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Record W2951998902 · doi:10.1177/1747493019847334

<i>Canadian Stroke Best Practice Recommendations</i> : Mood, Cognition and Fatigue following Stroke, 6th edition update 2019

2019· article· en· W2951998902 on OpenAlexafffundabout
Krista L. Lanctôt, M. Patrice Lindsay, Eric E. Smith, Demetrios J. Sahlas, Norine Foley, Gord Gubitz, Melissa Austin, Kristyn Ball, Sanjit K. Bhogal, Treena Blake, Nathan Herrmann, David B. Hogan, Aisha Khan, Stewart Longman, Andrea King, Carol Léonard, Tricia Shoniker, Trudy Taylor, Moira Teed, Andrea de Jong, Anita Mountain, Leanne K. Casaubon, Dar Dowlatshahi, Richard H. Swartz

Bibliographic record

VenueInternational Journal of Stroke · 2019
Typearticle
Languageen
FieldMedicine
TopicStroke Rehabilitation and Recovery
Canadian institutionsParkwood InstituteNova Scotia Health AuthorityUniversity of OttawaGF Strong Rehabilitation CentreToronto Western HospitalNova Scotia Cancer CentreUniversity of British ColumbiaQueen Elizabeth II Health Sciences CentreOntario Stroke NetworkMcMaster UniversityUniversity of CalgaryAlberta Health ServicesHeart and Stroke FoundationCalgary Laboratory ServicesUniversity Health NetworkHealth Sciences CentreSunnybrook HospitalDalhousie UniversityUniversity of Toronto
FundersHeart and Stroke Foundation of Canada
KeywordsMoodMedicineStroke (engine)CognitionRehabilitationDepression (economics)Health careAnxietyBest practiceSet (abstract data type)PsychiatryPhysical therapy

Abstract

fetched live from OpenAlex

The 2019 update of the Canadian Stroke Best Practice Recommendations (CSBPR) for Mood, Cognition and Fatigue following Stroke is a comprehensive set of evidence-based guidelines addressing three important issues that can negatively impact the lives of people who have had a stroke. These include post-stroke depression and anxiety, vascular cognitive impairment, and post-stroke fatigue. Following stroke, approximately 20% to 50% of all persons may be affected by at least one of these conditions. There may also be overlap between conditions, particularly fatigue and depression. If not recognized and treated in a timely matter, these conditions can lead to worse long-term outcomes. The theme of this edition of the CSBPR is Partnerships and Collaborations, which stresses the importance of integration and coordination across the healthcare system to ensure timely and seamless care to optimize recovery and outcomes. Accordingly, these recommendations place strong emphasis on the importance of timely screening and assessments, and timely and adequate initiation of treatment across care settings. Ideally, when screening is suggestive of a mood or cognition issue, patients and families should be referred for in-depth assessment by healthcare providers with expertise in these areas. As the complexity of patients treated for stroke increases, continuity of care and strong communication among healthcare professionals, and between members of the healthcare team and the patient and their family is an even bigger imperative, as stressed throughout the recommendations, as they are critical elements to ensure smooth transitions from acute care to active rehabilitation and reintegration into their community.

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)0.074
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: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.181
Threshold uncertainty score0.365

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.074
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0040.005
Bibliometrics0.0090.010
Science and technology studies0.0030.002
Scholarly communication0.0060.003
Open science0.0070.004
Research integrity0.0080.011
Insufficient payload (model declined to judge)0.0280.021

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 head0.012
GPT teacher head0.306
Teacher spread0.293 · 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
GenreOther

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

Citations225
Published2019
Admission routes3
Has abstractyes

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