Validation of the Hodkinson Abbreviated Mental Test as a Screening Instrument for Dementia in an Italian Population

Rocca, Walter A.; Bonaiuto, S.; Lippi, Andréa; Luciani, P; Pistarelli, Tiziana; Grandinetti, A.; Cavarzeran, Fabiano; Amaducci, L.

doi:10.1159/000110943

Cited by 64 publications

(34 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The AMT has been validated in Italy and a score of less than 7 was the best combination of sensitivity and specifi city to detect dementia [9] . Thus, subjects with a score lower than 7 were considered as cognitively impaired.…”

Section: Methodsmentioning

confidence: 99%

Cognitive Impairment Is the Major Risk Factor for Development of Geriatric Syndromes during Hospitalization: Results from the GIFA Study

Mecocci

Strauss

Cherubini

et al. 2005

Dement Geriatr Cogn Disord

101

View full text Add to dashboard Cite

Objective: To detect the main factors associated with the occurrence of specific geriatric syndromes (namely pressure sores, fecal incontinence, urinary incontinence and falls) in elderly patients during hospitalization. Design: Observational prospective study. Setting: Eighty-one community and university hospitals throughout Italy. Participants: 13,729 patients aged 65 years and more, consecutively admitted to medical or geriatric acute wards during 20 months in the period between 1991 and 1998. Measurements: Occurrence of pressure sores, fecal incontinence, urinary incontinence and falls during the stay in hospital. Results: Pressure sores were already present in 3% of hospitalized subjects, fecal incontinence in 7.3%, while urinary incontinence, evaluated on a subgroup of total population (4,268 subjects), had a prevalence of 22.3%. During hospitalization (mean stay of 15 days), 74 subjects developed new pressure sores, 55 became fecal and 35 urinary incontinent, and 279 subjects had at least one episode of fall. In multivariate analyses, cognitive impairment, advanced age (85+ years), length of stay (more than 3 weeks) and severe disability were the main independent predictors of development of the four geriatric syndromes, with cognitive impairment as the most significant risk factor for all the four outcomes (OR 4.9, 95% CI 2.4–9.9 for pressure sores; OR 6.3, 95% CI 3.0–13.0 for fecal incontinence; OR 5.3, 95% CI 2.3–12.0 for urinary incontinence; OR 1.6, 95% CI 1.2–2.3 for falls). Conclusion: Very old people have a significant increased risk of several geriatric syndromes during the stay in hospital, particularly if it is long and they are cognitively impaired. A standardized comprehensive geriatric evaluation at admission could be helpful in detecting all subjects at risk and preventing the development of hospital-acquired geriatric syndromes.

show abstract

Section: Methodsmentioning

confidence: 99%

Cognitive Impairment Is the Major Risk Factor for Development of Geriatric Syndromes during Hospitalization: Results from the GIFA Study

Mecocci

Strauss

Cherubini

et al. 2005

Dement Geriatr Cogn Disord

101

View full text Add to dashboard Cite

show abstract

“…They have been used with dierent cultures to screen for cognitive impairment (Escobar et al, 1986;Salmon et al, 1989;Rocca et al, 1992;Hooijer et al, 1992). A Hindi version of the MMSE has been developed for use with an illiterate rural population in India (Ganguli et al, 1995).…”

Section: Screening Instrumentsmentioning

confidence: 99%

Validating screening instruments for cognitive impairment in older South Asians in the United Kingdom

Rait

Burns

Baldwin

et al. 2000

Int. J. Geriat. Psychiatry

View full text Add to dashboard Cite

“…The diagnosis followed a stepby-step algorithm: (1) confirmation and measurement of the cognitive deficit by the Mini Mental State [17] and the Blessed-Roth information-memory-concentra tion test (modified by Hodkinson) [16,18], and mea surement of behavioral deficit by the Blessed-Roth dementia scale [18], and (2) exclusion of depression, mental retardation, or psychoses, and diagnosis of dementia (DSM-III criteria) [19] by medical history, the Hamilton rating scale for depression [20], and a physical and neurologic examination. Further details regarding this prevalence survey have been reported elsewhere [21,22],…”

Section: Prevalence Surveymentioning

confidence: 99%

Education and Occupation as Risk Factors for Dementia: A Population-Based Case-Control Study

Bonaiuto

Rocca²,

Lippi

et al. 1995

Neuroepidemiology

View full text Add to dashboard Cite

To further investigate the putative associations between education and dementia and between occupation and dementia, we conducted a population-based case-control study. Cases were all subjects affected by dementia ascertained through a prevalence survey conducted in the municipality of Appignano, Macerata Province, Italy. For each case (n = 48), we randomly selected 2 population controls residing in the same municipality and matched for age and sex (n = 96). Information regarding exposures was collected by nonmedical personnel during the first contact for the prevalence survey. Although we found a striking trend toward decreasing prevalence with increasing education, this association was suggestive but not significant after age and sex adjustment at case-control analyses (odds ratio for illiterates = 1.4; 95% CI 0.6–3.1). In contrast, we found a significant association between manual principal lifetime occupation and dementia using both unadjusted and adjusted analyses (odds ratio = 2.9; 95% CI 1.2–7.4). Our findings suggest that, although education and occupation are related, occupation is a stronger indicator of risk than education.

show abstract

Validation of the Hodkinson Abbreviated Mental Test as a Screening Instrument for Dementia in an Italian Population

Cited by 64 publications

References 8 publications

Cognitive Impairment Is the Major Risk Factor for Development of Geriatric Syndromes during Hospitalization: Results from the GIFA Study

Cognitive Impairment Is the Major Risk Factor for Development of Geriatric Syndromes during Hospitalization: Results from the GIFA Study

Validating screening instruments for cognitive impairment in older South Asians in the United Kingdom

Education and Occupation as Risk Factors for Dementia: A Population-Based Case-Control Study

Contact Info

Product

Resources

About