Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination
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...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
2014-04-01
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| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000400273&lng=en&tlng=en |
| _version_ | 1811208732625862656 |
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| author | José Roberto Wajman Fabricio Ferreira de Oliveira Rodrigo Rizek Schultz Sheilla de Medeiros Correia Marin Paulo Henrique Ferreira Bertolucci |
| author_facet | José Roberto Wajman Fabricio Ferreira de Oliveira Rodrigo Rizek Schultz Sheilla de Medeiros Correia Marin Paulo Henrique Ferreira Bertolucci |
| author_sort | José Roberto Wajman |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T04:27:37Z |
| format | Article |
| id | doaj.art-3f3ae340c0dc487d87f5730571738378 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-12T04:27:37Z |
| publishDate | 2014-04-01 |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-3f3ae340c0dc487d87f57305717383782022-12-22T03:48:02ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272014-04-0172427327710.1590/0004-282X20140002S0004-282X2014000400273Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State ExaminationJosé Roberto WajmanFabricio Ferreira de OliveiraRodrigo Rizek SchultzSheilla de Medeiros Correia MarinPaulo Henrique Ferreira BertolucciCognitive 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000400273&lng=en&tlng=endoença de Alzheimerdemênciatranstornos cognitivostestes neuropsicológicos |
| spellingShingle | José Roberto Wajman Fabricio Ferreira de Oliveira Rodrigo Rizek Schultz Sheilla de Medeiros Correia Marin Paulo Henrique Ferreira Bertolucci Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination Arquivos de Neuro-Psiquiatria doença de Alzheimer demência transtornos cognitivos testes neuropsicológicos |
| title | Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination |
| title_full | Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination |
| title_fullStr | Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination |
| title_full_unstemmed | Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination |
| title_short | Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination |
| title_sort | educational bias in the assessment of severe dementia brazilian cutoffs for severe mini mental state examination |
| topic | doença de Alzheimer demência transtornos cognitivos testes neuropsicológicos |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000400273&lng=en&tlng=en |
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