Reflection with ChatGPT about the excess death after the COVID-19 pandemic
Open accessAI snapshot
Written from the paper’s full text.
TL;DR
This correspondence reports a brief ChatGPT interaction about global excess mortality after the COVID-19 pandemic and how stakeholders might reduce excess deaths in 2023. It presents ChatGPT’s general explanations and recommendations, while noting that ChatGPT use in medicine needs further exploration.
Key findings
- The paper notes that despite an apparent decrease in COVID-19 mortality in 2022, there has still been a universal increase in excess deaths across nations, with conflicting estimates; one cited study estimated 14.83 million excess deaths worldwide.
- ChatGPT attributed excess mortality to direct and indirect pandemic effects, including COVID-19 deaths, disruptions to healthcare systems, delayed or deferred medical treatments, and social and economic consequences such as mental health disorders, economic distress, and reduced access to education.
- For 2022 specifically, ChatGPT said causes are difficult to predict but could include continued COVID-19 spread, new variants, healthcare disruptions, indirect pandemic consequences, natural disasters, conflicts, and other public health crises.
- To reduce excess deaths in 2023, ChatGPT recommended accelerating COVID-19 vaccination, improving healthcare systems, increasing access to healthcare, addressing social and economic factors, and promoting healthy behaviors.
Methods
- This is a letter/reflection, not an empirical study; the author asked ChatGPT three questions on 12 Feb 2023 about excess mortality during and after the COVID-19 pandemic and how stakeholders could decrease excess death in 2023.
- The text consists of the human questions and ChatGPT’s responses, with no formal sample, data collection, or statistical analysis reported.
Limitations
- The paper states that “the utilization of ChatGPT in medicine is yet to be explored further across different disciplines.”
- ChatGPT itself states that it cannot think, speculate, or predict future events, and that exact causes of 2022 excess mortality are difficult to predict.
- Evident from the text: the piece provides no original data, no systematic review, no quantitative analysis, and no independent verification of ChatGPT’s claims.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 2 cited sources checked · 0 supported · 0 flagged
- Classified as probably not a substantial claim. 2
- May combine two claims. 1
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEstimates of excess deaths across nations are conflicting.
“with conflicting estimates [2]”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [2] Schöley, 2023, Conflicting COVID-19 excess mortality estimates, Lancet source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenThe utilization of ChatGPT in medicine is yet to be explored further across different disciplines.
“The utilization of ChatGPT in medicine is yet to be explored further across different disciplines.”
Quote in the paperNot a substantial claim- Rests on an assumption: ChatGPT can provide useful insights into excess mortality and healthcare.
May combine two claims.
PremisecitationDespite an apparent decrease in COVID-19 mortality in 2022, there has been a universal increase in excess deaths across nations.
“Despite the apparent decrease in Coronavirus Disease 2019 (COVID-19) mortality in 2022, still, there has been a universal increase in the excess deaths across nations [1] with conflicting estimates [2].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] ourworldindata
Not checked in the free run.
The paper relies on this without support.
ChatGPT can provide useful insights into excess mortality and healthcare.
“To explore how Artificial Intelligence (AI) Chatbot may address such issues, we asked the following three questions to Generative Pre-trained Transformer (ChatGPT) [4] on 12 Feb 2023, hoping that sharing these could enrich the literature with new dimensions on AI and humans, working together for rapid insights in healthcare.”
The paper relies on this without support.
Sharing the ChatGPT dialogue can enrich the literature with new dimensions on AI and humans working together for rapid insights in healthcare.
“hoping that sharing these could enrich the literature with new dimensions on AI and humans, working together for rapid insights in healthcare.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ChatGPT was frequently utilized to quickly generate educational materials and provide healthcare advice to patients and communities.
“ChatGPT was frequently utilized to quickly generate educational materials and provide healthcare advice to patients and communities [22,23,24].”
From ChatGPT and the Future of Digital Health: A Study on Healthcare Workers’ Perceptions and Expectations (2023) · cites this paper as [23]
Cites
The WHO estimates of excess mortality associated with the COVID-19 pandemic
Msemburi, W., Karlinsky, A., Knutson, V., Aleshin-Guendel, S., Chatterji, S., & Wakefield, J. (2023) · Nature · doi:10.1038/s41586-022-05522-2 · Cited by 1,064 · cited 1× · see citing works
“83 million excess deaths around the world [3].”
BackgroundConflicting COVID-19 excess mortality estimates
Schöley, J., Karlinsky, A., Kobak, D., & Tallack, C. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00116-2 · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
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Temsah, O., Khan, S., Chaiah, Y., Senjab, A., Alhasan, K. A., Jamal, A. A., Aljamaan, F., Malki, K. H., Halwani, R., Al‐Tawfiq, J. A., et al. (2023) · Cureus · doi:10.7759/cureus.37281 · Cited by 182 · see citing works
Self-citationTemsah, M.-H., Aljamaan, F., Malki, K. H., Alhasan, K., Altamimi, I., Aljarbou, R., Bazuhair, F., Alsubaihin, A., Abdulmajeed, N., Alshahrani, F. S., et al. (2023) · Healthcare · doi:10.3390/healthcare11131812 · Cited by 179 · see citing works
Self-citationGenerative AI, IoT, and blockchain in healthcare: application, issues, and solutions
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Watters, C., & Lemański, M. K. (2023) · Frontiers in Big Data · doi:10.3389/fdata.2023.1224976 · Cited by 57 · see citing works
Jamal, A. A., Solaiman, M., Alhasan, K. A., Temsah, M.-H. A., & Sayed, G. (2023) · Cureus · doi:10.7759/cureus.43036 · Cited by 51 · see citing works
Self-citationWang, G., Gao, K., Liu, Q., Wu, Y., Zhang, K., Zhou, W., & Guo, C. (2023) · Journal of Medical Internet Research · doi:10.2196/49771 · Cited by 48 · see citing works
Almazyad, M. A., Aljofan, F., Abouammoh, N. A., Muaygil, R. A., Malki, K. H., Aljamaan, F., Alturki, A., Alayed, T. M., Alshehri, S. S., Alrbiaan, A., et al. (2023) · Cureus · doi:10.7759/cureus.38249 · Cited by 45 · see citing works
Self-citationAljamaan, F., Malki, K. H., Alhasan, K. A., Jamal, A. A., Altamimi, I., Khayat, A., Alhaboob, A. A. N., Abdulmajeed, N., Alshahrani, F. S., Saad, K., et al. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e28962 · Cited by 25 · see citing works
Self-citationAlhasan, K., Al-Tawfiq, J., Aljamaan, F., Jamal, A., Al-Eyadhy, A., & Temsah, M.-H. (2023) · Cureus · doi:10.7759/cureus.36263 · Cited by 22 · see citing works
Self-citationDabbagh, R., Jamal, A. A., Masud, J. H. B., Titi, M. A., Amer, Y. S., Khayat, A., Alhazmi, T. S., Hneiny, L., Baothman, F. A., Alkubeyyer, M., et al. (2023) · Cureus · doi:10.7759/cureus.38373 · Cited by 14 · see citing works
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Self-citationAl‐Tawfiq, J. A., Jamal, A. A., Rodriguez-Morales, A. J., & Temsah, M.-H. A. (2023) · New Microbes and New Infections · doi:10.1016/j.nmni.2023.101153 · Cited by 11 · see citing works
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Wang, C. Y., Kuo, B.-S., Lee, Y., Ho, Y.-H., Pan, Y., Yang, Y.-T., Chang, H.-C., Lin-fang, F., & Peng, W. (2023) · medRxiv · doi:10.1101/2023.06.28.23291948
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Pangarso, A. (2024) · Elsevier eBooks · doi:10.1016/b978-0-443-13701-3.00327-3
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Askri, S., & Chabani, Z. (2024) · Emerald Group Publishing Limited eBooks · doi:10.1108/979-8-88730-690-220251013
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Amir, A. S. (2026) · Discover Artificial Intelligence · doi:10.1007/s44163-026-01506-7
- Authors
- Temsah, M.-H., Jamal, A., & Al-Tawfiq, J. A.
- Affiliations
- King Saud University (SA)
- King Saud Medical City (SA)
- Venue
- New Microbes and New Infections
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 52
- Pages
- 101103
- ISSN
- 2052-2975 (ISSN-L)
- PMC
- PMC9937725
- OpenAlex
- W4321189504
- Cited by
- 23
- References
- 2
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 14
- FWCI
- 4.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- New Microbes and New Infections (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Mathematics › Modeling and Simulation › COVID-19 epidemiological studies
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Keywords
- excess mortality, COVID-19 pandemic, ChatGPT, large language models
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