{"id":"W4415639529","doi":"10.1101/2025.10.26.25338809","title":"Acute Coronary Syndrome At First Contact In Primary Care: Women, Diabetes, And The Safety Of Rapid ECG–High-Sensitivity Troponin Pathways","year":2025,"lang":"","type":"preprint","venue":"medRxiv","topic":"Acute Myocardial Infarction Research","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Acute coronary syndrome; Triage; Troponin; Chest pain; Diagnostic accuracy; Emergency department; Ambulatory ECG; Prospective cohort study","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":[0.04718965,0.0006292951,0.004359123,0.006822753,0.0004421827,0.003840801,0.001069992,0.001695046,0.001641957],"category_scores_gemma":[0.1979406,0.0006931825,0.005402586,0.006615631,0.001092985,0.002033667,0.001262156,0.001267056,0.0001050135],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005071017,"about_ca_system_score_gemma":0.01120207,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.01344707,"about_ca_topic_score_gemma":0.01741819,"domain_scores_codex":[0.9496191,0.02681413,0.01381672,0.002599123,0.006557181,0.0005938336],"domain_scores_gemma":[0.7729524,0.1692272,0.04110639,0.002290146,0.01337629,0.001047496],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"systematic_review","study_design_gemma":"observational","study_design_scores_codex":[0.001982866,0.00007527992,0.03571634,0.7132312,0.03785838,0.0002099492,0.001052527,0.0004939788,0.0002273385,0.001042838,0.005044783,0.2030646],"study_design_scores_gemma":[0.002682295,0.001493957,0.09640811,0.720829,0.1481028,0.0005943012,0.001035426,0.0007921193,0.0004944836,0.003145969,0.0242908,0.0001307565],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.009988331,0.9827065,0.0003488954,0.004773608,0.0003819687,0.0003118707,0.0008687349,0.000008268004,0.0006118792],"genre_scores_gemma":[0.3559225,0.6322852,0.003365302,0.005438786,0.0009019084,0.001183721,0.0007497279,0.00001178378,0.0001411772],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.04718965,"threshold_uncertainty_score":0.2495657,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01167066052188613,"score_gpt":0.2401563511274451,"score_spread":0.228485690605559,"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."}}