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Conceptualization of Risk Stratification Using Large Language Models to Predict Severe Mycoplasma pneumoniae Pneumonia

Adebanke Adeyemi, Swapan Nath

Cureus, 2025

1 citation

Abstract

Background Large language models (LLMs), such as OpenAI’s ChatGPT-4o3 and GPT-5 (Deep Research, Deep Thinking), have emerged as tools with reasonable efficacy in multiple domains of healthcare to enhance literature synthesis, support reasoning, and guide diagnostic and management framework development. In clinical domains, LLMs have been evaluated for readability, accuracy, and decision support, but their role in health professions education scholarship is still emerging. Mycoplasma pneumoniae pneumonia (MPP) is a self-limiting atypical pneumonia; however, a subset of cases progress to severe or necrotizing disease, even in otherwise healthy patients. Predicting such trajectories in immunocompetent adults remains difficult due to the variable nature of host susceptibility and immune factors. This study examines predictive features of severe MPP and explores how LLMs can be leveraged to construct a conceptual risk stratification framework for use in health professions, education scholarship, and research skills development. Methodology We analyzed a single case of necrotizing MPP in a 32-year-old woman to develop a conceptual risk-stratification framework. A structured literature review (2010-2024) was conducted to identify clinical, laboratory, and imaging predictors of severe or refractory MPP. These predictors were compared with the patient’s course and organized into a three-tier framework (low, moderate, high risk) using supervised LLM-assisted synthesis. Results The…

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