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Effects of carotid artery stenting and carotid endarterectomy on cognitive function in patients with severe carotid artery stenosis

2015· article· en· W3029328490 on OpenAlexaboutno aff
Guomei Shi, Junshan Zhou, Yukai Liu, Hong Zhang, Hongchao Shi, Leiyang Zhang, Hong-Dong Zhao, Bing Tang

Bibliographic record

VenueChin J Neurol · 2015
Typearticle
Languageen
FieldMedicine
TopicCerebrovascular and Carotid Artery Diseases
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineCarotid endarterectomyMontreal Cognitive AssessmentStenosisCardiologyInternal medicineEndarterectomyCarotid arteriesCarotid artery diseaseStroke (engine)CognitionCognitive impairmentPsychiatryDisease

Abstract

fetched live from OpenAlex

Objective To compare the effects of carotid endarterectomy (CEA) and carotid artery stenting (CAS) on cognitive function in patients with severe carotid artery stenosis. Methods Two hundreds and sixteen severe carotid artery stenosis patients comprising 70 patients with CEA, 76 patients with CAS and 70 controls were recruited consecutively. All of them were subject to the cognitive assessment including Mini-mental State Examination (MMSE), the Chinese version Montreal Cognitive Assessment (MoCA) and event related potential P300 pre- and post-treatment for 3 months. Results During the 3-month follow-up period, patients who underwent CEA(MMSE: 27.10±1.62, MoCA: 24.16±1.81) or CAS (MMSE: 26.70±1.52, MoCA: 23.58±1.78)exhibited significant improvements in cognitive function compared with pre-treatment(MMSE: 26.31±1.38, MoCA: 23.21±1.39; MMSE: 25.95±1.44, MoCA: 22.85±1.51; all P=0.000). It did not show significant difference in the control group when comparing the pre- with the post-treatment. The improvement in MoCA score and reduction in P300 (ms)incubation in CEA(0.94±0.90, 22.09±21.85)seemed more obvious than those in CAS(0.73±0.78, 18.80±25.41), although the difference was not statistically significant. Conclusion The findings of this study suggest that both CEA and CAS have a significant effect on cognitive function in patients with severe carotid artery stenosis. Key words: Carotid stenosis; Endarterectomy, carotid; Stents; Cognition disorders; Neuropsychological tests

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 categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.018
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
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)0.0000.000

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 head0.008
GPT teacher head0.202
Teacher spread0.195 · 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 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
Published2015
Admission routes1
Has abstractyes

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