{"id":"W4384697481","doi":"10.1177/14604086231184505","title":"Can we predict failure of non-operative management of blunt splenic injuries on arrival? A comparison of predictors of immediate splenectomy versus splenectomy secondary to non-operative management failure","year":2023,"lang":"en","type":"article","venue":"Trauma","topic":"Abdominal Trauma and Injuries","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Toronto; Canadian Armed Forces; St. Michael's Hospital","funders":"","keywords":"Medicine; Splenectomy; Injury Severity Score; Surgery; Trauma center; Logistic regression; Blunt; Shock (circulatory); Blunt trauma; Retrospective cohort study; Spleen; Emergency medicine; Poison control; Injury prevention; Internal medicine","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"],"consensus_categories":[],"category_scores_codex":[0.0004285993,0.0006414106,0.001931607,0.0009076472,0.0001058363,0.00001500832,0.0005016862,0.0002099695,0.000379685],"category_scores_gemma":[0.00003544954,0.0005451036,0.0004157378,0.001318126,0.0005655101,0.0001715121,0.0002996552,0.0004452482,0.00003555285],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001591678,"about_ca_system_score_gemma":0.0001688826,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0001910472,"about_ca_topic_score_gemma":0.000359119,"domain_scores_codex":[0.9956843,0.0001274073,0.001630916,0.0007365614,0.001185172,0.0006356263],"domain_scores_gemma":[0.9975803,0.0002357331,0.0006294644,0.0008982847,0.0003619401,0.0002942486],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"bench_or_experimental","study_design_scores_codex":[0.09706587,0.01070602,0.1151826,0.06350722,0.04073543,0.0007113327,0.3464369,0.008106935,0.1002371,0.01110919,0.1150875,0.0911139],"study_design_scores_gemma":[0.01678077,0.01703446,0.2511657,0.005439165,0.002001433,0.000004167513,0.08769412,0.0006004912,0.6150229,0.00009152245,0.003385307,0.000779899],"study_design_candidate":"bench_or_experimental","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9883224,0.0001446692,0.00009169379,0.001170659,0.0004236515,0.002707949,0.0009515445,0.000080563,0.006106807],"genre_scores_gemma":[0.995632,0.0002355506,0.002786829,0.00004457552,0.0001271063,0.0002424309,0.0002259554,0.00008287135,0.0006226891],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.5147858,"threshold_uncertainty_score":0.9997001,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02037574379334301,"score_gpt":0.3222405016581235,"score_spread":0.3018647578647805,"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."}}