Abstract
Artificial intelligence (AI) telephone is reliable for the follow-up and management of hypertensives. It takes less time and is equivalent to manual follow-up to a high degree. We conducted a reliability study to evaluate the efficiency of AI telephone follow-up in the management of hypertension. During May 18 and June 30, 2020, 350 hypertensives managed by the Pengpu Community Health Service Center in Shanghai were recruited for follow-up, once by AI and once by a human. The second follow-up was conducted within 3-7 days (mean 5.5 days). The mean length time of two calls were compared by paired t-test, and Cohen's Kappa coefficient was used to evaluate the reliability of the results between the two follow-up visits. The mean length time of AI calls was shorter (4.15 min) than that of manual calls (5.24 min, P<.001). The answers related to the symptoms showed moderate to substantial consistency (κ:.465-.624, P<.001), and those related to the complications showed fair consistency (κ:.349, P<.001). In terms of lifestyle, the answer related to smoking showed a very high consistency (κ:.915, P<.001), while those addressing salt consumption, alcohol consumption, and exercise showed moderate to substantial consistency (κ:.402-.645, P<.001). There was moderate consistency in regular usage of medication (κ:.484, P<.001).
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