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Record W2730861094 · doi:10.1093/geroni/igx004.989

MANAGEMENT ISSUES IN DELIRIUM

2017· article· en· W2730861094 on OpenAlexaff
Niamh O’Regan, Monidipa Dasgupta

Bibliographic record

VenueInnovation in Aging · 2017
Typearticle
Languageen
FieldMedicine
TopicIntensive Care Unit Cognitive Disorders
Canadian institutionsWestern University
Fundersnot available
KeywordsDeliriumPsychologyMedicineIntensive care medicine

Abstract

fetched live from OpenAlex

Delirium is extremely common, and leads to adverse outcomes. Delirium can be preventable, but is frequently missed. Much remains unknown about management of actively delirious individuals. In this symposium, we present the results of novel research from five centres, focusing on risk stratification, case identification and interventions for delirium. Our first abstract reports the prevalence of hypoactive delirium in older medical inpatients, the most underdetected and prognostically serious form. Our second abstract describes a brief two-step diagnostic approach which shows promise as a sensitive delirium identification method. Thirdly, we present a novel delirium risk stratification method for pre-operative cardiac surgery patients, using frailty assessment. Next, we report findings which indicate improvement in delirium symptoms with physical therapy. Finally we highlight the potential harm related to the oft-prescibed antibiotic treatment of asymptomatic bacteruria in delirious patients. This symposium will highlight new research, across a breadth of issues related to delirium.

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)0.008
metaresearch head score (Gemma)0.037
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: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.008
Threshold uncertainty score0.044

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.037
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.004
Scholarly communication0.0050.005
Open science0.0010.004
Research integrity0.0060.009
Insufficient payload (model declined to judge)0.0040.001

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.

Opus teacher head0.028
GPT teacher head0.348
Teacher spread0.319 · 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
GenreCommentary

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
Published2017
Admission routes1
Has abstractyes

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