Conclusions
We developed the first AI model to predict adverse outcomes in ED patients with hyperglycemic crises and integrated it into the HIS to provide real-time decision assistance. ED physicians obtained a second opinion from big data in real time using AI, which helped them in their decision making. The impact study showed no significant difference in the ICU admission or all-cause mortality rates between the non-AI and AI groups; however, further studies recruiting more patients will clarify this issue.