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Cognitive Impairment Predicts Fatal Incident Stroke: Findings from a National Sample of Older Adults

2011· article· en· W1582241657 on OpenAlexafffundabout
Philippa Clarke, Vanessa Blount, Angela Colantonio

Bibliographic record

VenueJournal of the American Geriatrics Society · 2011
Typearticle
Languageen
FieldMedicine
TopicAcute Ischemic Stroke Management
Canadian institutionsPublic Health OntarioToronto Rehabilitation InstituteUniversity of TorontoMinistry of Health and Long Term Care
FundersToronto Rehabilitation InstituteHealth CanadaMedical Research CouncilPfizer CanadaUniversity of OttawaPfizer
KeywordsMedicineStroke (engine)CognitionMultinomial logistic regressionLogistic regressionCohort studyPopulationGerontologyProspective cohort studyOdds ratioOddsCohortRisk factorDemographyPhysical therapyPsychiatryInternal medicineEnvironmental health

Abstract

fetched live from OpenAlex

OBJECTIVES: To investigate the effect of cognitive impairment on fatal and nonfatal incident stroke in older adults. DESIGN: A large, national, prospective, population-based study of a representative cohort of older Canadians followed over a 10-year period. SETTING: Secondary analyses were conducted using data from the Canadian Study of Health and Aging, a population-based study of older adults followed prospectively from 1991 to 2001. PARTICIPANTS: Nine thousand four hundred fifty-one adults aged 65 and older who had not previously been diagnosed with stroke at baseline (in 1991). MEASUREMENTS: In addition to known risk factors, the independent contribution of cognitive function (diagnosed in a clinical examination) was examined as a risk for stroke in older adults. RESULTS: Multinomial logistic regression analyses showed that cognitive impairment was associated with twice the odds of fatal incident stroke, controlling for well-established risk factors. CONCLUSION: This study provides further evidence for the need to consider cognitive function in relation to stroke risk in older populations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.253
Threshold uncertainty score0.504

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0010.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.256
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations15
Published2011
Admission routes3
Has abstractyes

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Same venueJournal of the American Geriatrics SocietySame topicAcute Ischemic Stroke ManagementFrench-language works237,207