Head-to-head evaluation of ChatGPT, DeepSeek, and Perplexity on acid–base disorder case clinical management and drug treatment: Accuracy, domain performance, and response consistency assessment - Report - MDSpire

Head-to-head evaluation of ChatGPT, DeepSeek, and Perplexity on acid–base disorder case clinical management and drug treatment: Accuracy, domain performance, and response consistency assessment

  • By

  • Moteb Khobrani

  • Asaad Ahmed Asaad Khalil

  • Salman Ashfaq Ahmad

  • Azfar Athar Ishaqui

  • June 8, 2026

  • 0 min

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Clinical Report: Comparative Analysis of ChatGPT, DeepSeek, and Perplexity in Managing Acid-Base Disorders

Overview

This study evaluates the performance of three large language models (LLMs)—ChatGPT, DeepSeek, and Perplexity—in managing acid-base disorders through a comprehensive analysis of 75 clinical cases. The findings highlight significant differences in accuracy, consistency, and domain-specific performance among the models.

Background

Acid-base disorders are prevalent in various medical fields and can indicate life-threatening conditions. Accurate interpretation and management of these disorders are crucial for patient safety and effective treatment. As LLMs are increasingly utilized in healthcare, understanding their capabilities and limitations in this specific domain is essential for their integration into clinical practice.

Data Highlights

ModelOverall AccuracyConsistency
ChatGPT85%78%
DeepSeek90%82%
Perplexity80%75%

Key Findings

  • DeepSeek demonstrated the highest overall accuracy at 90% across the acid-base cases.
  • ChatGPT and Perplexity showed lower accuracy rates at 85% and 80%, respectively.
  • Consistency of responses varied, with DeepSeek achieving 82% and ChatGPT 78%.
  • Performance varied significantly across different interpretive steps, indicating domain-specific strengths and weaknesses.
  • All models exhibited a tendency to hallucinate, emphasizing the need for cautious application in clinical settings.

Clinical Implications

Healthcare professionals should be aware of the varying performance levels of LLMs when utilizing them for acid-base disorder management. While these models can assist in educational contexts, reliance on their outputs without verification may pose risks to patient safety.

Conclusion

The comparative analysis underscores the potential of LLMs in clinical education and decision-making, while also highlighting the necessity for careful evaluation and validation of their outputs in practice.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Frontiers in Medicine, 2026 -- Utility of large language models as information tools for nursing care in gout: a comparative study of DeepSeek and ChatGPT
  3. Journal of Medical Internet Research (JMIR), 2026 -- Performance Evaluation of GPT-5, Grok 4, and DeepSeek R1 in Interpreting Complete Blood Count Reports for Hematologic Diseases
  4. npj Digital Medicine, 2026 -- Comparative Analysis of Diagnostic and Triage Efficacy Between Large Language Models and Healthcare Professionals
  5. Anion Gap and Non-Anion Gap Metabolic Acidosis - StatPearls - NCBI Bookshelf
  6. Balanced crystalloids versus saline for critically ill patients (BEST-Living): a systematic review and individual patient data meta-analysis - PubMed
  7. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes—2026 | Diabetes Care | American Diabetes Association
  8. Anion Gap and Non-Anion Gap Metabolic Acidosis - StatPearls - NCBI Bookshelf
  9. Balanced crystalloids versus saline for critically ill patients (BEST-Living): a systematic review and individual patient data meta-analysis - PubMed
  10. 6. Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises: Standards of Care in Diabetes—2026 | Diabetes Care | American Diabetes Association

Original Source(s)

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