{"id":"W4416269438","doi":"10.1136/tsaco-2025-002118","title":"Mind the implementation gap: departure from national guidelines for thromboprophylaxis in traumatic brain injury highlights an urgent need for better evidence","year":2025,"lang":"en","type":"article","venue":"Trauma Surgery & Acute Care Open","topic":"Trauma, Hemostasis, Coagulopathy, Resuscitation","field":"Medicine","cited_by":1,"is_retracted":false,"has_abstract":true,"ca_institutions":"Vancouver General Hospital; University of British Columbia","funders":"","keywords":"Traumatic brain injury; Risk assessment; MEDLINE; Poison control; Injury prevention","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":[0.1489471,0.0008461774,0.002278656,0.00220144,0.004440434,0.01541545,0.009102371,0.01866242,0.006258252],"category_scores_gemma":[0.4041775,0.0009761894,0.001952813,0.002318544,0.007400744,0.01806577,0.01158854,0.0447855,0.001721835],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01150882,"about_ca_system_score_gemma":0.1000746,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.02121995,"about_ca_topic_score_gemma":0.03358308,"domain_scores_codex":[0.8860202,0.06258804,0.01800907,0.003909464,0.02382169,0.005651529],"domain_scores_gemma":[0.4735768,0.3507198,0.03202471,0.01588896,0.08653574,0.04125399],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"observational","study_design_scores_codex":[0.0002185525,0.001197097,0.009977756,0.006865736,0.0003342688,0.0005482177,0.005765944,0.001677862,0.0003250341,0.06452499,0.5051245,0.4034399],"study_design_scores_gemma":[0.0005476176,0.0009223671,0.02239073,0.08584353,0.0003803555,0.0007944116,0.01429056,0.002829275,0.0006837397,0.1368084,0.7340843,0.0004246497],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.001188527,0.00886435,0.001517167,0.982144,0.003612483,0.00005132369,0.0000499945,0.00005531148,0.002516845],"genre_scores_gemma":[0.07353789,0.02959303,0.0307553,0.8529392,0.01028937,0.0007443963,0.0005182292,0.0002304825,0.001392053],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.1489471,"threshold_uncertainty_score":0.7877169,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1811874274604778,"score_gpt":0.4629629162045713,"score_spread":0.2817754887440935,"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."}}