Educational bias in the assessment of severe dementia: Brazilian cutoffs for severe Mini-Mental State Examination.

Abstract:

UNLABELLED: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.

journal_name

Arq Neuropsiquiatr

authors

Wajman JR,Oliveira FF,Schultz RR,Marin Sde M,Bertolucci PH

doi

10.1590/0004-282x20140002

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

273-7

issue

4

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2014000400273

journal_volume

72

pub_type

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