{"id":"W4414373465","doi":"10.1101/2025.09.16.676529","title":"Metabolic Trajectories During Surgical Stress in Patients Undergoing Cardiac Surgery","year":2025,"lang":"en","type":"preprint","venue":"bioRxiv (Cold Spring Harbor Laboratory)","topic":"Cardiac, Anesthesia and Surgical Outcomes","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Queen's University","funders":"National Institute of Environmental Health Sciences; National Institute of General Medical Sciences","keywords":"Perioperative; Surgical stress; Cardiac surgery; Biomarker; Diabetes mellitus; Metabolic pathway; Metabolomics; Glycerophospholipid; C-reactive protein","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":[0.0002384712,0.00023203,0.0003046673,0.0002978917,0.0002673064,0.000510977,0.000115792,0.0002990955,0.0006194341],"category_scores_gemma":[0.0009989053,0.0001240511,0.0002802778,0.0004831495,0.0001279932,0.0002791864,0.0004359419,0.0005352058,0.000126951],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002259196,"about_ca_system_score_gemma":0.0003139455,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003037925,"about_ca_topic_score_gemma":0.004329835,"domain_scores_codex":[0.999858,0.00003041706,0.00001599612,0.00004097613,0.00001912522,0.00003546696],"domain_scores_gemma":[0.9996773,0.00003677747,0.0001347749,0.00002341397,0.0000465247,0.00008121274],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0006496458,0.00006281768,0.9935189,0.0000175272,0.00007104503,0.000100468,0.0001434968,0.0001574339,0.0009408568,0.00002906243,0.0001272864,0.004181358],"study_design_scores_gemma":[0.000007422881,0.0003221152,0.9979883,0.000009593124,0.00002594074,0.0001326172,0.0003070071,0.0007411338,0.0001635673,0.00008528815,0.0002083353,0.000008696522],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9991406,0.0001622395,0.0001777322,0.00005717316,0.000005234273,0.000007165566,0.0003079759,0.00000310097,0.0001387802],"genre_scores_gemma":[0.9990121,0.0001328638,0.000189141,0.0000409919,0.000007037133,0.00001549541,0.0005168664,0.000001488015,0.0000840638],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.003037925,"threshold_uncertainty_score":0.006040514,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01038413237196862,"score_gpt":0.2236287380436967,"score_spread":0.2132446056717281,"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."}}