{"id":"https://openalex.org/W2966001690","doi":"https://doi.org/10.1186/s12911-019-0858-0","title":"Early temporal characteristics of elderly patient cognitive impairment in electronic health records","display_name":"Early temporal characteristics of elderly patient cognitive impairment in electronic health records","publication_year":2019,"publication_date":"2019-08-01","ids":{"openalex":"https://openalex.org/W2966001690","doi":"https://doi.org/10.1186/s12911-019-0858-0","mag":"2966001690","pmid":"https://pubmed.ncbi.nlm.nih.gov/31391041"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-019-0858-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-019-0858-0","pdf_url":null,"source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12911-019-0858-0","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077453573","display_name":"Somaieh Goudarzvand","orcid":null},"institutions":[{"id":"https://openalex.org/I75421653","display_name":"University of Missouri\u2013Kansas City","ror":"https://ror.org/01w0d5g70","country_code":"US","type":"education","lineage":["https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Somaieh Goudarzvand","raw_affiliation_strings":["School of Computing and Engineering, University of Missouri, Kansas City, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Computing and Engineering, University of Missouri, Kansas City, MO, USA","institution_ids":["https://openalex.org/I75421653"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073303043","display_name":"Jennifer L. St. Sauver","orcid":"https://orcid.org/0000-0002-9789-8544"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer St. Sauver","raw_affiliation_strings":["Division of Epidemiology, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Epidemiology, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090710393","display_name":"Michelle M. Mielke","orcid":"https://orcid.org/0000-0001-7177-1185"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michelle M. Mielke","raw_affiliation_strings":["Division of Epidemiology, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Epidemiology, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050153467","display_name":"Paul Y. Takahashi","orcid":"https://orcid.org/0000-0002-1891-309X"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul Y. Takahashi","raw_affiliation_strings":["Community Internal Medicine, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Community Internal Medicine, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007672179","display_name":"Yugyung Lee","orcid":"https://orcid.org/0000-0002-1619-1695"},"institutions":[{"id":"https://openalex.org/I75421653","display_name":"University of Missouri\u2013Kansas City","ror":"https://ror.org/01w0d5g70","country_code":"US","type":"education","lineage":["https://openalex.org/I75421653"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yugyung Lee","raw_affiliation_strings":["School of Computing and Engineering, University of Missouri, Kansas City, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Computing and Engineering, University of Missouri, Kansas City, MO, USA","institution_ids":["https://openalex.org/I75421653"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063986559","display_name":"Sunghwan Sohn","orcid":"https://orcid.org/0000-0001-8256-2602"},"institutions":[{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sunghwan Sohn","raw_affiliation_strings":["Division of Digital Health Sciences, Mayo Clinic, Rochester, MN, USA. Sohn.Sunghwan@mayo.edu","Division of Digital Health Sciences, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Digital Health Sciences, Mayo Clinic, Rochester, MN, USA. Sohn.Sunghwan@mayo.edu","institution_ids":[]},{"raw_affiliation_string":"Division of Digital Health Sciences, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210146710"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5063986559"],"corresponding_institution_ids":["https://openalex.org/I4210146710"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":1.3066,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.85679037,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"19","issue":"S4","first_page":"149","last_page":"149"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.7799000144004822,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.7799000144004822,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.04019999876618385,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.031300000846385956,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.690506100654602},{"id":"https://openalex.org/keywords/cohort","display_name":"Cohort","score":0.5784235000610352},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.5625255107879639},{"id":"https://openalex.org/keywords/medical-record","display_name":"Medical record","score":0.5524777173995972},{"id":"https://openalex.org/keywords/biobank","display_name":"Biobank","score":0.5394623279571533},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.49557578563690186},{"id":"https://openalex.org/keywords/activities-of-daily-living","display_name":"Activities of daily living","score":0.4936012029647827},{"id":"https://openalex.org/keywords/cognition","display_name":"Cognition","score":0.4935556650161743},{"id":"https://openalex.org/keywords/cohort-study","display_name":"Cohort study","score":0.4590514898300171},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.45184943079948425},{"id":"https://openalex.org/keywords/gerontology","display_name":"Gerontology","score":0.4290871024131775},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.37429049611091614},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.29538971185684204},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.23993253707885742},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"Physical therapy","score":0.21582907438278198},{"id":"https://openalex.org/keywords/psychiatry","display_name":"Psychiatry","score":0.15408742427825928},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.10115808248519897},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.08869901299476624}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.690506100654602},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5784235000610352},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.5625255107879639},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5524777173995972},{"id":"https://openalex.org/C116567970","wikidata":"https://www.wikidata.org/wiki/Q864217","display_name":"Biobank","level":2,"score":0.5394623279571533},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.49557578563690186},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.4936012029647827},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.4935556650161743},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4590514898300171},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.45184943079948425},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4290871024131775},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.37429049611091614},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.29538971185684204},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.23993253707885742},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.21582907438278198},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.15408742427825928},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10115808248519897},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.08869901299476624},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000203","descriptor_name":"Activities of Daily Living","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000203","descriptor_name":"Activities of Daily Living","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000203","descriptor_name":"Activities of Daily Living","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D060825","descriptor_name":"Cognitive Dysfunction","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-019-0858-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-019-0858-0","pdf_url":null,"source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:31391041","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31391041","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:doaj.org/article:ccb4eef82d5d497c978031cd423ece1d","is_oa":true,"landing_page_url":"https://doaj.org/article/ccb4eef82d5d497c978031cd423ece1d","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 19, Iss S4, Pp 1-14 (2019)","raw_type":"article"},{"id":"pmh:oai:europepmc.org:5638776","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6686236","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1186/s12911-019-0858-0","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-019-0858-0","pdf_url":null,"source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6899999976158142,"display_name":"Quality Education","id":"https://metadata.un.org/sdg/4"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":64,"referenced_works":["https://openalex.org/W86609720","https://openalex.org/W1530833367","https://openalex.org/W1556698056","https://openalex.org/W1787525893","https://openalex.org/W1880262756","https://openalex.org/W1937811769","https://openalex.org/W1967974729","https://openalex.org/W1974151338","https://openalex.org/W1977798321","https://openalex.org/W1983526543","https://openalex.org/W2003260521","https://openalex.org/W2023768841","https://openalex.org/W2055531721","https://openalex.org/W2069059483","https://openalex.org/W2075365924","https://openalex.org/W2075773321","https://openalex.org/W2095691234","https://openalex.org/W2096205239","https://openalex.org/W2101052490","https://openalex.org/W2104655560","https://openalex.org/W2111437636","https://openalex.org/W2122791009","https://openalex.org/W2128529067","https://openalex.org/W2134209550","https://openalex.org/W2135560260","https://openalex.org/W2139022824","https://openalex.org/W2139195205","https://openalex.org/W2159122349","https://openalex.org/W2165315219","https://openalex.org/W2168694025","https://openalex.org/W2205577034","https://openalex.org/W2297915641","https://openalex.org/W2323344600","https://openalex.org/W2411017568","https://openalex.org/W2467270659","https://openalex.org/W2504661280","https://openalex.org/W2530115453","https://openalex.org/W2531356907","https://openalex.org/W2550643483","https://openalex.org/W2566096267","https://openalex.org/W2567961463","https://openalex.org/W2582212337","https://openalex.org/W2590149915","https://openalex.org/W2593212236","https://openalex.org/W2593726552","https://openalex.org/W2594844191","https://openalex.org/W2609973753","https://openalex.org/W2613053618","https://openalex.org/W2683833049","https://openalex.org/W2737702983","https://openalex.org/W2751124103","https://openalex.org/W2751604241","https://openalex.org/W2759735155","https://openalex.org/W2783593218","https://openalex.org/W2790279313","https://openalex.org/W2792608425","https://openalex.org/W2801359753","https://openalex.org/W2835323562","https://openalex.org/W2905502836","https://openalex.org/W2950680182","https://openalex.org/W2962878234","https://openalex.org/W3212487031","https://openalex.org/W4300514462","https://openalex.org/W6639619044"],"related_works":["https://openalex.org/W4285087457","https://openalex.org/W2105971613","https://openalex.org/W3113746618","https://openalex.org/W4226051228","https://openalex.org/W4226156868","https://openalex.org/W4244742767","https://openalex.org/W2024651825","https://openalex.org/W4248738672","https://openalex.org/W2323349009","https://openalex.org/W2000841861"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,106,145,257,282,324,344],"aging":[2],"population":[3],"has":[4,101],"led":[5],"to":[6,17,30,41,43,97,112,193,240,253,272,299,303,359,373],"an":[7],"increase":[8],"in":[9,14,78,92,137,183,216,264,311],"cognitive":[10],"impairment":[11],"(CI)":[12],"resulting":[13],"significant":[15],"costs":[16],"patients,":[18],"their":[19],"families,":[20],"and":[21,35,67,114,130,156,167,201,293,316,321,333,366],"society.":[22],"A":[23,188],"research":[24,100],"endeavor":[25],"on":[26,236],"a":[27,85,357],"large":[28],"cohort":[29,147],"better":[31,115],"understand":[32,116],"the":[33,44,74,82,179,184,195,205,212,224,276,287,295],"frequency":[34],"severity":[36],"of":[37,47,57,63,76,84,88,108,119,127,133,149,174,181,198,214,226,259,280,314,326,335],"CI":[38,77,99,122,151,254,265,300,304,320,342,362,374],"is":[39,52,111],"urgent":[40],"respond":[42],"health":[45,59,94],"needs":[46],"this":[48,109],"population.":[49],"However,":[50],"little":[51],"known":[53],"about":[54],"temporal":[55,125,312],"trends":[56,70,126,313],"patient":[58,121,128,134],"functions":[60],"(i.e.,":[61],"activity":[62],"daily":[64],"living":[65],"[ADL])":[66],"how":[68,242,361],"these":[69],"are":[71],"associated":[72,340],"with":[73,341],"onset":[75],"elderly":[79,120],"patients.":[80,323],"Also,":[81],"use":[83],"rich":[86],"source":[87],"clinical":[89,138,237,353],"free":[90,139,238,354],"text":[91,140,239,355],"electronic":[93],"records":[95],"(EHRs)":[96],"facilitate":[98],"not":[102],"been":[103],"well":[104],"explored.":[105],"aim":[107],"study":[110,146],"characterize":[113],"early":[117],"signals":[118],"by":[123,165,348],"examining":[124],"ADL":[129,215,260,318],"analyzing":[131],"topics":[132],"medical":[135,244],"conditions":[136,245,364,369],"using":[141],"topic":[142,233,283,288,345,349],"models.":[143],"METHODS:":[144],"consists":[148],"physician-diagnosed":[150],"patients":[152,160,171,266,269],"(n":[153,161],"=":[154,162],"1,435)":[155,163],"cognitively":[157],"unimpaired":[158],"(CU)":[159],"matched":[164],"age":[166,175,219],"sex,":[168],"selected":[169],"from":[170,352],"65":[172],"years":[173],"or":[176],"older":[177],"at":[178],"time":[180,222,248],"enrollment":[182],"Mayo":[185],"Clinic":[186],"Biobank.":[187],"corpus":[189],"analysis":[190],"was":[191],"performed":[192],"examine":[194,241],"basic":[196,315],"statistics":[197],"event":[199],"types":[200],"practice":[202],"settings":[203],"where":[204],"physician":[206,278],"first":[207],"diagnosed":[208],"CI.":[209,227,281],"We":[210],"analyzed":[211],"distribution":[213],"three":[217,231],"different":[218,232],"groups":[220],"over":[221,247],"before":[223,275],"development":[225],"Furthermore,":[228],"we":[229],"applied":[230],"modeling":[234,284,350],"approaches":[235],"patients'":[243,363],"change":[246],"when":[249,301,370],"they":[250,371],"were":[251,290,338],"close":[252,372],"diagnosis.":[255,305,375],"RESULTS:":[256],"trajectories":[258,325],"deterioration":[261],"became":[262],"steeper":[263],"than":[267],"CU":[268,322],"approximately":[270],"1":[271],"1.5":[273],"year(s)":[274],"actual":[277],"diagnosis":[279],"showed":[285],"that":[286],"terms":[289,346],"mostly":[291],"correlated":[292],"captured":[294],"underlying":[296],"semantics":[297],"relevant":[298],"approaching":[302],"CONCLUSIONS:":[306],"There":[307],"exist":[308],"notable":[309],"differences":[310],"instrumental":[317],"between":[319],"certain":[327],"individual":[328],"ADL,":[329],"such":[330],"as":[331],"bathing":[332],"responsibility":[334],"own":[336],"medication,":[337],"closely":[339],"development.":[343],"obtained":[347],"methods":[351],"have":[356],"potential":[358],"show":[360],"evolve":[365],"reveal":[367],"overlooked":[368]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2}],"updated_date":"2026-05-06T08:25:59.206177","created_date":"2025-10-10T00:00:00"}
