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Record W1993789855 · doi:10.1186/cc5622

The correlation of the Sequential Organ Failure Assessment score with intensive care unit outcome

2007· article· en· W1993789855 on OpenAlexfundno aff
I Ketchley, A Theodoraki, Thomas Reynolds, Andrew Tillyard, Roland Lawson, Nawaf Al-Subaie, Maurizio Cecconi, RM Grounds, Andrew Rhodes

Bibliographic record

VenueCritical Care · 2007
Typearticle
Languageen
FieldMedicine
TopicSepsis Diagnosis and Treatment
Canadian institutionsnot available
FundersCanadian Institutes of Health ResearchBayer Canada
KeywordsMedicineIntensive care unitOutcome (game theory)Intensive care medicineFailure assessmentEmergency medicine

Abstract

fetched live from OpenAlex

We conducted a prospective observational review of 100 consecutive patients admitted to our ICU. We collected data relating to daily maximum organ dysfunction scores. Outcome was defined in terms of length of ICU stay and ICU mortality. We included 100 patients (62 males), mean age 60.9 years. Of these admissions, 45 were elective surgical, 22 emergency surgical, 33 medical. The median Sequential Organ Failure Assessment (SOFA) score on admission was 4.50 (IQR 4). The median maximum SOFA score was 5.00 (IQR 5). The median length of ICU stay was 3.0 days (IQR 3). The overall ICU mortality rate was 14.0%. For patients with a maximum SOFA score ≤8, mortality was 5.1% – vs 45.5% for those whose maximum SOFA score was >8 ( P < 0.001). Sixty-four per cent of patients scored their maximum SOFA score on admission. In patients whose SOFA score increased after admission, the mortality was 24.3%. Logistic regression analysis showed the maximum SOFA score bore a stronger correlation with mortality than admission SOFA score. See Figure 1 . Median length of ICU stay in patients with an admission SOFA score >8 vs those whose admission SOFA score was ≤8 ( P = 0.001). Maximum and admission SOFA scores are of prognostic value in the intensive care setting; allowing patients with increased risk of mortality and prolonged stay to be identified.

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)0.002
metaresearch head score (Gemma)0.014
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 score0.002
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.014
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0020.002
Science and technology studies0.0000.000
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0000.001
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 head0.102
GPT teacher head0.413
Teacher spread0.311 · 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

Citations0
Published2007
Admission routes1
Has abstractyes

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