{"id":"W4410864563","doi":"10.21037/jtd-2025-726","title":"The effects of a modified deep serratus anterior plane block on surgical stress and perioperative neurocognitive disorders in elderly patients undergoing thoracic surgery: a randomized clinical study","year":2025,"lang":"en","type":"article","venue":"Journal of Thoracic Disease","topic":"Intensive Care Unit Cognitive Disorders","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"Science and Technology Program of Zhejiang Province; Medical Science and Technology Project of Zhejiang Province; Medical and Health Research Project of Zhejiang Province","keywords":"Medicine; Perioperative; Neurocognitive; Randomized controlled trial; Surgical stress; Surgery; Cognition; Psychiatry","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":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001804845,0.001042396,0.003650918,0.0003709407,0.0004286332,0.0005558035,0.0006386982,0.00128315,0.003732885],"category_scores_gemma":[0.001563509,0.0004555734,0.002055266,0.0005617011,0.001005529,0.0006811984,0.0004171004,0.001521516,0.0003496379],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004823996,"about_ca_system_score_gemma":0.001534708,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0007100963,"about_ca_topic_score_gemma":0.001536478,"domain_scores_codex":[0.9991432,0.0004069281,0.0001151288,0.0001505371,0.00008869003,0.00009536582],"domain_scores_gemma":[0.9986324,0.0002541022,0.0003941558,0.000106426,0.000129599,0.0004833147],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"randomized_trial","study_design_gemma":"randomized_trial","study_design_scores_codex":[0.9618897,0.01936675,0.002280818,0.001067752,0.00136621,0.00003758528,0.00004044532,0.0001169876,0.001847244,0.00004047677,0.0002298214,0.01171608],"study_design_scores_gemma":[0.7577258,0.2327465,0.007146708,0.00006910872,0.001282086,0.00003531789,0.00003515454,0.0002309127,0.0002898646,0.00005097327,0.0003685243,0.00001903548],"study_design_candidate":"randomized_trial","study_design_consensus":"randomized_trial","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9895431,0.004590231,0.0003969463,0.0002066507,0.0002883462,0.004182546,0.0003162361,0.00001770998,0.0004582333],"genre_scores_gemma":[0.9808292,0.004281996,0.001904318,0.0008410861,0.001000065,0.009435263,0.0005505443,0.000006253116,0.001151187],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003732885,"threshold_uncertainty_score":0.01248777,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01026735799937478,"score_gpt":0.3415468226572074,"score_spread":0.3312794646578326,"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."}}