ChatGPT O1 achieved a diagnostic accuracy of 92.8%, significantly outperforming DeepSeek-R1, which scored 87.0% (p < 0.00001).

Conclusions: This study highlights the strengths of ChatGPT O1 in providing accurate and coherent clinical reasoning, making it highly suitable for critical pediatric scenarios. DeepSeek-R1, with its flexibility and accessibility, remains a valuable tool in resource-limited settings.
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