Costo efectividad en el diagnóstico y manejo de esguince de tobillo, basados en los criterios de Ottawa durante los años 2014 y 2015 en el Hospital Isidro Ayora
Bibliographic record
Abstract
Abstract:This study comprised a total of 184 patients, who had a diagnosis of ankle sprain regardless of whether they used the Ottawa criteria. The data obtained were tabulated and plotted in the Microsoft Excel 2013, then compared with other related studies, evidencing that men were the ones with the highest incidence of ankle sprain, constituting 54.3%. The main production mechanism was fall (61.40%). Regarding the applicability of the Ottawa rules, it was only 0.5% (one patient), and the most applied diagnostic method was anteroposterior and lateral ankle radiography performed in 56.5% of patients. The direct cost of the imaging tests (RX) during the two years was $ 2.008.50. Plus the indirect costs evidenced a total of $ 7. 135.55. With which it is concluded that in the Isidro Ayora Hospital, the Ottawa criteria are not applied as a diagnostic tool. Its disuse leads to greater spending in the public system and more time is spent for the diagnosis of ankle sprain.
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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 | 0.001 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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.
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".