Mini-Exame do Estado Mental: características psicométricas em idosos ambulatoriais

Abstract

OBJECTIVE:To assess the psychometric characteristics of the Mini-Mental State Examination in elderly outpatients who seek primary health care. METHODS:A total of 303 subjects (≥65 years) underwent comprehensive geriatric assessment with functional tools, including Mini-Mental State Examination. Sensitivity, specificity, positive predictive value, negative predictive value, and ROC curve were calculated.RESULTS: Sensitivity, specificity, positive and negative predictive values, and area under ROC curve were 80.8%, 65.3%, 44.7%, 90.7% and 0.807 respectively (cutoff point =23/24). The best cutoff point for illiterate was 18/19 (sensitivity =73.5%; specificity =73.9%); and for literate was 24/25 (sensitivity =75%; specificity =69.7%). CONCLUSIONS:While screening elderly outpatients for dementia, schooling must be considered in the choice of the best cutoff point in the Mini-Mental State Examination.

A study on the relationship between muscle function, functional mobility and level of physical activity in community-dwelling elderly

“…The subjects, who were all evaluated by the same examiner, were interviewed to verify clinical and demographic variables and to determine their cognitive (MMSE) and physical activity (HAP) levels 14 . Weight and body height were also evaluated.…”

“…Subjects with cognitive impairment according to the MiniMental State Examination (MMSE) 14 , neurological diseases, a history of recent fractures in the lower limbs, the presence of painful symptoms or edema in the lower limbs, orthopedic and/or rheumatic diseases in the hands, severe cardiorespiratory diseases or who were using medications such as systemic or inhaled corticosteroids, muscle relaxants and anti-inflammatory non-steroids were excluded.…”

Avaliação da presença de cuidador familiar de idosos com déficits cognitivo e funcional residentes em Belo Horizonte-MG

“…Brucki et al 20 20,21 A força de preensão manual foi medida pelo dinamômetro JAMAR, considerado de boa confiabilidade, validade e de alta precisão. 22 Para realizar o teste, o paciente permaneceu na posição sentada, com a coluna ereta, pernas fletidas formando um ângulo de 90° com as coxas e seu cotovelo (o da mão dominante) fletido a 90°, com o antebraço na posição neutra.…”

Comparisons of the Nottingham Health Profile and the SF-36 health survey for the assessment of quality of life in individuals with chronic stroke

“…To be included in the study, the participants were required to have a diagnosis of stroke for more than six months, be over 20 years old, and have no cognitive deficits, as determined by the cut-off scores of the Brazilian version of the Mini-mental State Examination (MMSE) 18 . Individuals with hearing and/or speech impairments and those who reported any history that could jeopardize their QOL were excluded.…”