Mini Mental Status Exam Scoring dementia

Schultz-Larsen K, Lomholt RK, Kreiner S. Mini-Mental Status Examination: a short form of MMSE was as accurate as the original MMSE in predicting dementia. J Clin Epidemiol 2007;60:260–7.

Q In home dwelling elderly people, is a short version of the Mini-Mental State Examination (MMSE) as accurate as the original MMSE for predicting dementia?

Clinical impact ratings GP/FP/Primary care ★★★★★★☆ GP/FP/Mental Health ★★★★★★☆ Psychiatry ★★★★★★☆ Geriatrics ★★★★★☆☆

Design:

blinded comparison of the original MMSE and a short version of MMSE with neuropsychological examination.

Setting:

a centre for elder research in Copenhagen, Denmark.

Patients:

243 home dwelling elderly people {75–83 years of age (mean age 80 y, 47% men)}* who had the original MMSE screening. 28% of them screened positive {based on MMSE cut-point of 26/27}*.

Description of tests:

2 dichotomous subscales obtained from the Rasch item analysis were A-MMSE (age correlated scale) including orientation to time, attention/calculation, naming, repetition, 3 stage command; and …