A Short Test of Mental Status: Description and Preliminary Results

Kokmen, Emre; Naessens, James M.; Offord, Kenneth P.

doi:10.1016/s0025-6196(12)61905-3

Cited by 305 publications

(183 citation statements)

References 16 publications

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“…Secondly, clinical data abstraction was retrospective, and the historical evaluations were not entirely standardized, although the neurological examinations were. It is also difficult to match the PCA and AD groups for disease severity as tests such as the MMSE [16] and Short test of mental status [33] are heavily weighted towards memory. The acquisition of MRI across a number of years may inevitably lead to slight fluctuations in scan quality over time.…”

Section: Discussionmentioning

confidence: 99%

Imaging correlates of posterior cortical atrophy

Whitwell

Jack

Kantarci

et al. 2007

Neurobiology of Aging

184

143

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The aim of this study was to compare patterns of cerebral atrophy on MRI, and neurochemistry on magnetic resonance spectroscopy (MRS), in subjects with posterior cortical atrophy (PCA) and typical Alzheimer's disease (AD). Voxel-based morphometry was used to assess grey matter atrophy in 38 subjects with PCA, 38 subjects with typical AD, and 38 controls. Clinical data was assessed in all PCA subjects. Single-voxel 1 H MRS located in the posterior cingulate was analyzed in a subset of subjects with PCA, typical AD, and control subjects. PCA showed a pattern of atrophy affecting occipital, parietal and posterior temporal lobes, compared to controls. The pattern was bilateral, but more severe on the right. Subjects with PCA showed greater atrophy in the right visual association cortex than subjects with typical AD, whereas those with AD showed greater atrophy in the left hippocampus than those with PCA. 1 H MRS suggested loss of neuronal integrity and glial activation in subjects with PCA and AD. The differing patterns of atrophy on MRI suggest that PCA should be considered a distinct entity from typical AD.

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Section: Discussionmentioning

confidence: 99%

Imaging correlates of posterior cortical atrophy

Whitwell

Jack

Kantarci

et al. 2007

Neurobiology of Aging

184

143

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“…Eligible patients were identified based on their ERA Index score, which stratifies all patients for risk of hospitalizations and ED visits based on administrative data such as age, sex, previous hospitalizations and ED visits, and comorbid conditions. 6 The study excluded patients who lived in a nursing home, had dementia, scored less than 29 on the Kokmen short test of mental status, 7 were unable to give informed consent, or were unable to use the telemonitoring equipment. The 12-month trial used a staggered entry approach from November 2009 through July 2011.…”

Section: Trial Design and Study Populationmentioning

confidence: 99%

Cost Comparison Between Home Telemonitoring and Usual Care of Older Adults: A Randomized Trial (Tele-ERA)

Upatising

Wood

Kremers

et al. 2015

Telemedicine and e-Health

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Background: From 1992 to 2008, older adults in the United States incurred more healthcare expense per capita than any other age group. Home telemonitoring has emerged as a potential solution to reduce these costs, but evidence is mixed. The primary aim of the study was to evaluate whether the mean difference in total direct medical cost consequence between older adults receiving additional home telemonitoring care (TELE) (n = 102) and those receiving usual medical care (UC) (n = 103) were significant. Inpatient, outpatient, emergency department, decedents, survivors, and 30-day readmission costs were evaluated as secondary aim. Materials and Methods: Multivariate generalized linear models (GLMs) and parametric bootstrapping method were used to model cost and to determine significance of the cost differences. We also compared the differences in arithmetic mean costs. Results: From the conditional GLMs, the estimated mean cost differences (TELE versus UC) for total, inpatient, outpatient, and ED were -$9,537 (p = 0.068), -$8,482 (p = 0.098), -$1,160 (p = 0.177), and $106 (p = 0.619), respectively. Mean postenrollment cost was 11% lower than the prior year for TELE versus 22% higher for UC. The ratio of mean cost for decedents to survivors was 2.1:1 (TELE) versus 12.7:1 (UC). Conclusions: There were no significant differences in the mean total cost between the two treatment groups. The TELE group had less variability in cost of care, lower decedents to survivors cost ratio, and lower total 30-day readmission cost than the UC group.

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“…She had thin skin with a few spider nevi, but no other peripheral signs of chronic liver disease. Examination of the higher functions was conducted with the Mayo Clinic short test of mental status (5) and with assessment by a speech therapist. Her orientation was correct for all items except the state.…”

Section: Case Reportmentioning

confidence: 99%

Improvement in chronic hepatocerebral degeneration following liver transplantation

et al. 1990

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Chronic progressive hepatocerebral degeneration with spastic paraparesis, dementia, dysarthria, ataxia, tremor, and neuropsychiatric symptoms follows long-standing portal-systemic shunting, is associated with structural changes in the central nervous system, and does not respond to conventional therapy for hepatic encephalopathy. A case of advanced chronic liver disease with severe, progressive hepatocerebral degeneration after 23 yr of portal-systemic shunting is reported in whom there was significant objective improvement in intellectual function and in the chronic neurological signs 3 mo after orthotopic liver transplantation and further improvement 12 mo after transplantation.

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A Short Test of Mental Status: Description and Preliminary Results

Cited by 305 publications

References 16 publications

Imaging correlates of posterior cortical atrophy

Imaging correlates of posterior cortical atrophy

Cost Comparison Between Home Telemonitoring and Usual Care of Older Adults: A Randomized Trial (Tele-ERA)

Improvement in chronic hepatocerebral degeneration following liver transplantation

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