{"id":"W4281653394","doi":"10.1136/emermed-2022-rcem.33","title":"1074 Ottawa Ankle rules cannot be safely used to rule out ankle fractures in patients who present ≥10 days post-injury","year":2022,"lang":"en","type":"article","venue":"Emergency Medicine Journal","topic":"Musculoskeletal Disorders and Rehabilitation","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Medicine; Ankle; Radiography; Emergency department; Medical record; Surgery; Presentation (obstetrics); Physical therapy","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.001067665,0.0003293476,0.0006400268,0.0006846705,0.0004137254,0.000009427409,0.000298597,0.00009417033,0.09567636],"category_scores_gemma":[0.0009774806,0.0002486421,0.0002366156,0.00050668,0.00007645929,0.0001704772,0.0001520526,0.0009004137,0.00004292957],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002969949,"about_ca_system_score_gemma":0.0002227188,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000742255,"about_ca_topic_score_gemma":0.0003873332,"domain_scores_codex":[0.9958132,0.0003204025,0.00125598,0.0004239006,0.001608431,0.0005780768],"domain_scores_gemma":[0.9982331,0.00006776166,0.0003416415,0.0003910485,0.0004374209,0.0005290215],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"observational","study_design_scores_codex":[0.0007045749,0.00100996,0.1757763,0.0001426761,0.0001034875,0.00001058941,0.009336852,0.0002048103,0.003109816,0.00002330638,0.805325,0.004252626],"study_design_scores_gemma":[0.002943123,0.004462054,0.7264277,0.000139123,0.00008506452,0.00000997685,0.002520311,0.00006850829,0.00005650249,0.000294117,0.2627433,0.0002501678],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.955065,0.001328202,0.0000366566,0.02980952,0.003042023,0.001000606,0.00009061084,0.00003130161,0.009596101],"genre_scores_gemma":[0.9704068,0.0001703433,0.0001229633,0.0008116462,0.001406412,0.0001006028,0.0003164967,0.00007328622,0.02659143],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.5506514,"threshold_uncertainty_score":0.9999966,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01897222661743796,"score_gpt":0.328000138684944,"score_spread":0.309027912067506,"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."}}