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A short version of Mini-Mental State Examination (MMSE) was as accurate as the original MMSE for predicting dementia

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

Key Words: dementia • mental status schedule

The first 150 words of the full text of this article appear below.

METHODS
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 B-MMSE (not correlated with age) including orientation to place, registration, recall, reading, and copying. A new scale model was D-MMSE consisting of all B-MMSE items with a polytomous scoring of the "3 object recall" item (see further details of D-MMSE and its instructions for administration at www.evidence-basedmedicine.com).

Diagnostic standard: a comprehensive neuropsychological test battery including 30 subtests.

Outcomes: sensitivity, specificity, likelihood ratio . . . [Full text of this article]

Calvin Hirsch, MD

UC Davis Medical Centre,
Sacramento, California, USA