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Record W4307497860

[How do we help children who visit an emergency department frequently?]

2022· article· en· W4307497860 on OpenAlexaboutno aff
Jan Peter Rake, Joris Fuijkschot, Ties Eikendal

Bibliographic record

VenuePubMed · 2022
Typearticle
Languageen
FieldMedicine
TopicEmergency and Acute Care Studies
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineEmergency departmentPsychosocialComorbidityQuarter (Canadian coin)Medical emergencyEmergency medicineFamily medicinePediatricsPsychiatry
DOInot available

Abstract

fetched live from OpenAlex

Dutch research demonstrated that almost 5% of the pediatric population at an emergency department (ED) of an university hospital are so-called frequent flyers (FFs). These FFs account for more than 20% of all pediatric visits. Three-quarter of these FFs have (multiple) comorbidities. We hypothesize that among these FFs three groups can be recognized: (1) patients with acute manifestations from their comorbidity, (2) patients with medical complexity and (3) patients from families with psychosocial fragility. FFs from these groups should be recognized and offered a tailor-made care plan to reduce (unnecessary) ED visits.

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)0.004
metaresearch head score (Gemma)0.036
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.023
Threshold uncertainty score0.052

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.036
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0020.002
Scholarly communication0.0020.006
Open science0.0020.002
Research integrity0.0040.006
Insufficient payload (model declined to judge)0.0150.005

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 head0.020
GPT teacher head0.250
Teacher spread0.230 · 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 designNot applicable
Domainnot available
GenreCommentary

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
Published2022
Admission routes1
Has abstractyes

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