2002
DOI: 10.1016/s0212-6567(02)78956-7
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Concordancia entre el Mini-Examen Cognoscitivo y el Mini-Mental State Examination en el cribado del déficit cognitivo

Abstract: In spite of good correlation between MMSE and MEC, both detect different CI prevalences with the cut-off point at 23/24. Their agreement is only moderated in practice, because we interpret tests in a dichotomic way (CI versus no-CI). In our experience, we cannot use them indistinctly with the cut-off point at 23/24, especially in subjects with low educational level or aged 80 or more years.

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Cited by 35 publications
(24 citation statements)
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“…Fourteen elderlies ranging in age from 69 to 92 years ( M : 83.93, SD : 7.28) with a diagnosis of dementia took part in the study. Dementia severity was assessed with the Reisberg Global Deterioration Scale (scores of 4 or 5; Reisberg et al, 1993 ) and the Mini-Examen Cognoscitivo (MEC, the Spanish version of the Mini-Mental State Examination, scores between 10 and 23; Vinyoles Bargalló et al, 2002 ). Inclusion criteria for the participation in the study were a diagnosis of mild to moderate dementia and the informed consent of both the participants and their legal guardians.…”
Section: Methodsmentioning
confidence: 99%
“…Fourteen elderlies ranging in age from 69 to 92 years ( M : 83.93, SD : 7.28) with a diagnosis of dementia took part in the study. Dementia severity was assessed with the Reisberg Global Deterioration Scale (scores of 4 or 5; Reisberg et al, 1993 ) and the Mini-Examen Cognoscitivo (MEC, the Spanish version of the Mini-Mental State Examination, scores between 10 and 23; Vinyoles Bargalló et al, 2002 ). Inclusion criteria for the participation in the study were a diagnosis of mild to moderate dementia and the informed consent of both the participants and their legal guardians.…”
Section: Methodsmentioning
confidence: 99%
“…The Spanish version includes five more items than the original and is somewhat simpler. Hence, the cut-off point of 24 points in the Spanish version is considered equivalent to a 20-point score in the original version ( Vinyoles et al , 2002 ). The test has shown adequate sensitivity and specificity for the detection of dementia ( Lobo et al , 1979 ), as well as high test-retest reliability ( Tombaugh & McIntyre , 1992 ).…”
Section: Methodsmentioning
confidence: 99%
“…Applying the age or level of education distribution, rather than using the cutoff point of 23/24, minimizes the differences found when comparing the results from the 30-point Folstein's Mini-Mental State Examination with the results from its validated and slightly modified Spanish translation, the 35-point Lobo's Mini-Examen Cognoscitivo (MEC; Lobo, Ezquerra, Gómez Burgada, Sala, & Seva Diaz, 1979). In particular, accounting for age and the level of education avoided the possibility of obtaining "false positives" in subjects with a low educational level or aged 80 years or older (Vinyoles Bargalló et al, 2002). Nine subjects with a minimal level of consciousness were excluded from the random sample because they could not be assessed by the MMSE The Geriatric Depression Scale-Short Form (GDS-SF; Sheikh & Yesavage, 1986) was used to assess depressive symptoms.…”
Section: Methodsmentioning
confidence: 99%