Mini Mental State Examination in geriatric stroke patients. Validity, differences between subgroups of patients, and relationships to somatic and mental variables

Agrell, Berit; Dehlin, Ove

doi:10.1007/bf03339874

Cited by 46 publications

(41 citation statements)

References 34 publications

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“…Furthermore, some studies did not use psychometric criteria at all, instead relying on clinician opinion taken from neuropsychological reports. 11,15,20 To reliably and validly assess sensitivity and specificity, it was expected that screening and gold standard assessments would be conducted within a short period of each other. Unfortunately, 5 studies did not sufficiently report this information, 16,18,20,23,24 and 3 reported the mean time interval between assessments as >10 days.…”

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

“…11,15,20 To reliably and validly assess sensitivity and specificity, it was expected that screening and gold standard assessments would be conducted within a short period of each other. Unfortunately, 5 studies did not sufficiently report this information, 16,18,20,23,24 and 3 reported the mean time interval between assessments as >10 days. 11,15,25 Only 6 studies stratified sensitivity or specificity results according to demographic or stroke variables.…”

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

“…11,15,25 Only 6 studies stratified sensitivity or specificity results according to demographic or stroke variables. 20,22,23,[25][26][27] …”

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

“…26 Lesion hemisphere effects were equivocal. One study reported no effect, 25 whereas others reported better results in right hemisphere 20,27 or left hemisphere groups. 22 No studies specifically investigated the impact of premorbid cognitive function, stroke severity or mechanism, or cultural factors on screening measure performance.…”

Section: October 2014mentioning

confidence: 98%

“…Only 2 studies provided adequate statistical analysis of whether the final study sample used for analysis was representative of the wider patient group within their clinical setting. 20,21 There was significant heterogeneity across studies regarding time since stroke, with mean/median times ranging from 6 days 17 to 29 months 18 across studies. Two studies failed to report this information, 15,22 and others provided only limited information.…”

Section: Study Participantsmentioning

confidence: 99%

See 4 more Smart Citations

Are Cognitive Screening Tools Sensitive and Specific Enough for Use After Stroke?

Stolwyk

O'Neill

McKay

et al. 2014

Stroke

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show abstract

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

“…11,15,25 Only 6 studies stratified sensitivity or specificity results according to demographic or stroke variables. 20,22,23,[25][26][27] …”

Section: Sensitivity and Specificity Methodologymentioning

confidence: 99%

Section: October 2014mentioning

confidence: 98%

Section: Study Participantsmentioning

confidence: 99%

See 3 more Smart Citations

Are Cognitive Screening Tools Sensitive and Specific Enough for Use After Stroke?

Stolwyk

O'Neill

McKay

et al. 2014

Stroke

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Current Awareness

2001

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley &: Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Books, Reviews &: Symposia; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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How predictive is the MMSE for cognitive performance after stroke?

Rasquin²,

et al. 2009

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Cognitive deficits are commonly observed in stroke patients. Neuropsychological testing is time-consuming and not easy to administer after hospital discharge. Standardised screening measures are desirable. The Mini-Mental State Examination (MMSE) is the test most widely applied to screen for cognitive deficits. Despite its broad use, its predictive characteristics after stroke have not been exhaustively investigated. The aim of this study was to determine whether the MMSE is able to adequately screen for cognitive impairment and dementia after stroke and whether or not the MMSE can predict further deterioration or recovery in cognitive function over time. To this end, we studied 194 first-ever stroke patients without pre-stroke cognitive deterioration who underwent MMSEs and neuropsychological test batteries at 1, 6, 12, and 24 months after stroke. The MMSE score 1 month after stroke predicted cognitive functioning at later follow-up visits. It could not predict deterioration or improvement in cognitive functioning over time. The cut-off score in the screening for 1 cognitive disturbed domain was 27/28 with a sensitivity of 0.72. The cut-off score in the screening for at least 4 impaired domains and dementia were 26/27 and 23/24 with a sensitivity of 0.82 and 0.96, respectively. The results indicated that the MMSE has modest qualities in screening for mild cognitive disturbances and is adequate in screening for moderate cognitive deficits or dementia in stroke patients 1 month after stroke. Poor performance on the MMSE is predictive for cognitive impairment in the long term. However, it cannot be used to predict further cognitive deterioration or improvement over time.

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Mini Mental State Examination in geriatric stroke patients. Validity, differences between subgroups of patients, and relationships to somatic and mental variables

Cited by 46 publications

References 34 publications

Are Cognitive Screening Tools Sensitive and Specific Enough for Use After Stroke?

Are Cognitive Screening Tools Sensitive and Specific Enough for Use After Stroke?

Current Awareness

How predictive is the MMSE for cognitive performance after stroke?

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