Simplifying Detection of Cognitive Impairment: Comparison of the Mini‐Cog and Mini‐Mental State Examination in a Multiethnic Sample

Borson, Soo; Scanlan, James M.; Watanabe, Jill M.; Tu, Shin Ping; Lessig, Mary

doi:10.1111/j.1532-5415.2005.53269.x

Cited by 280 publications

(192 citation statements)

References 28 publications

Supporting

Mentioning

183

Contrasting

Unclassified

Order By: Relevance

“…[17][18][19] Patients were asked to recall three words after performing a clock draw test. Scores range from 0-5, where 0-2 points indicates dementia.…”

Section: Patient-related Measuresmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Patient- and Medication-Related Factors on Inpatient Medication Reconciliation Errors

et al. 2012

View full text Add to dashboard Cite

BACKGROUND:Little research has examined the incidence, clinical relevance, and predictors of medication reconciliation errors at hospital admission and discharge. OBJECTIVE: To identify patient-and medication-related factors that contribute to pre-admission medication list (PAML) errors and admission order errors, and to test whether such errors persist in the discharge medication list. DESIGN, PARTICIPANTS: We conducted a crosssectional analysis of 423 adults with acute coronary syndromes or acute decompensated heart failure admitted to two academic hospitals who received pharmacistassisted medication reconciliation during the Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD) Study. MAIN MEASURES:Pharmacists assessed the number of total and clinically relevant errors in the PAML and admission and discharge medication orders. We used negative binomial regression and report incidence rate ratios (IRR) of predictors of reconciliation errors. KEY RESULTS: On admission, 174 of 413 patients (42%) had ≥1 PAML error, and 73 (18%) had ≥1 clinically relevant PAML error. At discharge, 158 of 405 patients (39%) had ≥1 discharge medication error, and 126 (31%) had ≥1 clinically relevant discharge medication error. Clinically relevant PAML errors were associated with older age (IRR=1.46; 95% CI, 1.00-2.12) and number of pre-admission medications (IRR=1.17; 95% CI, 1.10-1.25), and were less likely when a recent medication list was present in the electronic medical record (EMR) (IRR=0.54; 95% CI, 0.30-0.96). Clinically relevant admission order errors were also associated with older age and number of pre-admission medications. Clinically relevant discharge medication errors were more likely for every PAML error (IRR=1.31; 95% CI, 1.19-1.45) and number of medications changed prior to discharge (IRR=1.06; 95% CI, 1.01-1.11). CONCLUSIONS: Medication reconciliation errors are common at hospital admission and discharge. Errors in preadmission medication histories are associated with older age and number of medications and lead to more discharge reconciliation errors. A recent medication list in the EMR is protective against medication reconciliation errors.

show abstract

“…[17][18][19] Patients were asked to recall three words after performing a clock draw test. Scores range from 0-5, where 0-2 points indicates dementia.…”

Section: Patient-related Measuresmentioning

confidence: 99%

“…20 Scores range from 0-36 and were categorized as adequate (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36), marginal (17)(18)(19)(20)(21)(22), or inadequate health literacy (0-16). We treated health literacy as a dichotomous variable in our analyses (inadequate/ marginal vs. adequate).…”

Section: Patient-related Measuresmentioning

confidence: 99%

Effect of Patient- and Medication-Related Factors on Inpatient Medication Reconciliation Errors

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Patients who expressed interest were approached by the study coordinator to explain the study in detail and to obtain written informed consent. To help ensure the recruitment of patients who were capable of providing reliable responses to the study survey, we administered the Mini-Cog, a combined three-word recall and clock-drawing test, and excluded patients with scores that were indicative of cognitive impairment (18,19). No data were collected from patients who did not consent to participate in the study.…”

Section: Provider and Patient Recruitmentmentioning

confidence: 99%

Renal Provider Recognition of Symptoms in Patients on Maintenance Hemodialysis

Weisbord

Fried

Mor

et al. 2007

Clinical Journal of the American Society of Nephrology

268

220

View full text Add to dashboard Cite

Background and Objectives: Although several studies have found that the burden of symptoms in patients who are on maintenance hemodialysis is substantial, little is known about renal providers' awareness of these symptoms. The aim of this study was to assess renal provider recognition of symptoms and their severity in hemodialysis patients.Design, Setting, Participants, & Measurements: The Dialysis Symptom Index, a 30-item measure of symptoms and their severity, was administered to patients during a routine hemodialysis session. Immediately after surveying patients, the renal provider who evaluated the patient completed the Dialysis Symptom Index to report the symptoms that he or she believed were present in that patient. Sensitivity, specificity, and positive and negative predictive values of provider reports of symptoms were calculated using patient reports as the reference standard. Patient-provider agreement on the presence and severity of symptoms was assessed using the statistic.Results: Surveys were completed by 75 patients and 18 providers. For 27 of 30 symptoms, the sensitivity of provider responses was <50%, and provider responses for 25 symptoms were characterized by positive predictive values of <75%. scores for 25 symptoms including those pertaining to pain, sexual dysfunction, sleep disturbance, and psychologic distress were <0.20, indicating poor provider recognition of these symptoms. Providers underestimated the severity of 19 of 30 symptoms.Conclusions: Renal providers are largely unaware of the presence and severity of symptoms in patients who are on maintenance hemodialysis. Implementation of a standardized symptom assessment process may improve provider recognition of symptoms and promote use of symptom-alleviating treatments.

show abstract

“…The validation study showed the Mini-Cog to have comparable psychometric properties to the MMSE with a sensitivity of 76% (versus 79%) and a specificity of 89% (versus 88%) for dementia (Borson et al, 2003). The Mini-Cog was found to be equal or better than the MMSE in detecting dementia in multiethnic elderly individuals, easier to administer to nonEnglish speakers, and was less biased by low education and literacy (Borson et al, 2005).…”

Section: Mini-cogmentioning

confidence: 91%

Brief cognitive screening instruments: an update

Ismail

Rajji

Shulman

2009

Int J Geriat Psychiatry

364

292

View full text Add to dashboard Cite

Objective: To review the recent literature on cognitive screening with a focus on brief screening methods in primary care as well as geriatric services. Design: The Medline search engine was utilized using the keyword search terms 'cognitive screening', 'cognitive assessment', and 'dementia screening' limiting articles to those published in English since 1998. Results: 679 abstracts were retrieved. Articles focusing on attitudes toward cognitive screening, current screening practices, promising new instruments and more recent updates contributing significant information on established instruments were retrieved and incorporated into this review. Reference lists were reviewed for relevant contributing articles. Instruments recommended from previous reviews of cognitive screening and those identified in surveys as most frequently used in primary care and geriatric settings were emphasized in this review. Conclusions: Dementia remains under-diagnosed in the elderly population. Despite significant limitations, the Mini Mental State Exam remains the most frequently used cognitive screening instrument. Its best value in the community and primary care appears to be for the purpose of ruling out a diagnosis of dementia. Instruments such as the Mini-Cog, Memory Impairment Screen (MIS), and the General Practitioner Assessment of Cognition (GPCOG) have consistently been recognized for utility in primary care. The clock drawing test (CDT) and newer instruments such as the Montreal Cognitive Assessment (MoCA) and the Rowland Universal Dementia Assessment Scale (RUDAS) are gaining credibility due to improvements in sensitivity, addressing frontal/executive functioning, and decreasing susceptibility to cultural and educational biases.

show abstract

Simplifying Detection of Cognitive Impairment: Comparison of the Mini‐Cog and Mini‐Mental State Examination in a Multiethnic Sample

Abstract: The Mini-Cog detects clinically significant cognitive impairment as well as or better than the MMSE in multiethnic elderly individuals, is easier to administer to non-English speakers, and is less biased by low education and literacy.

Cited by 280 publications

References 28 publications

Effect of Patient- and Medication-Related Factors on Inpatient Medication Reconciliation Errors

Effect of Patient- and Medication-Related Factors on Inpatient Medication Reconciliation Errors

Renal Provider Recognition of Symptoms in Patients on Maintenance Hemodialysis

Brief cognitive screening instruments: an update

Contact Info

Product

Resources

About