Usefulness of repeated presentation of Mini-Mental State Examination as a diagnostic procedure - a population-based study

2002 ◽  
Vol 106 (6) ◽  
pp. 341-346 ◽  
Author(s):  
E.-L. Helkala ◽  
M. Kivipelto ◽  
M. Hallikainen ◽  
K. Alhainen ◽  
H. Heinonen ◽  
...  
2013 ◽  
Vol 25 (11) ◽  
pp. 1831-1838 ◽  
Author(s):  
YanHong Dong ◽  
Wah Yean Lee ◽  
Saima Hilal ◽  
Monica Saini ◽  
Tien Yin Wong ◽  
...  

ABSTRACTBackground:We examined the discriminant validity of the Montreal Cognitive Assessment (MoCA) and the Mini-Mental State Examination (MMSE) in detecting multiple-domain mild cognitive impairment (md-MCI) in a Chinese sub-sample drawn from elderly population-based study.Methods:This study included Chinese participants from the Epidemiology of Dementia in Singapore (EDIS) study aged ≥ 60 years who underwent cognitive screening with the Abbreviated Mental Test and Progressive Forgetfulness Questionnaire. Screen-positive participants subsequently underwent MoCA, MMSE, and a comprehensive formal neuropsychological battery. MCI was defined by Petersen's criteria and further classified into single-domain MCI (sd-MCI) and md-MCI. Area under the receiver operating characteristic curve (AUC) with 95% confidence intervals (CIs) was computed for the MoCA and the MMSE in detecting md-MCI.Results:A total of 300 participants were recruited: 128 (42.7%) were diagnosed with no cognitive impairment (NCI), 47 (15.7%) with sd-MCI, and 83 (28.0%) with md-MCI. Forty-one participants were excluded, 7 (2.3%) had dementia, and 34 (11.3%) had only objective cognitive impairment without subjective complaints. Although the MoCA had a significantly larger AUC than the MMSE (0.94 (95% CI = 0.91–0.97) vs. 0.91 (95% CI = 0.86–0.95), p= 0.04), at optimal cut-off points, the MoCA (19/20) was equivalent to the MMSE (25/26) in detecting md-MCI (sensitivity: 0.80 vs. 0.87, specificity: 0.92 vs. 0.80).Conclusion:Both screening tests had good discriminant validity and can be used in detecting md-MCI in a sub-sample of Chinese drawn from a population-based study.


2002 ◽  
Vol 11 (4) ◽  
pp. 258-265
Author(s):  
Diana De Ronchi ◽  
Elisa Bucchi ◽  
Monica Pederzini ◽  
Sara Scaini ◽  
Carmine Petio ◽  
...  

RIASSUNTOScopo – Valutare la prevalenza della demenza e dei diversi tipi di demenza tra i soggetti con più di 60 anni d'eta residenti a Granarolo (RA) alia data del 31.12.1991. Disegno – Studio di popolazione, articolato in due fasi. Nella prima fase l'intera popolazione anziana e stata studiata mediante test di screening, nella seconda i soggetti positivi ai test sono stati sottoposti ad indagini più specifiche. Principali misure utilizzate – Nella prima fase sono stati utilizzati il Mini Mental State Examination (MMSE) e la Global Deterioration Scale (GDS). Nella seconda fase erano previste una visita medica, una valutazione neurologica, la somministrazione di test neuropsicologici e la diagnosi di demenza in accordo con i criteri del DSM-III-R. Risultati – Dei 557 partecipanti allo studio, 56 risultarono dementi. Per 29 persone fu formulata la diagnosi di Malattia di Alzheimer (AD) e per 14 pazienti la diagnosi di demenza di tipo vascolare (VaD). Il tasso di prevalenza della demenza era 11.1%, 9.1% per gli uomini (95% CI=5.29−12.89) e 12.7% per le donne (95% CI=8.84−16.6). La prevalenza della demenza nel suo insieme, cosi come dell'ad, aumentava in modo esponenziale ogni cinque anni in entrambi i sessi fino ai 90 anni di eta. Le donne evidenziavano una più elevata prevalenza della demenza in generale e di AD rispetto agli uomini e tale dato era più evidente nelle eta più avanzate. Conclusioni – I nostri dati concordano con quelli emersi in altri studi europei ed evidenziano come la prevalenza della demenza aumenti con l'elevarsi dell'eta. Se pensiamo che in Italia i grandi anziani (coloro con più di 80 anni) sono la parte di popolazione che aumenta più rapidamente rispetto alle altre fasce di eta, possiamo attenderci che la demenza diventera sempre più un problema di salute pubblica di grandissima rilevanza, essendo la più frequente patologia della popolazione molto anziana e causa primaria di disabilità e mortalità.


2016 ◽  
Vol 31 (3) ◽  
pp. 263-272 ◽  
Author(s):  
I. Contador ◽  
F. Bermejo-Pareja ◽  
B. Fernández-Calvo ◽  
E. Boycheva ◽  
E. Tapias ◽  
...  

2008 ◽  
Vol 66 (3a) ◽  
pp. 524-528 ◽  
Author(s):  
Érico Castro-Costa ◽  
Cíntia Fuzikawa ◽  
Elizabeth Uchoa ◽  
Josélia Oliveira Araújo Firmo ◽  
Maria Fernanda Lima-Costa

OBJECTIVE: To estimate the prevalence of cognitive impairment in an elderly population-based cohort, using several Mini-Mental State Examination (MMSE) cut-off points recommended by Brazilian authors and to examine the percentile distribution of MMSE scores in the study population. METHOD: A total of 1558 subjects aged >60 years (89.4% of the total), living in the city of Bambuí, MG, completed the MMSE and were included in the present study. RESULTS: The estimated prevalences of cognitive impairment varied from 13.2% to 27.0% depending on the cut-off point and agreement varied widely between them (kappa range: 0.38 to 0.88). Cut-off point 13/14 corresponded to the 5th percentile and 21/22 corresponded to the lower quartile of the MMSE score distribution. CONCLUSION: In the absence of comparable cut-off points, percentile distributions are more adequate for population-based studies of elderly with low schooling level.


2014 ◽  
Vol 43 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Viviane Philipps ◽  
Hélène Amieva ◽  
Sandrine Andrieu ◽  
Carole Dufouil ◽  
Claudine Berr ◽  
...  

2013 ◽  
Vol 61 (8) ◽  
pp. 1369-1376 ◽  
Author(s):  
Ting Dai ◽  
Adam Davey ◽  
John L. Woodard ◽  
Lloyd Stephen Miller ◽  
Yasuyuki Gondo ◽  
...  

2016 ◽  
Vol 14 (2) ◽  
pp. 199-205 ◽  
Author(s):  
Malin Christina Ericsson ◽  
Margaret Gatz ◽  
Ingemar Kåreholt ◽  
Marti G. Parker ◽  
Stefan Fors

2016 ◽  
Vol 6 (2) ◽  
pp. 185-193
Author(s):  
Marcos Aparecido Sarria Cabrera ◽  
Maira Aira Sayuri Sakay Bortoletto ◽  
Regina Kazue Tanno de Souza ◽  
Douglas Manuel Carrapeiro Prina ◽  
Maria Cristina Umpierrez Vieira ◽  
...  

Aims: To identify the frequency of cognitive and functional decline (CFD) among adults 50 years of age and older by a population-based study. Methods: Cognitive function was analyzed by the Mini-Mental State Examination, and the functional conditions were based on instrumental activities of daily living (IADL). Cases of CFD included individuals with cognitive decline and 2 or more compromised IADL. Results: A total of 693 individuals were studied. The frequency of CFD was 16.3%. A low socioeconomic profile was associated with greater CFD independent of gender, age, education, and presence of depression (OR = 2.46; 95% CI: 1.53-3.97). Conclusions: These data show a high frequency of CFD among adults 50 years and older. Individuals with less education and a lower socioeconomic level exhibited poorer cognitive and functional conditions.


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