Are Ottawa knee rules useful in actual trauma care?
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Abstract Acute knee injuries are a common presentation to the emergency department(ED). Ottawa knee rules (OKR) have shown to reduce the number of radiographs in these patients in North American studies and a fracture rate of 5% has been reported. Based on this, we tested the hypothesis that it was possible to decrease the number of x-ray films obtained after a knee trauma without delayed fracture diagnosis by means of the Ottawa knee rules in British set up. A total of 118 adult patients with acute Knee injuries were studied. A checklist in an easy-to-use format was produced to act as an aide-memoir and to encourage clinicians to apply the OKR in their decision making. Sixty patients were studied before introducing the check list stickers of OKR and fifty eight were studied after introducing the stickers. The OKR were found to have been obeyed in 24 (40%) of patients in the group which did not have stickers. In the group assessed without an OKR sticker, 28 (46.7%) of patients had knee radiography, compared with 29 (50%) of patients in the group who were assessed with an OKR sticker. There was no decrease in the number of x-rays after following the Ottawa Knee Rules (OKR).
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.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it