TY - JOUR
T1 - Concordance between the Mini-Mental State Examination, Short Portable Mental Status Questionnaire and Montreal Cognitive Assessment Tests for Screening for Cognitive Impairment in Older Adults
AU - Campos-Vasquez, F.
AU - Valdez-Murrugarra, N.
AU - Soto-Tarazona, A.
AU - Camacho-Caballero, K.
AU - Rodriguez-Cuba, M. A.
AU - Parodi, J. F.
AU - Runzer-Colmenares, F. M.
N1 - Publisher Copyright:
© 2021, Pleiades Publishing, Ltd.
PY - 2021/7
Y1 - 2021/7
N2 - Abstract: Determine the level of concordance between the Mini-Mental State Examination (MMSE), Short Portable Mental State Examination (SPMSQ), and Montreal Cognitive Assessment (MoCA) screening test for cognitive impairment in older adults. A cross-sectional study based on an original cohort study. 1683 patients over 60 years-old were included between 2010 and 2015. Demographic information was collected and the MMSE, MoCA, and SPMSQ scores were obtained. Categorical variables were presented as frequencies and percentages, while numerical ones as median and interquartile range. The agreement was measured and adjusted by the number of years of education by Cohen’s Kappa index (k) with a 95% confidence interval (CI). The agreement was considered as good if k > 0.80. MMSE classified 43.32% of the patients as having cognitive impairment, MoCA 43.14%, and SPMSQ 24.84%. MMSE and MoCA showed an agreement (k) of 0.99 with a 95% CI of 0.99–1.00; MoCA and SPMSQ showed a k of 0.43 (95% CI: 0.38–0.46). Finally, MMSE and SPMSQ showed a k of 0.42 (95% CI: 0.37–0.46). The results did not change when performing the analysis by education subgroups. There was a strong concordance between MoCA and MMSE tests. Nevertheless, the SPMSQ was discordant with the other tests.
AB - Abstract: Determine the level of concordance between the Mini-Mental State Examination (MMSE), Short Portable Mental State Examination (SPMSQ), and Montreal Cognitive Assessment (MoCA) screening test for cognitive impairment in older adults. A cross-sectional study based on an original cohort study. 1683 patients over 60 years-old were included between 2010 and 2015. Demographic information was collected and the MMSE, MoCA, and SPMSQ scores were obtained. Categorical variables were presented as frequencies and percentages, while numerical ones as median and interquartile range. The agreement was measured and adjusted by the number of years of education by Cohen’s Kappa index (k) with a 95% confidence interval (CI). The agreement was considered as good if k > 0.80. MMSE classified 43.32% of the patients as having cognitive impairment, MoCA 43.14%, and SPMSQ 24.84%. MMSE and MoCA showed an agreement (k) of 0.99 with a 95% CI of 0.99–1.00; MoCA and SPMSQ showed a k of 0.43 (95% CI: 0.38–0.46). Finally, MMSE and SPMSQ showed a k of 0.42 (95% CI: 0.37–0.46). The results did not change when performing the analysis by education subgroups. There was a strong concordance between MoCA and MMSE tests. Nevertheless, the SPMSQ was discordant with the other tests.
KW - brief cognitive test
KW - cognitive dysfunction
KW - cognitive screening
KW - elderly
KW - geriatrics
UR - http://www.scopus.com/inward/record.url?scp=85114507188&partnerID=8YFLogxK
U2 - 10.1134/S2079057021030036
DO - 10.1134/S2079057021030036
M3 - Artículo
AN - SCOPUS:85114507188
SN - 2079-0570
VL - 11
SP - 312
EP - 316
JO - Advances in Gerontology
JF - Advances in Gerontology
IS - 3
ER -