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

Critical Care ◽  
2015 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth R Pfoh ◽  
◽  
Kitty S Chan ◽  
Victor D Dinglas ◽  
Timothy D Girard ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
State Examination

scholarly journals Correlation between the Montreal Cognitive Assessment-Indonesian Version (Moca-INA) and the Mini-Mental State Examination (MMSE) in Elderly

2017 ◽  
Vol 5 (7) ◽  
pp. 915-919 ◽  
Author(s):  
Aldy Safruddin Rambe ◽  
Fasihah Irfani Fitri
Keyword(s):  
Mental State ◽  
Cognitive Assessment ◽  
Mini Mental State Examination ◽  
Pearson Correlation ◽  
Montreal Cognitive Assessment ◽  
Elderly Subjects ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
Significant Difference ◽  
State Examination

BACKGROUND: As the rapid growth of the elderly population and the increased prevalence of Alezheimer’s Disease and related disorders, there is an increasing need for effective cognitive screening. The Mini Mental State Examination (MMSE) is the most frequently used screening test of cognitive impairment because of its convenience. The Montreal Cognitive Assessment-Indonesian Version (MoCA-INA) has been validated and recently been used as a cognitive screening tool.OBJECTIVES: The aim of this study was to compare the MMSE and MoCA-INA scores and to determine the correlation between the MMSE and MoCA-INA scores in elderly.MATERIAL AND METHODS: This was a cross-sectional study including 83 elderly subjects from November 2016 until June 2017. We performed MMSE and MoCA-INA for assessment of cognitive function and the time between each test was at least 30 minutes.RESULTS: The study included 83 subjects which were consisted of 46 (55.4%) males and 37 (44.6%) females. The mean age was 69.19 ± 4.23 ranging from 65 to 79 years old. The average MMSE scores was 24.96 ± 3.38 (range 14 to 30). The average MoCA-INA scores was 21.06 ± 4.56 (range 5 to 30). The Pearson correlation coefficient between the scores was 0.71 (p<0.005). There were no significant differences of both scores based on history of hypertension, diabetes mellitus and previous stroke, but there was a significant difference in MMSE scores based on level of education.CONCLUSION: The MoCA-INA score showed a good correlation with the MMSE score. Both tests showed comparable results but MoCA-INA showed lower average with wider range of scores.

scholarly journals Analysis of the performance of adults and elderly people in the mini-mental state examination in Recife-PE

2021 ◽  
Author(s):  
Talita Gabriele de Queiroz Plácido ◽  
Pedro Augusto Sampaio Rocha Filho ◽  
Mário Luciano de Mélo Silva Júnior
Keyword(s):  
Mental State ◽  
Test Performance ◽  
Mini Mental State Examination ◽  
Descriptive Study ◽  
Average Score ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
Spss Software ◽  
State Examination ◽  
Over 40 Years

Background: The Mini-Mental State Examination (MMSE) is the most widely used cognitive screening test in the world. However, there is no standardization as to the cutoff points to be used in Brazil, and the influence of education on performance is still under debate. Objectives: To analyze the performance of individuals in the MMSE, comparing the results according to different scoring criteria and correlating it with schooling. Design and setting: Cross-sectional, descriptive study with 18 individuals, from January to April 2021, in Recife, Pernambuco. Individuals over 40 years old, with schooling from 4 years on, were included. Methods: Data were analyzed using the SPSS software, Shapiro-Wilk test, and Pearson’s correlation coefficient (PCC). Results: The population is composed predominantly of women (89%), with an mean age of 56.3 years (SD = ± 8.58), education level of 12.4 (SD = ± 4.26) and an average score of 25.7 points (SD = ± 2.31). Performance was correlated with education (PCC = 0.589; P = 0.001). The fields with the highest prevalence of errors were the copy of the pentagons (61.1%), and the writing of the authorial sentence (44.4%). The percentage of individuals with cognitive decline varied according to the criteria used, ranging from 33.3% to 77%. Conclusions: Education is correlated with test performance. The variation in the prevalence of individuals who scored below the cutoff point shows that standardization of the assessment could minimize possible disparities

scholarly journals Random Forest Model in the Diagnosis of Dementia Patients with Normal Mini-Mental State Examination Scores

2022 ◽  
Vol 12 (1) ◽  
pp. 37
Author(s):  
Jie Wang ◽  
Zhuo Wang ◽  
Ning Liu ◽  
Caiyan Liu ◽  
Chenhui Mao ◽  
...  
Keyword(s):  
Machine Learning ◽  
Cognitive Impairment ◽  
Random Forest ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Machine Learning Algorithms ◽  
Assessment Model ◽  
Test Time ◽  
Cognitive Screening ◽  
State Examination

Background: Mini-Mental State Examination (MMSE) is the most widely used tool in cognitive screening. Some individuals with normal MMSE scores have extensive cognitive impairment. Systematic neuropsychological assessment should be performed in these patients. This study aimed to optimize the systematic neuropsychological test battery (NTB) by machine learning and develop new classification models for distinguishing mild cognitive impairment (MCI) and dementia among individuals with MMSE ≥ 26. Methods: 375 participants with MMSE ≥ 26 were assigned a diagnosis of cognitively unimpaired (CU) (n = 67), MCI (n = 174), or dementia (n = 134). We compared the performance of five machine learning algorithms, including logistic regression, decision tree, SVM, XGBoost, and random forest (RF), in identifying MCI and dementia. Results: RF performed best in identifying MCI and dementia. Six neuropsychological subtests with high-importance features were selected to form a simplified NTB, and the test time was cut in half. The AUC of the RF model was 0.89 for distinguishing MCI from CU, and 0.84 for distinguishing dementia from nondementia. Conclusions: This simplified cognitive assessment model can be useful for the diagnosis of MCI and dementia in patients with normal MMSE. It not only optimizes the content of cognitive evaluation, but also improves diagnosis and reduces missed diagnosis.

scholarly journals Hubungan Lama Hemodialisis dengan Fungsi Kognitif pada Pasien yang Menjalani Hemodialisis Menggunakan Metode Mini Mental State Examination Ditinjau dari Kedokteran dan Islam

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Suci Purnama ◽  
Linda Armelia
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Cross Sectional ◽  
Consecutive Sampling ◽  
State Examination

Hemodialisis merupakan terapi pengganti ginjal pada penyakit ginjal kronik. Terdapat data statistik yang berbeda untuk prevalensi gangguan kognitif di Indonesia pada pasien yang menjalani hemodialisis mulai dari 20% - 47%. Penelitian ini menggunakan analitik korelatif dengan desain cross sectional yang dilakukan pada bulan Agustus 2018 di RS Anna Medika Bekasi dengan jumlah sampel sebanyak 102 responden yang diambil dengan cara consecutive sampling. Peneliti melakukan wawancara dengan menggunakan kuisioner Mini Mental State Examination (MMSE). Analisis data dengan menggunakan uji spearman. Fungsi kognitif pasien hemodialisis berdasarkan MMSE didapatkan penurunan fungsi kognitif ringan sebanyak 56 (54,9%), penurunan fungsi kognitif sedang sebanyak 13 (12,7%) dan tidak mengalami penurunan fungsi kognitif sebanyak 33 (32,4%). Hubungan antara lama hemodialisis dengan fungsi kognitif didapatkan p=0,002. Terdapat hubungan signifikan antara lama hemodialisis dengan fungsi kognitif pada pasien hemodialisis di RS Anna Medika

scholarly journals Hubungan Usia, Jenis Kelamin dan Status Anemia dengan Fungsi Kognitif pada Lanjut Usia

2020 ◽  
Vol 7 (1) ◽  
pp. 12-17
Author(s):  
Riza Firdaus
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Chi Square ◽  
Cross Sectional ◽  
State Examination

Menurunnya fungsi kognitif sangat mempengaruhi kualitas hidup lanjut usia. Faktor yang mempengaruhi adalah faktor fisiologis, psikologis dan lingkungan. Studi ini bertujuan untuk mengetahui hubungan usia, jenis kelamin dan status anemia dengan fungsi kognitif pada lanjut usia. Desain penelitian yaitu analitik observasional dengan pendekatan cross-sectional. Penelitian ini dilakukan di Panti Wredha Wening Wardoyo Semarang. Jumlah sampel yang didapatkan sebanyak 51 orang lanjut usia dengan total sampling. Variabel dependen adalah fungsi kognitif dan variabel independen adalah usia, jenis kelamin dan status anemia. Pemeriksaan fungsi kognitif diukur dengan instrumen Mini Mental State Examination (MMSE) dan pemeriksaan status anemia menggunakan haemometer dengan metode Sahli. Analisis data yang digunakan adalah menggunakan uji Chi Square. Hasil penelitian menunjukkan usia < 75 tahun meningkatkan risiko fungsi kognitif normal (OR = 6,480; 95% CI 1,844- 22,769; p = 0,002), jenis kelamin laki – laki (OR = 2,357; 95% CI 0,688- 8,075; p = 0,167) dan anemia ringan (OR = 2,821; 95% CI 0,831- 9,577; p = 0,091). Penelitian ini menyimpulkan bahwa fungsi kognitif pada lanjut usia dipengaruhi oleh usia, jenis kelamin dan status anemia.

Comparison of the Mini-Mental State Examination and Computerized Brief Cognitive Screening Test as Cognitive Screening Tools in Patients with Mild Cognitive Impairment

2021 ◽  
Vol 18 ◽  
Author(s):  
Che-Sheng Chu ◽  
I-Chen Lee ◽  
Chuan-Cheng Hung ◽  
I-Ching Lee ◽  
Chi-Fa Hung ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Normal Control ◽  
Internal Consistency ◽  
Mental State ◽  
Screening Test ◽  
Mini Mental State Examination ◽  
Cognitive Screening ◽  
Validity And Reliability ◽  
State Examination

Background: The aim of this study was to establish the validity and reliability of the Computerized Brief Cognitive Screening Test (CBCog) for early detection of cognitive impairment. Method: One hundred and sixty participants, including community-dwelling and out-patient volunteers (both men and women) aged ≥ 65 years, were enrolled in the study. All participants were screened using the CBCog and Mini-Mental State Examination (MMSE). The internal consistency of the CBCog was analyzed using Cronbach’s α test. Areas under the curves (AUCs) of receiver operating characteristic analyses were used to test the predictive accuracy of the CBCog in detecting mild cognitive impairment (MCI) in order to set an appropriate cutoff point. Results: The CBCog scores were positively correlated with the MMSE scores of patients with MCI-related dementia (r = 0.678, P < .001). The internal consistency of the CBCog (Cronbach’s α) was 0.706. It was found that the CBCog with a cutoff point of 19/20 had a sensitivity of 97.5% and a specificity of 53.7% for the diagnosis of MCI with education level ≥ 6 years. The AUC of the CBCog for discriminating the normal control elderly from patients with MCI (AUC = 0.827, P < 0.001) was larger than that of the MMSE for discriminating the normal control elderly from patients with MCI (AUC= 0.819, P < .001). Conclusion: The CBCog demonstrated to have sufficient validity and reliability to evaluate mild cognitive impairment, especially in highly educated elderly people.

scholarly journals Lifetime Musical Training and Cognitive Performance in a Memory Clinic Population: A Cross-Sectional Study

2020 ◽  
pp. 102986492091863
Author(s):  
Daisy Fancourt ◽  
Katharina Geschke ◽  
Andreas Fellgiebel ◽  
Alexandra Wuttke-Linnemann
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Musical Training ◽  
Cognitive Impairments ◽  
Neuropsychological Test ◽  
Word List ◽  
Memory Clinic ◽  
Cross Sectional ◽  
Examination Score ◽  
State Examination

Background: Music training has been found to be beneficial for young and healthy participants but the associations between musical training and the cognitive functioning of elderly participants have not been reported consistently. We examined whether lifetime musical training is associated with neuropsychological performance in a memory clinic population of older patients. Methods: A total of 478 patients (54.2% female, mean age 73.70 ± 6.22, mean Mini Mental State Examination score 25 ± 3) were included in the cross-sectional analyses. All patients were referred to the memory clinic due to cognitive impairments. During the course of diagnosis, all patients underwent neuropsychological tests using the CERAD neuropsychological assessment battery. Patients provided information on whether they ever learned to play an instrument for at least five years in their life. Results: Neuropsychological test results differed based on musical training ( p = .042). Overall, there were no differences in any domains of cognitive functioning, other than that patients with musical training performed worse on word list memory ( p = .008). However, this relationship varied based on the extent of cognitive impairments. Patients who were cognitively unimpaired (Mini Mental State Examination score 27–30) and had musical training showed better word list learning, whereas patients with cognitive impairments (Mini Mental State Examination score < 27) and musical training performed worse in word list learning ( p = .042) and word list recall ( p = .045). Discussion: Overall, there was little evidence of associations between specific neuropsychological test results and musical training. Only in cognitively unimpaired patients was there evidence that musical training had beneficial associations. In patients with cognitive impairment, there were suggestions of negative associations with verbal memory. Future research should longitudinally investigate the beneficial effects of musical training in people with and without cognitive impairments.

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