ACCURACY OF THE MINI-MENTAL STATUS EXAMINATION AS A SCREENING-TEST FOR DEMENTIA IN A SWEDISH ELDERLY POPULATION

被引:121
作者
GRUT, M [1 ]
FRATIGLIONI, L [1 ]
VIITANEN, M [1 ]
WINBLAD, B [1 ]
机构
[1] KAROLINSKA INST,DEPT GERIATR MED,S-10401 STOCKHOLM 60,SWEDEN
来源
ACTA NEUROLOGICA SCANDINAVICA | 1993年 / 87卷 / 04期
关键词
DEMENTIA SCREENING; ACCURACY; MMSE; POPULATION STUDY; EDUCATION;
D O I
10.1111/j.1600-0404.1993.tb05514.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this study was to determine the accuracy of the Mini-Mental Status Examination (MMSE) as a screening test for dementia in an elderly Swedish population. All the inhabitants over 74 years of age in one area of Stockholm took the MMSE. The test was then compared to the clinical diagnosis of dementia. With a cut-off point of 23/24, the MMSE had a sensitivity of 87%, specificity of 92%, and positive predictive value (PPV) of 69%. Age, sex, and education did not substantially affect the specificity and the PPV, but had a slight effect on the sensitivity. The main causes of the false positives were somatic and psychiatric disorders. These results are in agreement with studies performed with similar methods and comparable populations.
引用
收藏
页码:312 / 317
页数:6
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