Diagnostic Accuracy of the MMSE in Detecting Probable and Possible Alzheimer's Disease in Ethnically Diverse Highly Educated Individuals: An Analysis of the NACC Database

Abstract

These findings cross-validate our previous work and extend them to an ethnically diverse cohort. A higher cut score is needed to maximize diagnostic accuracy of the Mini-Mental State Examination in individuals with college degrees.

Burden of Care and Patient's Neuropsychiatric Symptoms Influence Carer's Evaluation of Cognitive Impairment

“…Also, by comparing the test results with the patient's level of education, working career, and age, it is possible to determine whether or not a decline in cognition has developed. Normative data for performance on neuropsychological tests adjusted for age and education exist [11,12,13]. Another way to ascertain that a patient has developed cognitive decline is by evaluating premorbid cognitive function.…”

Why Mental Status Standards are Recommended on Medical Surgical Units in Hospitals?

“…Nurses must think beyond their perceptions and use the evidence based practice standards when assessing mental status to better assist in determining sound decision-making abilities of their patients. The findings of our study add to the literatures emphasis on the vital importance related to cognition tools use in practice [5,7,13]; Mandates for use of cognitive screening are recommended across all units to represent best practice.…”

“…A score of 30-29 indicates the person is cognitively normal, 28-26 indicates the person has borderline cognition and a score of 25 or lower indicates there is a memory issue [2], The MMSE according to Naylor and Bowles, 2005 [11], measures executive functions, memory, conceptual thinking, and language. Transition research made it a good tool and was recommended as an option in daily practice [11,13]. Our screening assessments of 766 patients diagnosed with pneumonia found the highest reason for exclusion from study participation due to cognition impairments as delineated: (Table 1).…”

Dementia Assessment by Rapid Test (DART): An Indian Screening T ool for Dementia

“…As the results shows, DART has high discriminating ability between controls and cases. Besides, it has been correlated with MMSE which is generally used as a standardized, brief and practical assessment of cognitive status in geriatric patients both internationally and nationally [35] and came out to be a good sensitive tool (26.75 ± 3.60 vs. 18.05 ± 8.31; p=<0.001).…”