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PS1577 PLATELET COUNT AND MEAN PLATELET VOLUME IN ACUTE STROKE: A SYSTEMATIC REVIEW AND META‐ANALYSIS

2019· review· en· W2950632884 on OpenAlexaboutno aff
Hasan Shemirani, Fatemeh Sadeghi, Sándor Kovács, Katalin-Szilvia Zsóri, Zsuzsanna Bereczky, Z. csiki

Bibliographic record

VenueHemaSphere · 2019
Typereview
Languageen
FieldMedicine
TopicInflammatory Biomarkers in Disease Prognosis
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineStrictly standardized mean differenceMeta-analysisInternal medicineStroke (engine)Confidence intervalMean platelet volumeInclusion and exclusion criteriaSubgroup analysisPlateletPathologyAlternative medicine

Abstract

fetched live from OpenAlex

Background: Changes of platelet count (PC) and mean platelet volume (MPV) could be a marker or a predictor of acute stroke (AS). Aims: We conducted a systematic review and meta‐analysis of the published literature on the reporting of MPV and PC in AS. Methods: Medline, EBSCOhost, Web of Science, ScienceDirect, Google Scholar and Scopus were searched for studies. Studies were included in accordance with Patient Population or Problem, Intervention, Comparison, Outcomes, and Setting (PICOS) framework. The PRISMA strategy was used to report findings. Risk of bias was assessed with Newcastle‐Ottawa Scale. The inclusion criteria were case‐control or cross‐sectional studies, individuals suffered an acute stroke, with fatal or non‐fatal stroke outcomes. Standardized mean difference (SMD) was calculated with a confidence interval of 95% (95% CI). Results: We included 32 eligible articles retrieved from the literature. PC was significantly lower in AS patients [standardized mean difference (SMD) = 0.30, (95%CI: 0.49–0.11), N = 2492, P = 0.002] compared with controls (N = 3615). The MPV was significantly higher [SMD = 0.51, (95%CI: 0.27–0.74), N = 2413, P < 0.001] compared with controls (N = 3621). Subgroup analyses showed significantly lower PC in both ischemic stroke (Difference SMD = 0.18, 95%CI: 0.35‐0.01) and hemorrhagic stroke (0.94, 1.62–0.25), but only samples by citrate anticoagulant showed significantly lower result for patients compared to controls (0.36, 0.68–0.04). Ischemic stroke patients had higher MPV (0.55, 0.29–0.81), and samples by EDTA anticoagulant showed significantly higher result for patients compared to controls (0.79, 0.49–1.10). Summary/Conclusion: PC and MPV appeared to be significantly different between patients with AS and control populations. MPV was significantly higher in ischemic stroke and PC was significantly lower in both ischemic and hemorrhagic strokes. It is advisable to pay attention to the type of anticoagulant for hematology analyses in AS. Our results highlight the potential predictive role of PC and MPV in the occurrence of stroke.

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Meta-analysis · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.654
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0150.002
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
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 head0.043
GPT teacher head0.324
Teacher spread0.281 · 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.

Study designMeta-analysis
Domainnot available
GenreReview

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
Published2019
Admission routes1
Has abstractyes

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