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Experience from two decades of the Cambridge Rapid Access Neurology Clinic

Overview of attention for article published in Clinical Medicine, October 2015
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Title
Experience from two decades of the Cambridge Rapid Access Neurology Clinic
Published in
Clinical Medicine, October 2015
DOI 10.7861/clinmedicine.15-5-437
Pubmed ID
Authors

Laura T Axinte, Barnaby D Fiddes, Alastair Donaghy, Adam Whyte, Chris Allen, Stephen J Sawcer, Robert J Adam, Sybil R L Stacpoole

Abstract

OVERVIEWWe report on the evolution of the rapid access neurology clinic (established in 1995) at Addenbrooke's Hospital, Cambridge. Annualised attendance data demonstrate an ever increasing demand, with primary headache disorders now accounting for more than 40% of referrals. Secondary causes of headache (including intracranial tumours, idiopathic intracranial hypertension, carotid or vertebral artery dissection and subdural haematomas) remain infrequent. In all such cases, there were additional diagnostic clues. The number of patients referred with problems related to chronic neurological diseases has fallen considerably, reflecting the roles of specialist nurses and clinics. Imaging investigation of choice shifted from computerised tomography scan (45 to 16%) towards magnetic resonance imaging (17 to 47%). Management is increasingly on an outpatient basis, often without the need for a follow-up appointment. The experience presented here should inform further development of rapid access neurology clinics across the UK and suggests the need for acute headache services, in line with those for transient ischaemic attack and first seizure.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 36 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 3%
Unknown 35 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 5 14%
Student > Master 4 11%
Researcher 4 11%
Lecturer 3 8%
Other 2 6%
Other 7 19%
Unknown 11 31%
Readers by discipline Count As %
Medicine and Dentistry 9 25%
Nursing and Health Professions 7 19%
Neuroscience 3 8%
Biochemistry, Genetics and Molecular Biology 1 3%
Business, Management and Accounting 1 3%
Other 1 3%
Unknown 14 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 05 October 2015.
All research outputs
#20,293,238
of 22,829,683 outputs
Outputs from Clinical Medicine
#823
of 986 outputs
Outputs of similar age
#230,568
of 274,923 outputs
Outputs of similar age from Clinical Medicine
#7
of 11 outputs
Altmetric has tracked 22,829,683 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 986 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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