Ottawa knee rules in management of acute injuries to the knee in accident and emergency
Bibliographic record
Abstract
The mean length of hospital stay was 32 nights in the traditional group and 19 nights in the early active group ( p < 0.001).Excluding severely injured patients the mean stay was 29 nights and 10 nights ( p < 0.001), respectively.There was no significant difference in the mal-union rate between the two groups.Ten patients were short at 3 months (0.5-3 cm) and eight of these had been treated by EHS.None were short at 2 years.Eight children were long at 2 years.Seven of these were treated with anatomical reduction.At 2 years they all had good clinical and functional results.Four cases (which were treated with an ExFix) had complications.In our population, a 40% reduction in the incidence of femoral fractures over the 6-year period was noted.The reduction has been in falls and sports injuries.These modern treatments have resulted in a shorter hospital stay that has many advantages for the child and family as well as financial savings.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.003 | 0.001 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".