{"id":"W2147820773","doi":"10.1161/strokeaha.108.540377","title":"A Citywide Prehospital Protocol Increases Access to Stroke Thrombolysis in Toronto","year":2009,"lang":"en","type":"article","venue":"Stroke","topic":"Acute Ischemic Stroke Management","field":"Medicine","cited_by":114,"is_retracted":false,"has_abstract":true,"ca_institutions":"Sunnybrook Health Science Centre","funders":"","keywords":"Medicine; Thrombolysis; Stroke (engine); Tissue plasminogen activator; Triage; Emergency medicine; Acute stroke; Fibrinolytic agent; Internal medicine; Surgery; Myocardial infarction","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.0002020044,0.0003086413,0.0005443918,0.0001882439,0.00004903939,0.00008548893,0.0004290352,0.0001053747,0.001063536],"category_scores_gemma":[0.0002149465,0.0002808701,0.0001631685,0.0002476955,0.00003611238,0.0004219697,0.0002714499,0.000206778,0.00005818042],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007522994,"about_ca_system_score_gemma":0.00009169189,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.002317732,"about_ca_topic_score_gemma":0.0009720955,"domain_scores_codex":[0.9977753,0.00003779412,0.0004679978,0.0005663521,0.0005822459,0.0005703212],"domain_scores_gemma":[0.9987833,0.00004036626,0.0001042775,0.0006859591,0.00007888256,0.0003072206],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.002727081,0.003555563,0.6345028,0.000374234,0.0006001361,0.0006082496,0.001018896,0.00004485991,0.05414867,0.0005149511,0.2203049,0.08159961],"study_design_scores_gemma":[0.005019648,0.001888399,0.9115554,0.0003059879,0.0001725532,0.00001950292,0.0007734718,0.00007981609,0.02089425,0.0000329153,0.05874816,0.0005099102],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.7023733,0.00003996914,0.0003402498,0.002417136,0.00007173173,0.0679129,0.00006370877,0.0002075222,0.2265735],"genre_scores_gemma":[0.9549202,0.000005990451,0.003339911,0.002947454,0.0003087839,0.03220303,0.00002077288,0.00003348866,0.006220399],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2770525,"threshold_uncertainty_score":0.9999644,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01595770283157208,"score_gpt":0.3334206234275249,"score_spread":0.3174629205959528,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}