Systematic Review of the Psychometric Properties of the Saint Louis University Mental Status (SLUMS) Examination

Spencer, Robert J.; Noyes, Emily T.; Bair, Jessica L.; Ransom, Michael T.

doi:10.1080/07317115.2022.2032523

Cited by 11 publications

(5 citation statements)

References 47 publications

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“…Tariq et al reported sensitivity and specificity of SLUMS for MCI with different groupings based on level of education: for those with less than a high school education, SLUMS had 92% sensitivity and 81% specificity; for those with high school education or higher, SLUMS had a 95% sensitivity and 76% specificity ( 76 ). While these results are encouraging, Spencer et al , in a systematic review of SLUMS reported slightly lower sensitivities and specificities ( 81 ). Further, it is important to note that there are no meta-analyses published regarding studies that have evaluated SLUMS since the data is less robust.…”

Section: Discussionmentioning

confidence: 95%

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The impact of cognitive impairment in urologic implants: a narrative review

Bryk,

Zillioux,

Kennady

et al. 2023

Transl Androl Urol

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Background and Objective With the general population aging and thus more patients developing bothersome erectile dysfunction, stress urinary incontinence and overactive bladder, there will likely be a higher demand for three common interactive implants in urology, the penile prosthesis, artificial urinary sphincter (AUS) and sacral neuromodulation (SNM). Further, the prevalence of mild and major neurocognitive disorders (also known as mild cognitive impairment and dementia, respectively) is expected to increase. While the aforementioned urologic implants have excellent short and long term outcomes, there are also known device issues such as malfunction or misuse that may require surgical removal and/or revision. The objective of this narrative review is to describe the association of cognitive impairment and urologic implants. Methods We performed a search on PubMed between the years 1975–2023 for English language articles that reported on any type or severity of cognitive impairment and its association with penile prosthesis, AUS and/or SNM. While peer-reviewed published manuscripts were prioritized, abstracts that fit our search criteria were also included. Key Content and Findings Data assessing outcomes of patients with cognitive impairment who undergo placement of a urologic implant are limited. There is an association between AUS failure or misuse with cognitive impairment. SNM is efficacious in this population in the short term. In patients who develop dementia, an inflatable penile prosthesis can be deflated via in-office needle puncture and an AUS can be deactivated. The Memory Alteration Test, Quick Screen for Mild Cognitive Impairment and the Saint Louis University Mental Status Examination are relatively quick screening tests with good sensitivity and specificity for mild cognitive impairment. Conclusions While data on the association between urologic implants and cognitive impairment are sparse, there are tools that urologists can use to screen patients for cognitive impairment. With screening, urologists can provide appropriate preoperative counseling (including recommending against implantation) and can provide closer postoperative monitoring. Further study is required to assess which patients should be excluded from device implantation and how to properly assess for cognitive impairment in a manner that is both beneficial for the patient and convenient and efficient for a urologist.

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Section: Discussionmentioning

confidence: 95%

“…‡ , data from Park et al ( 77 ). § , data from Tariq et al ( 76 ) and Spencer et al ( 81 ). MCI, mild cognitive impairment; SROC, summary receiver operated curve; N/A, not applicable.…”

Section: Discussionmentioning

confidence: 99%

The impact of cognitive impairment in urologic implants: a narrative review

Bryk,

Zillioux,

Kennady

et al. 2023

Transl Androl Urol

View full text Add to dashboard Cite

show abstract

“…Any patient visiting the geriatric medicine outpatient department and fulfilling the inclusion criteria were assessed. Patients with major neurocognitive disorder (MNCD) were excluded using Saint Louis University Mental Status (SLUMS) score[ 9 ]. A score of 19 or less (for high school education) and a score 14 or less (for lower than high school education) was used as a cut off for MNCD.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Subjective Aging Among Older Outpatients In Northern - India

Bhattarai,

Gautam,

Shrestha

et al. 2024

JFSF

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Objectives: The objective of the study was to investigate factors associated with subjective aging among older patients visiting a geriatric medicine outpatient department in Northern-India. Methods: The study is a cross-sectional study. Patients were categorized into three groups: whether they felt younger, equal, or older than their peers of same age. Factors such as fall, incontinence, anorexia, hand grip strength, cognition, depression, vision, hearing, cardiopulmonary function and immunization were assessed. Multinominal logistic regression was used to investigate the associated factors of subjective aging. Results: We assessed 184 older patients with a median age of 66.5 years (IQR 63.0 -78.8). Chronological age and hand grip strength were the significant factors associated with subjective aging. With one year increase in age, odds of feeling older than peers of same age decreased by 8.9% (OR, 0.911; 95% CI, 0.831–0.999, p = 0.047). With one kilogram increase in hand grip strength, odds of feeling younger than peers of same age increased by 7.3% (OR, 1.073; 95% CI, 1.01–1.14, p = 0.032). Conclusion: Chronological age and hand grip strength are the factors associated with subjective aging in Northern-Indian older adults. Further longitudinal multi-center studies are needed to confirm our findings.

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“…47 The validity of the Saint Louis University Mental Status Examination, Barthel Index, Charlson Comorbidity Index, Pain Assessment in Advanced Dementia, the Confusion Assessment Method, and Quality of Interaction Schedule have been established. 39,[41][42][43][44][45][46][47]50…”

Section: Methodsmentioning

confidence: 99%

The association of physical activity and behavioral and psychological symptoms among a sample of hospitalized older adults living with dementia

Drazich

Boltz

Kuzmik

et al. 2023

Int J Geriat Psychiatry

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Objectives The aims of this study were to: (1) describe the prevalence of behavioral and psychological symptoms of dementia in hospitalized older adults living with dementia and (2) examine the association of physical activity and behavioral and psychological symptoms of dementia among hospitalized older adults living with dementia, after controlling for covariates. Methods Physical activity was measured using the Physical Activity Survey and behavioral and psychological symptoms of dementia were measured using the Neuropsychiatric Inventory. Descriptive analysis and multiple linear regressions were run using baseline data on 294 older adults with dementia hospitalized on general medical units from an ongoing study entitled Function Focused Care for Acute Care Using the Evidence Integration Triangle. Results Participants performed an average of 7.92 (SD = 4.49) of 34 possible activities “in the last 24 h” prior to the Physical Activity Survey administration. A total of 132 participants (45.5%) had at least one behavioral and psychological symptom of dementia. We found that physical activity was not associated with behavioral and psychological symptoms of dementia (b = 0.01; p = 0.56), after controlling for covariates. Conclusions Although this study found no evidence of an association between physical activity and behavioral and psychological symptoms of dementia, evidence of physical activity did not exacerbate these behaviors. Thus, given the benefits of physical activity, it is important to continue to encourage patients living with dementia to engage in activity.

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Systematic Review of the Psychometric Properties of the Saint Louis University Mental Status (SLUMS) Examination

Cited by 11 publications

References 47 publications

The impact of cognitive impairment in urologic implants: a narrative review

The impact of cognitive impairment in urologic implants: a narrative review

Factors Associated with Subjective Aging Among Older Outpatients In Northern - India

The association of physical activity and behavioral and psychological symptoms among a sample of hospitalized older adults living with dementia

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