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Idiopathic acute transverse myelitis: outcome and conversion to multiple sclerosis in a large series

Overview of attention for article published in BMC Neurology, October 2013
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Title
Idiopathic acute transverse myelitis: outcome and conversion to multiple sclerosis in a large series
Published in
BMC Neurology, October 2013
DOI 10.1186/1471-2377-13-135
Pubmed ID
Authors

Álvaro Cobo Calvo, M Alba Mañé Martínez, Agustí Alentorn-Palau, Jordi Bruna Escuer, Lucía Romero Pinel, Sergio Martínez-Yélamos

Abstract

In 2002, the Transverse Myelitis Consortium Working Group (TMCWG) proposed the diagnostic criteria for idiopathic acute transverse myelitis (IATM) to delimit and unify this group of patients. This study aimed to describe the conversion rate to multiple sclerosis (MS) and variables associated with conversion, and to analyze functional outcome and prognostic factors associated with functional recovery in patients who fulfilled the current TMCWG criteria for definite and possible IATM. Eighty-seven patients diagnosed with IATM between 1989 and 2011 were retrospectively reviewed. Two patients with positive neuromyelitis optica IgG serum antibodies were excluded. Epidemiological, clinical, laboratory, magnetic resonance imaging (MRI) data and outcome of 85 patients were analyzed. Eleven (13%) patients converted to MS after a median follow-up of 2.9 years (interquartile range 1.0-4.8). Early-age onset of symptoms was related to conversion to MS. Only 9.4% of patients with IATM were unable to walk unassisted at the end of follow-up. Urinary sphincter dysfunction (odds ratio [OR] 3.37, 95% confidence interval [CI] 1.04-10.92) and longitudinally extensive transverse myelitis (LETM) on MRI (OR 12.34, 95% CI 3.38-45.00) were associated with a poorer outcome (Rankin ≥ 2). At least 13% of patients who fulfill the TMCWG criteria for definite and possible IATM will convert to MS. Functional recovery in IATM is poorer in patients with urinary sphincter dysfunction at admission or LETM on MRI.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Korea, Republic of 1 1%
Unknown 74 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 15 20%
Other 10 13%
Student > Master 8 11%
Student > Doctoral Student 7 9%
Student > Postgraduate 5 7%
Other 15 20%
Unknown 15 20%
Readers by discipline Count As %
Medicine and Dentistry 33 44%
Neuroscience 13 17%
Nursing and Health Professions 5 7%
Social Sciences 1 1%
Agricultural and Biological Sciences 1 1%
Other 1 1%
Unknown 21 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 June 2016.
All research outputs
#14,761,535
of 22,723,682 outputs
Outputs from BMC Neurology
#1,351
of 2,424 outputs
Outputs of similar age
#123,034
of 207,470 outputs
Outputs of similar age from BMC Neurology
#35
of 69 outputs
Altmetric has tracked 22,723,682 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,424 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.7. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 207,470 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 69 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.