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REDUCING DOOR-TO-NEEDLE TIMES ACROSS 11 RURAL HOSPITALS IN CANADA

2018· preprint· en· W4214503331 on OpenAlexaboutno aff
Noreen Kamal

Bibliographic record

Venuenot available
Typepreprint
Languageen
FieldSocial Sciences
TopicSocial Sciences and Governance
Canadian institutionsnot available
Fundersnot available
KeywordsBusinessGeography

Abstract

fetched live from OpenAlex

IntroductionWomen who suffer stroke are older than men, have more cardioembolic aetiology including atrial fibrillation (AF) and suffer from more severe strokes. We aimed to investigate whether the use of antithrombotic drugs is different in women and men with stroke and AF.Methods: We used data from the Norwegian Stroke Registry 2016 and extracted people with detected AF, both known and detected during the hospital stay. Using the Chi-square test we compared the use of different antithrombotic drugs prior to stroke and upon discharge. Results: Out of 8650 patients, 2290 (26.5%) had AF. There were significantly more AF among women than men (27.7 vs 25.5%, p = 0.02). On admission, there were no differences between women and men in the use of aspirin (31.2 vs 32.1%, p = 0.495), clopidorgrel (1.9 vs 2.5%, p = 0.327) or warfarin (21.8 vs 23.6, p = 0.30). Women were less likely to be on treatment with other anticoagulants (19.4 vs 23.4%, p = 0.017). At discharge, there were no differences in the use of either warfarin or other anticoagulants, however, men were more often on treatment with aspirin (17.1 vs 21.8%, <0.001) and clopidogrel (1.8 vs 4.1%, p = 0.002). Conclusion: The proportion of AF is higher among women than among men. Women were less likely than men to be treated with other anticoagulants prior to the stroke, but not on discharge. Men with AF received more antiplatelet drugs on discharge than women with AF, and this could reflect differences in age or other comorbidities.

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)0.006
Version: metacan-v3-hybrid-931329e0061cValidation 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 score0.042
Threshold uncertainty score0.304

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.003
Science and technology studies0.0030.001
Scholarly communication0.0010.000
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0040.000

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 head0.016
GPT teacher head0.316
Teacher spread0.300 · 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 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
Published2018
Admission routes1
Has abstractyes

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