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Cognitive screening among acute respiratory failure survivors: a cross-sectional evaluation of the Mini-Mental State Examination

Overview of attention for article published in Critical Care, December 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • High Attention Score compared to outputs of the same age and source (99th percentile)

Mentioned by

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39 tweeters
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1 Facebook page

Citations

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36 Dimensions

Readers on

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92 Mendeley
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Title
Cognitive screening among acute respiratory failure survivors: a cross-sectional evaluation of the Mini-Mental State Examination
Published in
Critical Care, December 2015
DOI 10.1186/s13054-015-0934-5
Pubmed ID
Authors

Elizabeth R Pfoh, Kitty S Chan, Victor D Dinglas, Timothy D Girard, James C Jackson, Peter E Morris, Catherine L Hough, Pedro A Mendez-Tellez, E Wesley Ely, Minxuan Huang, Dale M Needham, Ramona O Hopkins

Abstract

The Mini-Mental State Examination (MMSE) is a common cognitive screening test, but its utility in identifying impairments in survivors of acute respiratory failure is unclear. The purpose of this study was to evaluate MMSE performance versus a concurrently-administered detailed neuropsychological test battery in survivors of acute respiratory failure. This cross-sectional analysis used data from the ARDSNet Long Term Outcomes Study (ALTOS) and Awakening and Breathing Controlled Trial (ABC). Participants were 242 survivors of acute respiratory failure. The MMSE and detailed neuropsychological tests were administered at 6 and 12 months post-hospital discharge for ALTOS, and at hospital discharge, 3 and 12 months for ABC. Overall cognitive impairment identified by the MMSE (score <24) was compared to impairments identified by the neuropsychological tests. We also matched orientation, registration, attention, memory and language domains on the MMSE to the corresponding neuropsychological test. Pairwise correlations, sensitivity, specificity, positive and negative predictive value, and agreement were assessed. Agreement between MMSE and neuropsychological tests for overall cognitive impairment was fair (42%-80%). Specificity was excellent ≥93%, but sensitivity was poor (19-37%). Correlations between MMSE domains and corresponding neuropsychological tests were weak to moderate (6-month: r = 0.11-0.28; 12-month: r = 0.09-0.34). The highest correlation between the MMSE and neuropsychological domains was for attention at 6 months (r = 0.28) and language at 12 months (r = 0.34). In acute respiratory failure survivors, the MMSE has poor sensitivity in detecting cognitive impairment compared with concurrently-administered detailed neuropsychological tests. MMSE results in this population should be interpreted with caution.

Twitter Demographics

The data shown below were collected from the profiles of 39 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 92 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Unknown 91 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 16 17%
Student > Postgraduate 11 12%
Student > Bachelor 11 12%
Researcher 10 11%
Other 7 8%
Other 23 25%
Unknown 14 15%
Readers by discipline Count As %
Medicine and Dentistry 35 38%
Nursing and Health Professions 14 15%
Psychology 12 13%
Sports and Recreations 4 4%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Other 8 9%
Unknown 17 18%

Attention Score in Context

This research output has an Altmetric Attention Score of 21. 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 08 January 2021.
All research outputs
#1,371,584
of 21,337,804 outputs
Outputs from Critical Care
#1,246
of 5,804 outputs
Outputs of similar age
#19,425
of 244,558 outputs
Outputs of similar age from Critical Care
#1
of 5 outputs
Altmetric has tracked 21,337,804 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,804 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.6. This one has done well, scoring higher than 78% of its peers.
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 244,558 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them