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Record W3085766382 · doi:10.4187/respcare.20203450047

The Time Course Distribution of Ventilator-Dependent Patients From Receiving Tranquility to Death

2020· article· en· W3085766382 on OpenAlexaboutno aff
Chin-Jung Liu, Pei‐Tseng Kung, Yeong-Ruey Chu, Chia-Chen Chu, Wen‐Chen Tsai

Bibliographic record

VenueRespiratory Care · 2020
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineIntervention (counseling)Quarter (Canadian coin)Health careMortality rateNational health insurancePaymentEmergency medicineFamily medicineDemographyNursingInternal medicinePopulationEnvironmental health

Abstract

fetched live from OpenAlex

Background:Taylor and others analyzed that cancer patients join tranquility care, the average annual savings before death is US $2,309, and the largest saving is US $750 on the day of death. The later join tranquility care, the higher the medical expenses. The previous research and analysis of cancer patients, only one-tenth of the last stage patients received tranquility care within one year before death, and one-quarter of them intervened within one week before death. The intervention time of tranquility is too short to allow family members and patients to be fully prepared for the best benefit of tranquility care. Research suggests that intervention should be conducted three months before death. In 2011, Taiwan National Health Insurance launched the tranquility care pilot project, which also included patients with ventilator dependence as the target of payment. Therefore, we use Taiwan National Health Insurance database to analyze the time course distribution of ventilator-dependent patients from receiving tranquility to death. Methods:We used Taiwan National Health Insurance database (from 2005 to 211) to analyze the time course distribution of ventilator-dependent patients (over 18 years of age, ventilator use > 20 days and interruption ≤5 days), from received the tranquility care to death. Results:A total of 113,278 ventilator-dependent patients from 2005 to 2011, but only 555 people received tranquility care, and the intervention rate of tranquility was 0.49%; only 179 patients with long-term ventilator dependence who received tranquility care for more than 90 days accounted for all joined tranquility care 32% of the population. Conclusions:A total of 113,278 ventilator-dependent patients from 2005 to 2011, but only 555 people received tranquility care, and the intervention rate of tranquility was 0.49%; only 179 patients with long-term ventilator dependence who received tranquility care for more than 90 days accounted for all joined tranquility care 32% of the population.

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 categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.207
Threshold uncertainty score0.328

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
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 head0.078
GPT teacher head0.370
Teacher spread0.292 · 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.

The models applied no category: nothing in the taxonomy fit this work.
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
Published2020
Admission routes1
Has abstractyes

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