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Record W7063267560

加速康复外科理念在妇科手术中应用的Meta分析

2020· other· zh· W7063267560 on OpenAlex

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.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueLanzhou University Institutional Repository · 2020
Typeother
Languagezh
FieldPhysics and Astronomy
TopicAdaptive optics and wavefront sensing
Canadian institutionsnot available
Fundersnot available
KeywordsPopulationIncidence (geometry)Term (time)
DOInot available

Abstract

fetched live from OpenAlex

目的:通过评估术后康复、安全性和经济效益指标,比较加速康复外科理念(Enhanced recovery after surgery, ERAS)与传统外科理念在妇科手术中应用的临床疗效。方法:系统检索PubMed,EMBASE,Web of Science,Cochrane Library,中国知网 (CNKI),万方,维普以及中国生物医学文献数据库(CBM)自建库至2020年01月发表的比较加速康复外科理念与传统外科理念在妇科手术中应用的相关文献,包括随机对照研究和非随机对照研究。采用Cochrane风险偏倚工具和New-castle-Ottawa量表分别对随机对照研究和非随机对照研究进行文献质量评价。选用Stata 12.0软件进行Meta分析。结果:最终纳入28篇文献,包括22篇英文和6篇中文,其中6篇随机对照研究,22篇非随机对照研究(8篇病例-对照研究和14篇队列研究)。共纳入6705例患者,其中ERAS组3304例,传统外科组3392例。Meta分析结果显示:与传统外科组比较,ERAS组总住院时间(WMD = -0.69, 95% CI = -0.97 ~ -0.41, P = 0.000)、术后住院时间(WMD = -0.63, 95% CI = -0.84 ~ -0.42, P = 0.000)、术后肠功能恢复时间(WMD = -0.36, 95% CI = -0.57 ~ -0.16, P = 0.001)均明显缩短,术中失血量(WMD = -26.57, 95% CI = -47.39 ~ -5.74, P = 0.012)和住院费用(WMD = -817.61, 95% CI = -1263.35 ~ -317.87, P = 0.000)均明显减少,差异均有统计学意义两组手术时间、术后30天并发症发生率、30天再入院率和30天死亡率比较,差异无统计学意义。结论:与传统外科理念比较,不论是开腹手术还是微创手术,ERAS理念均能够在不增加术后30天并发症发生率、30天再入院率和30天死亡率的基础上,缩短总住院时间、术后住院时间和肠功能恢复时间,同时减少住院费用,说明ERAS理念在妇科手术中的应用是安全有效的,且能产生积极的经济效益。

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.941
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.002

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 head0.011
GPT teacher head0.188
Teacher spread0.176 · 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