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Standardized Mini-Mental State Examination. Use and interpretation.

A Vertesi1, J A Lever, D W Molloy

  • 1Care-Plus, Hamilton, Ont.

Canadian Family Physician Medecin De Famille Canadien
|November 29, 2001
PubMed
Summary
This summary is machine-generated.

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The Standardized Mini-Mental State Examination (SMMSE) is a valuable tool for assessing cognitive function in older adults. It aids in diagnosing dementia and depression, guiding early treatment for better outcomes.

Area of Science:

  • Geriatric Medicine
  • Neurology
  • Psychiatry

Background:

  • Cognitive impairment is a significant concern in older populations.
  • Early and accurate diagnosis of dementia and depression is crucial for effective management.

Purpose of the Study:

  • To review the administration of the Standardized Mini-Mental State Examination (SMMSE).
  • To evaluate the SMMSE's utility in interpreting cognitive function in the elderly.
  • To assess its role in the differential diagnosis of cognitive disorders.

Main Methods:

  • Literature search of MEDLINE (1990-1999) using relevant MeSH headings (Alzheimer Disease, Vascular Dementia, Lewy Bodies, Depression).
  • Review of studies assessing the reliability and validity of the SMMSE.

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Main Results:

  • The SMMSE provides a standardized global cognitive score correlating with daily function.
  • It assists in differentiating Alzheimer's disease, vascular dementia, dementia with Lewy bodies, and depression.
  • Repeated SMMSE measurements can track changes over time and treatment response.

Conclusions:

  • The SMMSE is a practical tool for family doctors in identifying cognitive changes.
  • It is a key component of dementia workup, facilitating early intervention with effective medications.