{"id":"W4233572263","doi":"10.1016/j.jemermed.2018.11.006","title":"Comment on: “Helpful Only When Elevated: Initial Serum Lactate in Stable Emergency Department Patients With Sepsis Is Specific, but Not Sensitive for Future Deterioration”","year":2019,"lang":"en","type":"letter","venue":"Journal of Emergency Medicine","topic":"Sepsis Diagnosis and Treatment","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Ottawa Hospital; University of Ottawa","funders":"","keywords":"Emergency department; Sepsis; Medicine; Biomarker; Emergency medicine; Internal medicine; Chemistry; Biochemistry; Psychiatry","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.003329938,0.001083846,0.001553062,0.001047404,0.005027717,0.003873048,0.002114918,0.06821354,0.007878268],"category_scores_gemma":[0.03519618,0.001123679,0.001363769,0.001013925,0.002940226,0.003412305,0.001703523,0.04417279,0.008468603],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.006090437,"about_ca_system_score_gemma":0.007577574,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01598829,"about_ca_topic_score_gemma":0.02139614,"domain_scores_codex":[0.9958916,0.0009081468,0.0006937927,0.0006428648,0.001037332,0.0008262192],"domain_scores_gemma":[0.9885553,0.004960803,0.00124303,0.0002876342,0.002858015,0.002095303],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00008420108,0.00004268442,0.001852193,0.00005162555,0.00001788648,0.003333991,0.0001918572,0.00008049333,0.000146806,0.001140105,0.9900039,0.003054209],"study_design_scores_gemma":[0.0004113294,0.0002007904,0.008461511,0.001080159,0.0001077308,0.006710243,0.001947221,0.001469893,0.0006028883,0.008689668,0.9700329,0.0002856948],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0004962963,0.0002691094,0.00006250368,0.9848567,0.01216229,0.00001616525,0.00007978106,0.00002824582,0.002028959],"genre_scores_gemma":[0.00261568,0.000305157,0.000162457,0.9747986,0.01847848,0.00003655578,0.00003279909,0.00001958224,0.00355057],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.06821354,"threshold_uncertainty_score":0.04418939,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07810611826675502,"score_gpt":0.339390593935313,"score_spread":0.2612844756685579,"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."}}