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Operations & systems

LLMs identify paediatric asthma in EMS data

Large Language Models Exhibit High Performance as Computable Phenotypes for Pediatric Asthma Exacerbation Detection in a Retrospective, Observational Study of Emergency Medical Services Encounters
Prehospital Emergency Care · Added 4 June 2026

They tested whether large language models could accurately identify paediatric asthma exacerbations from EMS documentation, finding high performance but noting this is early exploratory work with real-world deployment challenges.

Study type
Cohort
Design
Retrospective observational study of LLM computable phenotypes
Participants
24,283 EMS encounters, patients aged 2-18 years; 1,000 annotated encounters
Main finding
Best model (Llama-3.3-70B, unstructured+structured data, 10-shot chain-of-thought) achieved F1 score 0.894; chain-of-thought prompts outperformed basic prompts in 4 of 5 models
Caveat
Early exploratory work; real-world deployment not tested
Bottom line
Hypothesis-generating

Learning goal

Understand how large language models could support identifying paediatric asthma exacerbations in EMS documentation systems.

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