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Related Experiment Videos

Cognitive dysfunction in psychiatric consultation subgroups: use of two screening tests.

E A Burch, S R Andrews

    Southern Medical Journal
    |September 1, 1987
    PubMed
    Summary

    This study found that the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-COG) and Mini-Mental State Examination (MMSE) effectively screen elderly patients for cognitive impairment, showing high agreement in identifying organic brain dysfunction.

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    Biochemistry·2001

    Area of Science:

    • Geriatric Medicine
    • Neuropsychology
    • Cognitive Assessment

    Background:

    • Elderly patients are susceptible to cognitive changes from illness and medications.
    • Accurate identification of cognitive impairment is crucial in acute care settings.

    Purpose of the Study:

    • To compare the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-COG) and Mini-Mental State Examination (MMSE) for screening cognitive impairment.
    • To assess the utility of cognitive screening in elderly patients.

    Main Methods:

    • A cohort of 36 elderly patients underwent both ADAS-COG and MMSE.
    • Cutoff scores were used to determine agreement between the two tests.
    • Correlation analysis was performed on total test scores.

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    Main Results:

    • The ADAS-COG and MMSE showed 94.4% agreement in identifying cognitive impairment.
    • Total scores on the two tests were highly correlated (r = -.90, P < .01).
    • 14 out of 36 patients (38.8%) were identified with cognitive impairment.

    Conclusions:

    • Both ADAS-COG and MMSE are reliable tools for screening cognitive impairment in elderly patients.
    • Cognitive testing is valuable, even in patients who refuse treatment.
    • Understanding factors influencing test results is important for accurate diagnosis.