Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination.
Arq Neuropsiquiatr
; 72(4): 273-7, 2014 Apr.
Article
in En
| MEDLINE
| ID: mdl-24760090
ABSTRACT
UNLABELLED Cognitive assessment in advanced stages of Alzheimer's disease (AD) is limited by the imprecision of most instruments. OBJECTIVE:
To determine objective cognitive responses in moderate and severe AD patients by way of the Severe Mini-Mental State Examination (SMMSE), and to correlate performances with Mini-Mental State Examination (MMSE) scores.METHOD:
Consecutive outpatients in moderate and severe stages of AD (Clinical Dementia Rating 2.0 or 3.0) were evaluated and compared according to MMSE and SMMSE scores.RESULTS:
Overall 400 patients were included, 67.5% females, mean age 76.6±6.7 years-old. There was no significant impact of age or gender over MMSE or SMMSE scores. Mean schooling was 4.4±2.5 years, impacting SMMSE scores (p=0.008). Scores on MMSE and SMMSE were significantly correlated (F-ratio=690.6325, p<0.0001).CONCLUSION:
The SMMSE is influenced by schooling, but not by age or gender, and is an accurate test for assessment of moderate and severe AD.
Full text:
1
Database:
MEDLINE
Main subject:
Cognition Disorders
/
Alzheimer Disease
/
Mental Status Schedule
/
Neuropsychological Tests
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Year:
2014
Type:
Article