A New Scoring Method of the Mini-Mental Status Examination to Screen for Dementia
| Autor: | Dong Young Lee, Jung Jae Lee, Bong Jo Kim, Seok Bum Lee, Seungho Ryu, Joon Hyuk Park, Jin Yeong Choe, Dong Woo Lee, Seok Woo Moon, Jeong Lan Kim, Kyung Phil Kwak, Ji Won Han, Jin Hyeong Jhoo, Ki Woong Kim, Tae Hui Kim, Jong Chul Yoon, Shin Gyeom Kim |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Mental Status Schedule Cognitive Neuroscience MEDLINE Sensitivity and Specificity behavioral disciplines and activities Mini Mental Status Examination Republic of Korea mental disorders medicine Humans Mass Screening Dementia Psychiatry Screening instrument Mass screening Aged Aged 80 and over Middle Aged medicine.disease Psychiatry and Mental health Status examination Case-Control Studies Female Geriatrics and Gerontology Psychology human activities Dementia screening |
| Zdroj: | Dementia and Geriatric Cognitive Disorders. 37:347-356 |
| ISSN: | 1421-9824 1420-8008 |
| DOI: | 10.1159/000357471 |
| Popis: | Background: Although the Mini-Mental Status Examination (MMSE) is the most widely used screening instrument for dementia, it has several limitations. Methods: We developed and validated a new scoring method of the MMSE, namely the short form of the MMSE (MMSE-S). Results: The MMSE-S was more robust to demographic influences than the MMSE. The influence of education, in particular, was smaller in the MMSE-S compared to the MMSE (p < 0.01). The diagnostic accuracy of the MMSE-S for very mild to mild dementia was also better than that of the original MMSE (p < 0.0001). Its specificity, in particular, was higher than that of the original MMSE. In Korea, we could improve the post-test probability for dementia from 46.88 to 64.76% by employing the MMSE-S instead of the MMSE. We also provided optimal cut-off scores for dementia stratified by age, education, and gender, which may further improve the diagnostic accuracy of the MMSE-S for dementia. Conclusion: Due to its good accuracy and brevity, the MMSE-S may contribute to enhancing the cost-effectiveness of and accessibility to dementia screening as well as early diagnosis and treatment of dementia, particularly in low- and middle-income countries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|