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Record W4413927192 · doi:10.1007/s43678-025-00961-y

CAEP Acute Heart Failure Best Practices Checklist

2025· review· en· W4413927192 on OpenAlexafffund
Ian G. Stiell, Aws Almufleh, Patrick Archambault, Marc Bains, Sophie Boisvert, Bjug Borgundvaag, Darshan H. Brahmbhatt, Nadia Bouabdallaoui, Christian Chabot, Heather D. Clark, Alexis Cournoyer, Kerstin de Wit, Debra Eagles, Ian D. Graham, Caroline McGuinty, Andrew D. McRae, Robert J.H. Miller, Judy Morris, Stuart G. Nicholls, Robert Ohle, Jeffrey J. Perry, Brian H. Rowe, Rupinder Sahsi, Frank Scheuermeyer, Guillaume St‐Pierre, Brian Steinhart, Troy Tebbenham, Suneel Upadhye, Alain Vadeboncœur, Krishan Yadav, Justin W. Yan, Amelia Yip

Bibliographic record

VenueCanadian Journal of Emergency Medicine · 2025
Typereview
Languageen
FieldMedicine
TopicHeart Failure Treatment and Management
Canadian institutionsUniversité de MontréalWestern UniversityUniversity of TorontoMontreal Heart InstituteUniversity of British ColumbiaUniversity of AlbertaPublic Health OntarioNOSM UniversityHealth Sciences NorthUniversity of CalgaryMcMaster UniversityCentre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-MontréalCentre Hospitalier de l’Université de MontréalRegional Municipality of WaterlooUniversité du QuébecUniversité du Québec à RimouskiCentre Intégré de Santé et Services Sociaux de Chaudière-AppalacheUniversity of OttawaSchwartz/Reisman Emergency Medicine InstituteQueen's UniversityOttawa HospitalSinai Health SystemHeart and Stroke Foundation
FundersOttawa Hospital Research Institute
KeywordsMedicineChecklistHeart failureMedical emergencyMEDLINEIntensive care medicineInternal medicine

Abstract

fetched live from OpenAlex

A. Assessment 1.What is acute heart failure (AHF)?• Heart failure (HF) is a syndrome that results from the structural or functional impairment of ventricular filling or ejection of blood.• Cardinal manifestations include dyspnea, fatigue, pulmonary and/or splanchnic congestion, and peripheral edema.• Acute heart failure is a common condition that frequently results in poor outcomes or death [1, 2].-patients typically present to the emergency department (ED) with increased shortness of breath.-may be the first episode of HF (new onset) or, more frequently, be due to acute decompensation of chronic HF.• Diagnosis is primarily clinical assisted by selected investigations [3]. How does acute heart failure present?• There are four major clinical presentations with possible overlap: A. Acute decompensated heart failure (ADHF)• onset of dyspnea over days • pulmonary congestion, jugular venous distension, peripheral edema • the most common form, accounting for 50-70% of ED presentations B. Acute pulmonary edema (aka "flash pulmonary edema")• onset of dyspnea over hours • pulmonary congestion causes dyspnea with orthopnea, tachypnea, and hypoxia C. Isolated right ventricular (RV) failure • caused by RV dysfunction, severe pulmonary hypertension, or severe tricuspid valve disease • symptoms often nonspecific: exertional dyspnea, fatigue, early satiety, symptoms of right-sided volume overload • physical findings include jugular venous distension, often with a prominent V wave and positive Kussmaul sign, ascites, leg edema • often poor outcomes Extended author information available on the last page of the article

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)0.007
metaresearch head score (Gemma)0.042
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: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.957
Threshold uncertainty score0.085

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.042
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.003
Bibliometrics0.0090.006
Science and technology studies0.0010.001
Scholarly communication0.0020.002
Open science0.0030.002
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0210.004

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 head0.145
GPT teacher head0.435
Teacher spread0.290 · 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
GenreReview

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
Published2025
Admission routes2
Has abstractno

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