COVID-19 Pandemic Morbidity and Mortality Caused to Non-COVID Spine Inpatients at a Level One Trauma Centre: Case Report
Bibliographic record
Abstract
Background: Coronavirus disease 2019 (COVID-19) caused by the 2019 novel coronavirus (SARS-CoV2) is evolving, overwhelming the healthcare system and negatively impacting inpatients, requiring nonelective surgical intervention. Case Presentation: We present two cases admitted under the Orthopaedic Spine Unit, a patient with an acute T12/L1 disc herniation and new-onset progressive bilateral lower extremity weakness, whose surgery was complicated by a cardiac arrest, secondary to a pulmonary embolism due to delayed access to the operating theatre (OR) and a patient with an L3 burst fracture, who left the hospital after waiting for four days for surgical management, being afraid of becoming infected with COVID-19. Conclusion: Challenges amid the COVID-19 pandemic are real, but solutions must be explored. Acting on the proposed strategies listed in the report may be a good start towards improving the outcome and helping to avoid unintentional complications.
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".