Picture-based memory impairment screen for dementia.

Abstract:

OBJECTIVES:To develop and validate a picture-based memory impairment screen (PMIS) for the detection of dementia. DESIGN:Cross-sectional. SETTING:Outpatient clinics, Baby Memorial Hospital, Kozhikode city in the southern Indian state of Kerala. PARTICIPANTS:Three hundred four community-residing adults aged 55 to 94 with a mean education level of 8 years; 65 were diagnosed with dementia. MEASUREMENTS:PMIS: a culture-fair picture-based cognitive screen designed to be administered by nonspecialists. Diagnostic accuracy estimates (sensitivity, specificity, positive and negative predictive power) of PMIS cut-scores in detecting dementia (range 0-8). RESULTS:PMIS scores were worse in participants with dementia (1.5) than in controls (7.7, P < .001). At the optimal cut-score of 5, PMIS had a sensitivity of 95.4% (95% confidence interval (CI) = 90.3-100.0%) and a specificity of 99.2% (95% CI = 98.0-100.0%) for detecting dementia. In the 167 participants with <10 years of education, PMIS scores of five or less had a sensitivity of 97.8% (95% CI = 93.6-100.0%) and specificity of 99.2% (95% CI = 97.6-100.0%). The PMIS had better specificity than the Mini-Mental State Examination in detecting dementia, especially in older adults with low education. CONCLUSION:The PMIS is a brief and reliable screen for dementia in elderly populations with variable literacy rates.

journal_name

J Am Geriatr Soc

authors

Verghese J,Noone ML,Johnson B,Ambrose AF,Wang C,Buschke H,Pradeep VG,Abdul Salam K,Shaji KS,Mathuranath PS

doi

10.1111/j.1532-5415.2012.04191.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

2116-20

issue

11

eissn

0002-8614

issn

1532-5415

journal_volume

60

pub_type

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