Canadian Practice Patterns of Venous Thromboembolism Prophylaxis for Adults with Spinal Cord Injury
Bibliographic record
Abstract
Context: According to current reviews and guidelines, venous thromboembolism (VTE) prophylaxis in spinal cord injury (SCI) includes low molecular weight heparin (LMWH) in combination with mechanical prophylaxis. The level of evidence for VTE prophylaxis is varied among the recommendations. National best practice consensus is extremely important in the care of patients especially in situations when the evidence are vague and varied. Objective: To ascertain practice patterns of VTE prophylaxis by Canadian SCI rehabilitation physiatrists in adults admitted to a rehabilitation unit for spinal cord injury rehabilitation. Method: An invitation to participate in this project was distributed to Canadian SCI Rehabilitation physiatrists through the “SCI Hallways”, a private online forum for consultation between Canadian physiatrists. Results: A total of 10 physiatrists from 8 of 13 Canadian academic rehabilitation programs participated. All participants stated that their practice involved using a form of mechanical VTE prophylaxis and LMWH for 8 to 12 weeks. Conclusion: Use of VTE prophylaxis for SCI is consistent among Canadian physiatrist and matches guidelines for VTE prophylaxis in spinal cord injury.
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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 | 0.002 | 0.013 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.004 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.006 | 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".