IMPROVING SCREENING FOR DEMENTIA IN THE ELDERLY USING MINI-MENTAL-STATE-EXAMINATION SUBSCORES, BENTONS VISUAL-RETENTION TEST, AND ISAACS SET TEST

被引:27
作者
COMMENGES, D
GAGNON, M
LETENNEUR, L
DARTIGUES, JF
BARBERGERGATEAU, P
SALAMON, R
机构
[1] INSERM Unité 330, Université de Bordeaux II, Bordeaux
关键词
SCREENING; DEMENTIA; PSYCHOMETRIC TESTS; MEMORY; EDUCATIONAL STATUS; AGE;
D O I
10.1097/00001648-199203000-00019
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Mini-Mental State Examination score is often used as a screening test for dementia. We studied its properties for a population of French community residents, using a sample of 2,792 randomly selected subjects in Gironde, France. When the traditional cutoff point 23-24 was used, we observed a sensitivity of 1.0 and a specificity of 0.77. We sought to increase the specificity of the test, while keeping sensitivity at 1.0, with the use of logistic regression analysis. We found (1) a specificity of 0.81 when "recall three objects" and "orientation to time" were added to the Mini-Mental State Examination score; (2) a specificity of 0.90 when Benton's Visual Retention Test and Isaacs' Set Test of Verbal Fluency were added to the Mini-Mental State Examination score and subscores; and (3) no improvement in specificity when age and educational level were included in the analyses.
引用
收藏
页码:185 / 188
页数:4
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