{"id":"W4415002482","doi":"10.1101/2025.10.08.25337521","title":"Precipitating factors and avoidability of 7-day readmissions after hospitalization for heart failure","year":2025,"lang":"en","type":"preprint","venue":"medRxiv","topic":"Heart Failure Treatment and Management","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Heart failure; Audit; Medical record; Adverse effect; Hospital readmission; Hospital admission","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":{"n_in":0,"stratum":"about_only","weight":3321.24,"opus":{"tier":"OUT","genre":"empirical","about_ca":false,"confidence":"high","reason":"Health record review of precipitating factors and avoidability of 7-day heart failure readmissions; a quality-of-care question about clinical services, not about research."},"gpt":{"tier":"OUT","genre":"empirical","about_ca":false,"confidence":"high","reason":"This health-record audit studies avoidable heart-failure readmissions, not research methodology or governance."},"grok":{"tier":"OUT","genre":"empirical","about_ca":false,"confidence":"high","reason":"Health-services audit of avoidable heart-failure readmissions; clinical care quality, not research practice."}},"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001381206,0.0002386054,0.0003243805,0.001938172,0.0005477019,0.0006195265,0.0004183725,0.0003006762,0.001102517],"category_scores_gemma":[0.00945811,0.0001379066,0.0004413909,0.001224287,0.0004024064,0.0004271432,0.0009003857,0.0004575163,0.00009280247],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007987208,"about_ca_system_score_gemma":0.001121021,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.007667692,"about_ca_topic_score_gemma":0.01732681,"domain_scores_codex":[0.9983476,0.0005151103,0.0003796909,0.000107049,0.0004622118,0.0001883592],"domain_scores_gemma":[0.9879413,0.002201193,0.007362387,0.000232328,0.001412638,0.0008501203],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0000189924,0.00001595319,0.9985743,0.00001426658,0.00001584773,0.00004390222,0.00012594,0.0000240931,0.00004719508,0.00001013742,0.00003938749,0.001070071],"study_design_scores_gemma":[7.396283e-7,0.0000333639,0.9993154,0.000009913753,0.000004756276,0.00007939134,0.0003904476,0.00007987944,0.00003401189,0.00001391975,0.00003548843,0.00000261059],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9988676,0.000175386,0.0001336147,0.00008646439,0.00000743756,0.00002815984,0.0002034817,0.000006236828,0.0004916635],"genre_scores_gemma":[0.9995592,0.00005509581,0.0001606232,0.00001006158,0.000007063275,0.00000798867,0.0001661053,8.375947e-7,0.00003300716],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.007667692,"threshold_uncertainty_score":0,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01885272088616006,"score_gpt":0.2988388746603606,"score_spread":0.2799861537742006,"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."}}