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Record W3170403058

Optimal Defibrillator Placement for In-Hospital Cardiac Arrest

2019· dissertation· en· W3170403058 on OpenAlexaboutno aff
Kwan Leung

Bibliographic record

VenueTSpace · 2019
Typedissertation
Languageen
FieldMedicine
TopicCardiac Arrest and Resuscitation
Canadian institutionsnot available
Fundersnot available
KeywordsAutomated external defibrillatorMedicineCardiologyInternal medicineCardiopulmonary resuscitationEmergency medicineResuscitation
DOInot available

Abstract

fetched live from OpenAlex

In-hospital cardiac arrest (IHCA) affects over 300,000 adults across North America every year. Rapid treatment via defibrillation is an effective treatment for many IHCA victims, but the placement of in-hospital defibrillators is typically arbitrary, which may negatively impact response and patient outcomes. We conducted a descriptive analysis of IHCA incidents at St. Michael's Hospital in Toronto, Ontario, and then developed two mathematical optimization models that determined optimal placement locations for defibrillators based on historical IHCA locations such that the mean and worst-case IHCA-to-defibrillator distances were minimized respectively. We found that optimized defibrillator locations were able to significantly reduce mean IHCA-to-defibrillator distances, while worst-case distances were not significantly different compared to current placement configurations. We conducted predictive analysis on IHCA response metrics and patient outcomes but were generally unable to find any significant associations. We end with suggestions for future studies and policy implications to improve IHCA response.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.007
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: Simulation or modeling
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.035
Threshold uncertainty score0.069

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.007
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0010.001
Open science0.0010.000
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0040.001

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.

Opus teacher head0.009
GPT teacher head0.316
Teacher spread0.306 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSimulation or modeling
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
Published2019
Admission routes1
Has abstractyes

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