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Active, not recruitingNCT07783334Updated Aug 24, 2026

AI Assisted Preoperative Assessment for ASA Classification and ICU Admission

An observational study in Preoperative Anesthesia Assesment, sponsored by Bakirkoy Dr. Sadi Konuk Research and Training Hospital. Active, not recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by Bakirkoy Dr. Sadi Konuk Research and Training Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,500
Ages
18 Years and older
Sex
All
01

Study summary

This prospective observational study evaluates the performance of artificial intelligence (AI) models in preoperative anesthesia assessment. Preoperative clinical data from adult patients undergoing elective surgery are independently evaluated by clinicians and AI models (ChatGPT and Gemini). The study compares their assessments of American Society of Anesthesiologists (ASA) physical status classification and the predicted need for intensive care unit (ICU) admission within the first 24 hours after surgery. Actual postoperative ICU admission is used as the clinical outcome for evaluating predictive performance. No treatment or clinical decision is determined by the AI models, and patient management is performed according to routine clinical practice.

02

Conditions studied

  • Preoperative Anesthesia Assesment

Keywords

  • artificial intteligence
  • preoperative assessment
  • ASA physical status classification
  • Intensive Care Unit admission
  • ChatGPT
  • Gemini
  • Anesthesiology
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Adult patients undergoing elective surgery who are evaluated in the preoperative anesthesia clinic at Bakirkoy Dr. Sadi Konuk Research and Training Hospital.

Inclusion criteria

  • Age 18 years or older
  • Scheduled for elective surgery
  • Evaluated in the preoperative anesthesia clinic
  • Provision of informed consent

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Presence of an upper respiratory tract infection
  • Active herpes infection or active wound and/or lesion in the anesthesia-related area
  • Age under 18 years
  • Emergency surgery
  • Planned cardiovascular surgery
  • Incomplete clinical data
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • elective surgical patients

    Adult patients undergoing elective surgery who undergo routine preoperative anesthesia assessment. Preoperative clinical data from each participant are independently evaluated by the clinician and the AI models ChatGPT and Gemini for ASA physical status classification and prediction of ICU admission within the first 24 postoperative hours. AI assessments do not influence clinical management or patient care.

    Other: AI-assisted preoperative assesment

Interventions

  • OtherAI-assisted preoperative assesment

    Preoperative clinical data are independently evaluated using ChatGPT and Gemini for ASA physical status classification and prediction of ICU admission within 24 hours after surgery. AI-generated assessments are used for research purposes only and do not influence clinical decision-making or patient care.

05

What researchers measure

Primary outcomes

  1. Agreement in ASA Physical Status Classification

    Agreement between clinician-assigned and AI-generated ASA Physical Status classifications will be evaluated for ChatGPT and Gemini using linear weighted kappa statistics.

    Time frame: During preoperative assessment

Secondary outcomes

  1. Prediction of Postoperative ICU Admission

    The accuracy of preoperative predictions of postoperative ICU admission made by the clinician, ChatGPT, and Gemini will be evaluated against actual ICU admission occurring within the first 24 hours after surgery. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy will be calculated for each evaluator.

    Time frame: Within the first 24 hours after surgery

06

Study locations

1 site
  • Bakırköy Dr. Sadi Konuk Training and Research Hospital
    Istanbul, Istanbul 34147, Turkey (Türkiye)
07

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared due to patient confidentiality and data protection considerations.

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07783334
Lead sponsor
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Responsible party
Zeynep Lee (anesthesiology and reanimation resident, Bakirkoy Dr. Sadi Konuk Research and Training Hospital) — Principal investigator
First posted
Aug 24, 2026
Start date
Feb 16, 2026
Primary completion
Aug 20, 2026 (estimated)
Completion
Aug 20, 2026 (estimated)
Last update
Aug 24, 2026

Study contacts

evrim kucur tülübaş, MD
study director · Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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