Perioperative medicine & outcomes

A pre-trained language model approach for triaging surgical patients for preoperative anesthesia clinics

J Clin Monit ComputPublished Retrospective diagnostic accuracy study

Authors' conclusion

Automating integrated analysis using pre-trained language models to aid in preoperative triaging could enhance accuracy and efficiency at scale, reducing manual review and provider burden.

Study context

Population
Surgical patients evaluated at a single-centre preoperative anesthesia care clinic; classification of nursing preoperative phone call vs in-person clinician evaluation46,922 clinical documents
Participants
1,761 patients
Comparison
Four pre-trained language models with three data inputs
Outcome
AUC range across the four language models
Methodological detailssingle-centre, machine learning (pre-trained language models), 75%/25% training/test split
  • Single-centre
  • Machine learning (pre-trained language models)
  • 75%/25% training/test split

Performance

As reported in the abstract

Test or modelAUC
D + N0.70 - 0.74
N0.58 - 0.73
D0.57 - 0.62

AUC

D + N0.70 - 0.74
N0.58 - 0.73
D0.57 - 0.62

Original publication

A pre-trained language model approach for triaging surgical patients for preoperative anesthesia clinics. J Clin Monit Comput. Published 24 December 2025. doi:10.1007/s10877-025-01401-z

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