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Record W2003469581 · doi:10.1186/cc11842

Critical care resource allocation: trying to PREEDICCT outcomes without a crystal ball

2013· editorial· en· W2003469581 on OpenAlexafffund
Robert Fowler, Matthew Muller, Charles D. Gomersall, Charles L. Sprung, Nathaniel Hupert, David N. Fisman, Andrew Tillyard, David Zygun, John C. Marshal

Bibliographic record

VenueCritical Care · 2013
Typeeditorial
Languageen
FieldHealth Professions
TopicDisaster Response and Management
Canadian institutionsUniversity of Alberta HospitalHospital for Sick ChildrenSt. Michael's HospitalMount Sinai HospitalHealth Sciences CentreSunnybrook Health Science Centre
FundersCanadian Institutes of Health ResearchGovernment of Canada
KeywordsMedicineResource allocationIntensive care medicineMedical emergencyComputer networkComputer science

Abstract

fetched live from OpenAlex

Despite pandemic influenza's long reign atop the list of potential medical catastrophes, the first protocol designed to support critical care triage in a pandemic was published only in 2006. InFACT (the International Forum of Acute Care Trialists) was formed in 2009 and provided a platform for international critical care research collaboration during the 2009-2010 Influenza A(H1N1) pandemic. Over the past 2 years, a number of working groups have emerged from InFACT focused upon improving the investigation and care of patients with severe respiratory illness. Arising from these efforts, in June of 2012, an international group of clinicians convened the first meeting of the PREEDICCT (Providing Resources for Effective and Ethical Decisions In Critical Care Triage) study group. The group's aim is to develop decision support tools appropriate for use in triaging critically ill adult patients during epidemics, mass-casualty scenarios or other resource limited settings. This meeting identified a number of knowledge gaps and research priorities in this area, and suggested a revised framework for the requirements of an adequate triage decision support tool.

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)0.017
metaresearch head score (Gemma)0.083
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.020
Threshold uncertainty score0.091

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0170.083
Meta-epidemiology (narrow)0.0030.001
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0030.002
Science and technology studies0.0040.005
Scholarly communication0.0100.008
Open science0.0050.002
Research integrity0.0200.038
Insufficient payload (model declined to judge)0.0050.004

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 head0.053
GPT teacher head0.460
Teacher spread0.407 · 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 designNot applicable
Domainnot available
GenreEditorial

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

Citations22
Published2013
Admission routes2
Has abstractyes

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