The Saint Louis University Mental Status Examination Is Better than the Mini-Mental State Examination to Determine the Cognitive Impairment in Turkish Elderly People

Kaya, Derya; Işık, Ahmet Turan; Usarel, Cansu; Soysal, Pınar; Ellıdokuz, Hülya; Grossberg, George T.

doi:10.1016/j.jamda.2015.12.093

Cited by 35 publications

(25 citation statements)

References 21 publications

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“…With a specificity of 0.83 (i.e. the presence of all the three signs), the triple test has a diagnostic value comparable to common tools such as the Turkish version of the MMSE (specificity: 0.95), the Montreal Cognitive Assessment (specificity: 0.78), Saint Louis University Mental Status Examination (specificity: 0.87), and Cognitive State Test (specificity: 0.87) . As such, the triple test could be considered as a screening test for AD in older adults.…”

Section: Discussionmentioning

confidence: 99%

Triple test, a diagnostic observation, can detect cognitive impairment in older adults

et al. 2018

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The present study suggests that the triple test is a simple, quick, and efficient screening tool for detecting cognitive impairment, and the results may reflect deterioration in patients' activities of daily living. Additionally, it could be advantageous in clinical practice because educational level does not affect the test outcome. Therefore, it may be an appropriate test to screen for cognitive impairment in the elderly, both as a bedside diagnostic test and in daily clinical practice, especially in the primary care setting.

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Section: Discussionmentioning

confidence: 99%

Triple test, a diagnostic observation, can detect cognitive impairment in older adults

et al. 2018

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“…Pre-operative baseline cognition was assessed using the validated Saint Louis Mental Status (SLUMS) test. SLUMS is made up of 11 questions, which can give a maximum of 30 points (6). Mild CI was defined as a SLUMS score between 21-26 points, while severe CI was defined as a SLUMS score of ≤20 points.…”

Section: Assessment Of Cognitive Statusmentioning

confidence: 99%

The Prevalence of Undiagnosed Presurgical Cognitive Impairment and Its Postsurgical Clinical Impact in Elderly Patients Undergoing Surgery for Adult Spinal Deformity

et al. 2017

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“…SLUMS is made up of 11 questions, which can give a maximum of 30 points (6). Mild CI was defined as a SLUMS score between 21-26 points, while severe CI was defined as a SLUMS score of ≤20 points.…”

Section: Assessment Of Cognitive Statusmentioning

confidence: 99%

“…Cognitive status and impairment is commonly assessed by the Saint Louis University Mental Status (SLUMS) examination, which is a 30-point screening questionnaire that tests orientation, memory, attention, and executive functions (6)(7)(8). Prior studies have found that elderly patients are at a greater overall risk for increased surgical complications, as well as inferior quality of life outcomes.…”

Section: Introductionmentioning

confidence: 99%

185 The Prevalence of Undiagnosed Pre-Surgical Cognitive Impairment and Its Post-Surgical Clinical Impact in Elderly Patients Undergoing Surgery for Adult Spinal Deformity

Adogwa¹,

Elsamadicy²,

Lydon³

et al. 2017

Neurosurgery

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Background: Pre-existing cognitive impairment (CI) is emerging as a predictor of poor post-operative outcomes in elderly patients. Little is known about impaired preoperative cognition and outcomes after elective spine surgery in this patient population. The purpose of this study was to assess the prevalence of neuro CI in elderly patients undergoing deformity surgery and its impact on postoperative outcomes.Methods: Elderly subjects undergoing elective spinal surgery for correction of adult degenerative scoliosis were enrolled in this study. Pre-operative baseline cognition was assessed using the Saint Louis Mental Status (SLUMS) test. SLUMS consists of 11 questions, which can give a maximum of 30 points. Mild CI was defined as a SLUMS score between 21-26 points, while severe CI was defined as a SLUMS score of ≤20 points. Normal cognition was defined as a SLUMS score of ≥27 points. Complication rates, duration of hospital stay, and 30-day readmission rates were compared between patients with and without baseline CI.Results: Eighty-two subjects were included in this study, with mean age of 73.26±6.08 years. Fiftyseven patients (70%) had impaired cognition at baseline. The impaired cognition group had the following outcomes: increased incidence of one or more postoperative complications (39% vs. 20%), higher incidence of delirium (20% vs. 8%), and higher rate of discharge institutionalization at skilled nursing or acute rehab facilities (54% vs. 30%). The length of hospital stay and 30-day hospital readmission rates were similar between both cohorts (5.33 vs. 5.48 days and 12.28% vs. 12%, respectively).Conclusions: CI is highly prevalent in elderly patients undergoing surgery for adult degenerative scoliosis. Impaired cognition before surgery was associated with higher rates of post-operative delirium, complications, and discharge institutionalization. CI assessments should be considered in the pre-operative evaluations of elderly patients prior to surgery.

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The Saint Louis University Mental Status Examination Is Better than the Mini-Mental State Examination to Determine the Cognitive Impairment in Turkish Elderly People

Cited by 35 publications

References 21 publications

Triple test, a diagnostic observation, can detect cognitive impairment in older adults

Triple test, a diagnostic observation, can detect cognitive impairment in older adults

The Prevalence of Undiagnosed Presurgical Cognitive Impairment and Its Postsurgical Clinical Impact in Elderly Patients Undergoing Surgery for Adult Spinal Deformity

185 The Prevalence of Undiagnosed Pre-Surgical Cognitive Impairment and Its Post-Surgical Clinical Impact in Elderly Patients Undergoing Surgery for Adult Spinal Deformity

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