Mini-Mental State Examination: A Tool for Detecting Dementia in Primary Care?
(English)Manuscript (preprint) (Other academic)
The Mini-mental State Examination (MMSE) is the most widely used test for cognitive function, but its usefulness as a screening tool for dementia has been debated. We investigated the ciiterion validity of the MMSE in patients, aged 70 years and above, attending a piimary care centre (PPC). The MMSE was administered (N=1225) and compared with further diagnosing of dementia according to DSM-III-R in a subgroup (N=350). The major finding was that the use of the traditional cut-off score of 23/24 points on MMSE, left more than 70% of mild cases and 30% of moderate cases undetected. When using a cut-off score of 26/27 a good criterion validity was found and an excellent agreement between the testing by the social worker at the PCC and the general practitioner in the patient's home. As the major problem in the dementia management has been under-detection, we recommend MMSE as an opportunistic screening test in PCC population.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-81132OAI: oai:DiVA.org:liu-81132DiVA: diva2:550717