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Record W3080485361 · doi:10.1136/svn-2020-000529

China Stroke Statistics 2019: a wealth of opportunities for stroke prevention

2020· letter· en· W3080485361 on OpenAlexaff
J. David Spence

Bibliographic record

VenueStroke and Vascular Neurology · 2020
Typeletter
Languageen
FieldMedicine
TopicAcute Ischemic Stroke Management
Canadian institutionsRobarts Clinical TrialsWestern University
Fundersnot available
KeywordsStroke (engine)ChinaMedicineMyocardial infarctionCause of deathEmergency medicineDiseaseMedical emergencyDemographyCardiologyInternal medicineGeography

Abstract

fetched live from OpenAlex

The China Stroke Statistics published in this issue of the journal1 represent an enormous undertaking. It included data on 3 010 204 patients who had a stroke admitted in 2018 to 1853 tertiary care hospitals and compiled data from multiple sources on stroke and stroke risk factors in China. The authors and the huge team of workers who must have compiled the statistics are to be commended on this enormous effort. In the report is a wealth of data on what is wrong in China to cause such a high risk of stroke but also a wealth of opportunity to make a difference. The reason this is so important is that ~80% of strokes are preventable. According to the 2016 Global Burden of Disease Study, China had the highest estimated lifetime risk of stroke from age 25 years onwards of up to 39.3%, compared with 22.2% in Western Europe and 22.4% in high-income North America.2 It is evident from the ratio of strokes to myocardial infarctions in China that hypertension is a major driver of stroke risk. In North America, myocardial infarctions (MI) outnumber strokes, but in China, stroke was historically much more common, though myocardial infarctions have been increasing in recent years. In 2003, in urban China, deaths from stroke were 8.5 times as common as deaths from MI; by 2013, strokes had increased by 26.6%, whereas death from MI increased by 213%, and deaths from stroke were only 2.5 times that of death from MI. This change is no doubt due to increased intake …

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: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.102
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

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 head0.034
GPT teacher head0.274
Teacher spread0.239 · 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 designNot applicable
Domainnot available
GenreCommentary

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

Citations24
Published2020
Admission routes1
Has abstractyes

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