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P41 <b>Correlation between analgesics</b>

2017· article· en· W2761786610 on OpenAlexaffabout
Eric Robitaille, Kei Lui, Kelly Debouter, Jing Ma, Abigail L. Carpenter, Ryan E.R. Reid

Bibliographic record

Venuenot available
Typearticle
Languageen
FieldMedicine
TopicTendon Structure and Treatment
Canadian institutionsDalhousie University
Fundersnot available
KeywordsMedicineAnkleAcetaminophenCelecoxibPhysical therapyRandomized controlled trialRehabilitationAdverse effectConfidence intervalAnesthesiaInternal medicineSurgery

Abstract

fetched live from OpenAlex

<h3>Study Design</h3> Pragmatic randomised controlled trial. <h3>Objectives</h3> To determine the effect of adding analgesics to a standardised rehabilitation program following lateral ankle sprain (LAS) on long-term outcome measures. <h3>Background</h3> Recent guidelines report strong evidence that a short course of certain analgesics may decrease pain and improve function following lateral ankle sprain (LAS). However, reports of swelling and static instability in subjects receiving non-steroidal anti-inflammatories (NSAIDs) following LAS have led to concerns of adverse healing and have been criticised for short-term follow-ups and limited outcome measures. <h3>Methods and Measures</h3> All Canadian Armed Forces (CAF) members reporting to Garrison Petawawa with an acute grade I/II LAS were invited to participate. Eligible subjects were provided a standardised rehabilitation program and randomised to receive either; no medication or a 7 day course of: acetaminophen 500 mg four times/day, celecoxib 100 mg twice/day, or naproxen 500 mg twice/day. In order to determine a statistically significant difference between groups in the Activities of Daily Living subscale of the Foot and Ankle Abilities Measure, using a two-sided significance set at 0.05, a power of 80%, and an estimated attrition rate of 25%, 40 subjects/group were required. Secondary outcome measures included clinical measures of pain, swelling, mobility and instability at 2, 4 and 52 weeks. <h3>Results</h3> To date, 66 subjects have been enrolled and randomised into the; no medication (n=17, 28.3±9.9 years), acetaminophen (n=17, 28.6±7.2 years), celecoxib (n=16, 51.8±14.9 years), or naproxen (n=17, 32.7±10.7 years) groups. All subjects have reported clinically relevant changes in pain and self-reported function between baseline and 3 months, without any differences static instability. Interestingly, only subjects in the no medication or acetaminophen groups have reported clinically relevant changes in swelling. <h3>Conclusion</h3> The preliminary results of this study suggest that the concerns regarding adverse effects on healing and delayed recovery in subjects receiving NSAIDs following LAS may require reconsideration.

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 distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation 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 score0.445
Threshold uncertainty score0.569

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.032
GPT teacher head0.327
Teacher spread0.295 · 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 teacher head, 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
Published2017
Admission routes2
Has abstractyes

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