Comparison of the diagnostic accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini‐Mental State Exam for the detection of cognitive impairment in nursing home residents

Abstract

SUMMARYObjectives To examine the evolution of quality of life (QOL) in demented subjects at base-line, one and 2 years later and to determine clinical variables associated with QOL. Method Longitudinal study of a cohort of 127 subjects living at home or in a long-term care institution. A QOL measure (Alzheimer Disease Related Quality of Life; ADRQL) was administered three times. In addition, several clinical instruments (MMSE, IADL, ADL and CDR/M) were also administered. Results ADRQL data analysis did not reveal significant modifications of QOL over the 2-year period, whereas results from clinical instruments showed a significant deterioration. On the group, the variations of ADRQL scores were limited, with some improvement after the first year followed by some deterioration after the second year. On the other hand, ADRQL scores fluctuated every year by at least 10 points for more than 50% of subjects. With dementia evolution, it was observed that the clinical variables were more strongly correlated with ADRQL scores and were more significant predictors. This varied from 5.9% (MMSE) in 2002 to 40.01% in 2004 (MMSE and CDR/M). Conclusions QOL did not develop in a strictly linear manner following the deterioration of clinical state. This suggests that the evolution of QOL is also determined by other variables relating to the physical and social environment of the patients. Their role seems particularly important for the mild to moderate stages of dementia.

Chronic Obstructive Pulmonary Disease: Prevalence, Characteristics, and Pharmacologic Treatment in Nursing Home Residents with Cognitive Impairment

“…The CPS has been shown to have a significant positive correlation with the Mini-Mental State Examination (MMSE) and is scored on a 0-6 scale, with 0 corresponding to No Impairment (intact) and 6 corresponding to Very Severe Impairment. [9][10][11] Nursing home patients with significant cognitive impairment may have difficulty utilizing handheld device (HHD) formulations (metered-dose or dry powder inhalers) of COPD medications and may be clinically appropriate candidates for nebulized therapy. 12 The objective of this study was to develop a "profile" of patients in nursing homes with a diagnosis of COPD, including but not limited to pertinent demographic information, concurrent diagnoses, medications used in the treatment of COPD, other concomitant medications, and numerous functional (e.g., ability to ambulate independently) and quality of life (e.g., oxygen use) parameters extracted from the MDS and pharmacy claims data.…”

Risk Factors, Clinical Characteristics, and Treatment Differences Between Residents With and Without Nursing Home- and Non-Nursing Home-Acquired Clostridium difficile Infection

“…For the purposes of this analysis, moderate-to-severe cognitive impairment was defined as CPS scores of 3-6. 10 The CDI incidence rate per 10,000 resident days was calculated as the number of CDI incidents per month per number of resident days × 10,000. The calculation excludes recurrent events.…”

Pain Management in Nursing Home Residents with Cancer and Dementia with and without Hospice Services

“…The Cognitive Performance Scale (CPS) (Morris, et al, 1994) was developed from five MDS items and is reported both reliable and valid when an individual is trained on its use (Paquay, et al, 2007). Wu and colleagues (2003) quantified the severity of cognitive impairment with the CPS into three categories, no or mild CI (0-1), moderate CI (2-3), and severe CI (4-6).…”

“…The CPS is a reliable and valid measure of cognitive decline that also uses specific MDS items (Paquay, et al, 2007). The CPS is scored from 1 (borderline intact) to 6 (very severe impairment).…”

“…The Cognitive Performance Scale (CPS) (Morris, et al, 1994) was developed from five MDS items and is reported both reliable and valid when an individual is trained on its use (Paquay, et al, 2007). The CPS is scored from 1 to 6 indicating borderline intact to very severe impairment.…”