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Record W4390169785 · doi:10.22374/cjgim.v18i4.706

Admissions for Presumed Social Reasons: Epidemiology, Risk Factors, and Hospital Outcomes

2023· article· en· W4390169785 on OpenAlex
Jasmine Mah, Samuel D. Searle, Katalin Koller, Gali Latariya, Karen Nicholls, Susan Freter, Maia von Maltzahn, Kenneth Rockwood, Melissa K. Andrew

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.
venuePublished in a venue whose home country is Canada.

Bibliographic record

VenueCanadian Journal of General Internal Medicine · 2023
Typearticle
Languageen
FieldHealth Professions
TopicObesity and Health Practices
Canadian institutionsNova Scotia Health AuthorityDalhousie University
FundersCanadian Institutes of Health ResearchConsortium canadien en neurodégénérescence associée au vieillissement
KeywordsMedicinePopulationHealth careHospital admission

Abstract

fetched live from OpenAlex

“Social admission” is a non-diagnostic label referring to an admission to a hospital for which no medical or health condition is deemed amenable to reversibility or rehabilitation; rather, the patient's social circumstances are felt to be the sole cause of hospitalization. There is a growing realization that medical facilities are experiencing an increase in socially vulnerable patient presentations. Clinicians also face challenges in caring for this patient population, which may have atypical presentations in which medical and social complexity often align. To better understand individuals admitted for social reasons and to guide future care and research, we review (i) the epidemiology, (ii) risk factors, and (iii) health outcomes associated with being labeled as “social admission.” We draw attention to factors that may improve care for this patient population and offer potential solutions with clinical relevance. Clinicians should remain mindful that patients labelled as “social admissions” often have complex underlying medical problems, which may be acute, and are at high risk of poor outcomes.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.024
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.141
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.024
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

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 head0.165
GPT teacher head0.499
Teacher spread0.335 · 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