Mini-Exame do Estado Mental: características psicométricas em idosos ambulatoriais
TLDR
Para o rastreamento cognitivo de idosos atendidos em ambulatorios gerais pelo Mini-Exame do Estado Mental, a escolaridade devera ser considerada para a adocao do ponto de corte mais adequado.Abstract:
OBJETIVO: Avaliar as caracteristicas de medida do Mini-Exame do Estado Mental em idosos atendidos em um ambulatorio geral. METODOS: O total de 303 individuos (>65 anos) foi submetido a avaliacao geriatrica com varios instrumentos, inclusive o Mini-Exame do Estado Mental. Foram calculadas a sensibilidade, a especificidade, os valores preditivos positivo e negativo e a curva ROC. RESULTADOS: A sensibilidade, a especificidade, os valores preditivos positivo e negativo e a area sob a curva ROC foram 80,8%, 65,3%, 44,7%, 90,7% e 0,807, respectivamente (ponto de corte 23/24). O melhor ponto de corte para individuos analfabetos foi 18/19 (sensibilidade =73,5%; especificidade =73,9%), e para aqueles com instrucao escolar foi 24/25 (sensibilidade =75%; especificidade =69,7%). CONCLUSOES: Para o rastreamento cognitivo de idosos atendidos em ambulatorios gerais pelo Mini-Exame do Estado Mental, a escolaridade devera ser considerada para a adocao do ponto de corte mais adequado.read more
Citations
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A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment.
TL;DR: The MMSE offers modest accuracy with best value for ruling-out a diagnosis of dementia in community and primary care and should be combined with or replaced by other methods.
Journal ArticleDOI
Mini‐Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations
Sam T Creavin,Susanna Wisniewski,Anna H Noel-Storr,Clare M Trevelyan,Thomas Hampton,Dane Rayment,Victoria M Thom,Kirsty J E Nash,Hosam Elhamoui,Rowena Milligan,Anish S Patel,Demitra Tsivos,Tracey Wing,Emma Phillips,Sophie M Kellman,Hannah L Shackleton,Georgina F Singleton,Bethany E Neale,Martha E Watton,Sarah Cullum +19 more
TL;DR: To determine the diagnostic accuracy of the Mini Mental State Examination (MMSE) at various cut points for dementia in people aged 65 years and over in community and primary care settings who had not undergone prior testing for dementia, a meta-analysis was performed using the hierarchical summary receiver-operator curves (HSROC) method and the bivariate method.
Journal ArticleDOI
Upper extremity function in stroke subjects: relationships between the international classification of functioning, disability, and health domains.
Iza Faria-Fortini,Stella Maris Michaelsen,Janine Gomes Cassiano,Luci Fuscaldi Teixeira-Salmela +3 more
TL;DR: Strength deficits and shoulder pain of the paretic UL demonstrated to be important targets for clinical interventions to improve activity and participation with chronic stroke subjects.
Journal ArticleDOI
The Mini Mental State Examination: Review of cutoff points adjusted for schooling in a large Southern Brazilian sample
Renata Kochhann,Juliana Santos Varela,Carolina Saraiva de Macedo Lisboa,Marcia Lorena Fagundes Chaves +3 more
TL;DR: The cut-off values revealed by this analysis, and adjusted for level of schooling, can improve the clinical evaluation of cognitive deficits.
Review of cutoff points adjusted for schooling in a large Southern Brazilian sample
Renata Kochhann,Juliana Santos Varela,Carolina Saraiva de Macedo Lisboa,Márcia Lorena,Fagundes Chaves +4 more
TL;DR: In this paper, the authors reviewed the MMSE cut-off values adjusted for schooling in a large southern Brazilian sample and found that the cutoff score of 23 points (sensitivity=86%, specificity=83%) was the optimal level to detect dementia on the MM SE instrument for the overall sample.
References
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Journal ArticleDOI
“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician
Marshal F. Folstein,Marshal F. Folstein,Susan E B Folstein,Susan E B Folstein,Paul R. McHugh,Paul R. McHugh +5 more
TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
A practical method for grading the cognitive state of patients for the clinician
TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal ArticleDOI
Assessment of Older People: Self-Maintaining and Instrumental Activities of Daily Living
M. P. Lawton,Elmne M. Brody +1 more
TL;DR: Two scales first standardized on their own population are presented, one of which taps a level of functioning heretofore inadequately represented in attempts to assess everyday functional competence, and the other taps a schema of competence into which these behaviors fit.
Journal ArticleDOI
Studies of illness in the aged. the index of adl: a standardized measure of biological and psychosocial function.
TL;DR: The Index of ADL as discussed by the authors was developed to study results of treatment and prognosis in the elderly and chronically ill. Grades of the Index summarize over-all performance in bathing, dressing, going to toilet, transferring, continence, and feeding.
Journal ArticleDOI
The mini-mental state examination: a comprehensive review.
TL;DR: The purpose of this paper is to provide a comprehensive review of information accumulated over the past 26 years regarding the psychometric properties and utility of the Mini‐Mental State Examination (MMSE).