, “ChatGPT 4 may inappropriately answer questions about managing critically ill patients”, TJCL, c. 16, sy. 4, ss. 688–692, 2026, doi: 10.18663/tjcl.1762561.
ISNAD Gokcinar, Derya vd. “ChatGPT 4 may inappropriately answer questions about managing critically ill patients”. Turkish Journal of Clinics and Laboratory 16/4 (Ocak2026), 688-692. https://doi.org/10.18663/tjcl.1762561.
JAMA Gokcinar D, Akan B, Kurşun O, Gökçınar AH, Akan B. ChatGPT 4 may inappropriately answer questions about managing critically ill patients. TJCL. 2026;16:688–692.
MLA Gokcinar, Derya vd. “ChatGPT 4 may inappropriately answer questions about managing critically ill patients”. Turkish Journal of Clinics and Laboratory, c. 16, sy. 4, 2026, ss. 688-92, doi:10.18663/tjcl.1762561.
Vancouver Gokcinar D, Akan B, Kurşun O, Gökçınar AH, Akan B. ChatGPT 4 may inappropriately answer questions about managing critically ill patients. TJCL. 2026;16(4):688-92.


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