PO2-6EVALUATION OF A COGNITIVE REHABILITATION PROGRAM IN 491 PATIENTS
Bibliographic record
Abstract
The cognitive rehabilitation (CR) for patients with alcohol use disorder (AUD) is proposed during prolonged institutional stays. However, the results of such a program remain poorly known. The aim of this study was to describe the primary results of a 6-week CR performed in an AUD treatment center. Patients and Methods: We retrospectively selected from our files AUD patients with following criteria: cognitive deficit assessed by the Montréal Cognitive Assessment (MoCA) at admission (i.e. MoCA < 26); evaluation at discharge; absence of neurological disease or a severe psychiatric trouble. The 6-week CR program is specifically adapted to the diagnosed abnormalities, and is performed by several professionals (neuropsychologist, occupational therapist, psychotherapist, physiotherapists). It is based on mental and physical (aerobics) training. All patients remained alcohol-free during their stay. Results: Among the 1497 patients hospitalized from November 2012 to January 2017, 491 fulfilled the inclusion criteria. There were 402 (69.4%) men and 89 women aged of 50.2 ± 9.7 years. The MoCA score was severely (≤21) and moderately (22–25) impaired in 44.6% and 55.4%, respectively. MoCA score increased from 21.27 ± 3.06 at admission to 24.37 ± 3.15 (p < 0.001) at discharge and 432 patients (84%) improved their cognitive score. A significant improvement was observed for all domains explored by the MoCA but specifically in visuospatial, attention and memory. For each MoCA sub-score the ratio between observed improvement (discharge –admission) to total potential improvement (max score –admission) was about 30 to 40% and was similar in the subgroups with severe and moderate cognitive impairment at admission. At discharge 20.1% of patients with severe and 50.6% with moderate cognitive impairment had a normal MoCA score, respectively. Finally, the mean cognitive improvement did not differ according to the duration of alcohol withdrawal before admission.
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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 | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 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 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".