Prophylaxie des thromboembolies veineuses en réanimation pédiatrique : une mise au point.
Bibliographic record
Abstract
Objectif : Le but de ce manuscrit est de revoir la littérature actuelle sur la prévention des thromboses veineuses chezl’enfant admis en réanimation.Matériel et méthode : Revue systématique basée sur les articles trouvés dans PubMed et Embase entre janvier 1975 etmars 2018. Les mots clés suivants ont été utilisés : paediatric, children, venous thromboembolism, venous thrombosis,pulmonary embolism, thromboprophylaxis.Résultats : La thrombose veineuse est fréquente en réanimation pédiatrique et souvent sous-estimée malgré sonassociation avec une morbi-mortalité importante. La cause principale est la présence d’un cathéter veineux central.Comparativement à l’adulte, il n’existe chez l’enfant aucune évidence d’un bénéfi ce d’une prophylaxie mis à part peut-être chez l’adolescent traumatisé.Conclusions : La maladie thrombo-embolique veineuse est une préoccupation chez l’enfant gravement malade.En absence de preuves, des études sont nécessaires afi n de cibler les patients à risque et qui bénéfi cieraientd’une prophylaxie et ceux à risque de saignement chez qui l’administration d’anticoagulation pourrait êtredélétère.
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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 | 0.011 | 0.029 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.003 | 0.001 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.003 | 0.007 |
| Open science | 0.002 | 0.001 |
| Research integrity | 0.004 | 0.004 |
| Insufficient payload (model declined to judge) | 0.005 | 0.002 |
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".