The accuracy of the MMSE in detecting cognitive impairment when administered by general practitioners: A prospective observational study

Pezzotti, Patrizio; Scalmana, Silvia; Mastromattei, Antonio; Lallo, Domenico Di

doi:10.1186/1471-2296-9-29

Cited by 113 publications

(72 citation statements)

References 42 publications

(32 reference statements)

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“…The test was administered in our study by a general practitioner who had received prior training on administration and interpretation of the MMSE. A study revealed a good interrater concordance (κ statistic = 0.86) between MMSE scores by general practitioners and neuropsychologists [11]. Since most of our study participants were illiterate and could express themselves neither in English nor French, some parts of the MMSE were translated to the Batibo language to ease administration.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with the Prevalence of Cognitive Impairment in a Rural Elderly Cameroonian Population: A Community-Based Study in Sub-Saharan Africa

Tianyi

Agbor²,

Njamnshi

et al. 2019

Dement Geriatr Cogn Disord

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Background/Aims: With rising elderly populations, age-related health problems such as cognitive impairment and dementia are major public health concerns. We sought to assess the prevalence of cognitive impairment and associated factors in rural elderly Cameroonians. Methods: The Mini Mental State Examination was used to assess the cognitive function of participants randomly recruited during a house-to-house survey of the Batibo Health District. Results: The prevalence of cognitive impairment in our study was 33.3%. Increasing age, female gender, being single, a lack of formal education, and higher systolic blood pressure values were significantly and independently associated with cognitive impairment. Conclusion: The identification of modifiable factors would inform evidence-based policy to decrease the health and social burdens of cognitive impairment and dementia in the elderly in rural Cameroon.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with the Prevalence of Cognitive Impairment in a Rural Elderly Cameroonian Population: A Community-Based Study in Sub-Saharan Africa

Tianyi

Agbor²,

Njamnshi

et al. 2019

Dement Geriatr Cogn Disord

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“…Relativamente às propriedades psicométricas, apresenta boa concordância entre os examinadores, alta fiabilidade teste-reteste (Pezzotti, Scalmana, Mastromattei, & Di Lallo, 2008), consistência interna moderada (Alfha de Cronbach de 0.464) (Morgado et al (2009), uma sensibilidade de 71-92%, uma especificidade de 56-96%, um valor preditivo positivo de 15-75% e um valor preditivo negativo de 95-99% (Adelman & Daly, 2005). Apesar da sua utilidade na avaliação tanto em níveis de gravidade moderada a severa ou na exclusão de comprometimento cognitivo encontrar-se bem documentada (Thibaut & Steiner, 2004), vários estudos refutam a importância da sua combinação com outros instrumentos (Mitchell, 2009).…”

Section: Mini-mental State Examination -Mmseunclassified

Grau de deterioro cognitivo em idosos numa instituição de longa permanência

Sousa¹,

Loureiro²

2014

IJODAEP

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RESUMOEste estudo tem como objetivo caracterizar o grau de deterioro cognitivo em função das diferentes variáveis sociodemográficas de 37 idosos residentes numa instituição de longa permanência, em que, mediante os dados recolhidos, esperamos retirar implicações que possam ajudar a melhor desenhar as intervenções para a prevenção e promoção da saúde e bem-estar desta população. De modo a dar resposta aos objetivos delineados, utilizou-se para além do questionário sociodemográfico o Mini Mental State Examination (MMSE). Embora os resultados só tenham evidenciado diferenças estatisticamente significativas ao nível deterioro cognitivo em analfabetos e uma correlação negativa entre a idade, os resultados indicam uma tendência para maior grau de deterioro cognitivo entre o género feminino, estatutos socioeconómico baixos, maior tempo de institucionalização, ausência de participação nas atividades socioculturais e de entretenimento, participantes dependentes na realização das Atividades de Vida Diária (AVD´s), participantes que não mantêm contato frequente com os seus familiares, menor frequência das visitar recebidas e o facto de não ter amigos dentro do Lar. Assim, conclui-se que a idade avançada e o analfabetismo são identificados como possíveis fatores de risco no deterioro cognitivo desta amostra de idosos institucionalizados, estando estes dados em concordância com a literatura consultada.Palavras chave: Envelhecimento, Institucionalização, Grau de Deterioro Cognitivo. ABSTRACTThis study aims to characterize the degree of cognitive deterioration due to different sociodemographic variables of 37 elderly residents in long-stay institutions, where, upon the data collected, we hope to draw implications that may help to better design interventions for the prevention and health promotion and well-being of this population. In order to meet the goals outlined it was used in addition to sociodemographic questionnaire and the Mini Mental State Examination (MMSE). Although the results only evidenced statistically significant differences in cognitive deterioration level at illiterate and a negative correlation between age, the results indicate a trend towards a higher degree of cognitive deterioration between the female gender, low to very low socioeconomic status, longer institutionalization time, the non-participants in social, cultural and entertainment activities, participants dependent on activities of daily living (ADL), participants who do not maintain frequent contact with their families, lower frequency of visits received and those who don't have any friends within the institution. Thus, it is concluded that older age and illiteracy are identified as possible risk factors of cognitive deterioration in this sample of institutionalized elderly, being these results in accordance with the literature.Keywords: Aging, Institutionalization, Degree of Cognitive Deterioration INTRODUÇÃOO envelhecimento demográfico é um fenómeno a nível mundial que se tem vindo a evidenciar nestes últimos anos. No grupo dos mais envelhecidos...

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“…They were further classified into normal cognition, mild impairment, moderate impairment, and severe impairment based on their MMSE scores of 25-30, 20-25, 10-20, and 0-10, respectively [27], with each lower score indicating a need for greater supervision. MMSE is an instrument that has been proven to be effective in the screening of cognitive impairment in a general outpatient clinic setting [28]. MMSE has a sensitivity of 66% and a specificity of 99% in dictating cognitive decline [29].…”

Section: Methodsmentioning

confidence: 99%

Neuropsychiatric Impairment among Patients with Sickle Cell Anemia

Williams¹,

Inyama²,

Ameh³

et al. 2017

Recent Advances in Biology and Medicine

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The accuracy of the MMSE in detecting cognitive impairment when administered by general practitioners: A prospective observational study

Abstract: Background: The Mini-Mental State Examination (MMSE) has contributed to detecting cognitive impairment, yet few studies have evaluated its accuracy when used by general practitioners (GP) in an actual public-health setting.

Cited by 113 publications

References 42 publications

Factors Associated with the Prevalence of Cognitive Impairment in a Rural Elderly Cameroonian Population: A Community-Based Study in Sub-Saharan Africa

Factors Associated with the Prevalence of Cognitive Impairment in a Rural Elderly Cameroonian Population: A Community-Based Study in Sub-Saharan Africa

Grau de deterioro cognitivo em idosos numa instituição de longa permanência

Neuropsychiatric Impairment among Patients with Sickle Cell Anemia

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