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Record W4414199360 · doi:10.1177/02692155251377207

Expert-driven weighting of pressure injury risk factors for wheelchair users: A Delphi study

2025· article· en· W4414199360 on OpenAlexafffund
Clémence Paquin, Marie‐Ève Lamontagne, François Routhier

Bibliographic record

VenueClinical Rehabilitation · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPressure Ulcer Prevention and Management
Canadian institutionsCentre intégré universitaire de santé et de services sociaux de la Capitale-NationaleUniversité LavalCentres Intégré Universitaires de Santé et de Services SociauxCentre for Interdisciplinary Research in Rehabilitation
FundersFonds de Recherche du Québec - SantéMitacs
KeywordsWheelchairDelphi methodPressure injuryPerceptionWeightingQuality of life (healthcare)Risk assessmentRisk factorMEDLINE

Abstract

fetched live from OpenAlex

ObjectiveTo identify and prioritize personal risk factors for pressure injuries in wheelchair users.DesignA Delphi survey was conducted with clinicians specializing in pressure injury prevention and care.SettingThe study was conducted online using LimeSurvey software.ParticipantsIn the first round, 90 clinicians participated and completed the survey; in the second round, 68 continued their involvement.ResultsAcross all rounds, 39 risk factors were identified by the experts. These factors were weighted according to expert consensus. Immobility, current or past pressure injuries, malnutrition, and sensory perception impairment are ranked among the highest important.ConclusionThese findings underscore the importance of considering both physiological and behavioral factors when assessing pressure injurie risk. The weighted list of expert-validated factors offers clinicians a practical foundation for more targeted and individualized prevention strategies, ultimately supporting improved care and quality of life for this population.

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 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)0.004
metaresearch head score (Gemma)0.016
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.098
Threshold uncertainty score0.992

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.016
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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 head0.088
GPT teacher head0.522
Teacher spread0.434 · 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 teacher head, not a consensus.

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
Published2025
Admission routes2
Has abstractyes

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