Assessment of Cognitive Decline in the Elderly by Informant Interview

1988 ◽  
Vol 152 (2) ◽  
pp. 209-213 ◽  
Author(s):  
A. F. Jorm ◽  
A. E. Korten
Keyword(s):  
Cognitive Decline ◽  
Elderly People ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Screening Instruments ◽  
Cognitive Screening ◽  
Direct Assessment ◽  
State Examination

Cognitive decline in a sample of 64 elderly people was assessed by a standardised informant interview dealing with changes in memory and intelligence which had taken place in the previous 10 years. Scores from the interview were found to correlate (r=0.74) with the Mini-Mental State Examination. Moreover, the informant interview was found to be less affected by pre-morbid ability than the MMSE. Direct assessment of decline by informants may be a solution to the problem of contamination by pre-morbid ability which affects traditional cognitive screening instruments.

scholarly journals To evaluate the utility of 10 warning signs questionnaire in assessment of cognitive function among elderly people

2016 ◽  
Vol 7 (01) ◽  
pp. 168-170
Author(s):  
Sunil Kumar Raina ◽  
Vishav Chander
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Warning Signs ◽  
Correlation Data ◽  
Urban Rural ◽  
State Examination

ABSTRACT Introduction: Routine screening of high-risk elderly people for early cognitive impairment using mini-mental state examination (MMSE) and its modifications may be constrained by demographic and other variables. Warning signs (as reported by family/caregivers) may be a useful alternative. The present data analysis was carried out with the aim to identify the role of 10 warning signs screen as an alternative tool for screening for cognitive impairment among elderly. Materials and Methods: For the purpose of this analysis (correlation), data available with us from a study conducted on the elderly population (60 years and above) from selected geographical areas (Migrant, Urban, Rural, and Tribal) of Himachal Pradesh was used. Results: A high statistically significant was found between scores on 10 warning signs screen and Hindi mental state examination/Bharmouri mental state examination (modifications of MMSE). Conclusions: Ten warning signs screen can be an important screening total for assessment of cognitive impairment in the elderly Indians.

scholarly journals Associations between Commonly Used Characteristics in Frailty Assessment and Mental State in Frail Elderly People

Proceedings ◽  
2018 ◽  
Vol 2 (19) ◽  
pp. 1247 ◽  
Author(s):  
Iván González ◽  
Rocío Garrido ◽  
Fco Navarro ◽  
Jesús Fontecha ◽  
Ramón Hervás ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Cognitive Decline ◽  
Elderly People ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Multiple Logistic Regression ◽  
Frail Elders ◽  
Frailty Assessment ◽  
The Impact ◽  
State Examination

This paper presents a cross-sectional study to analyze the impact on cognitive decline of a set of characteristics used for frailty assessment in elderly people. Considered characteristics come from several dimensions, including anthropometric, biological, nutritional, functional and mobility. Cognitive functioning is estimated by the Mini-Mental State Examination test. Additionally, mobility dimension is assessed from two perspectives: one based on direct observation of ambulation through subjective gait analyses; and the other performing explicit gait trials by using the instrumentation provided. In order to accomplish the purpose of this research, a multiple logistic regression analysis is carried out. Variables are grouped according to popular and/or standardized categories adopted in other clinical studies. Mini-Mental State Examination represents the dependent variable, while the characteristics for frailty assessment make up the set of explanatory variables. The multiple logistic regression is performed using a sample of 81 frail elders from two nursing homes in Spain. The results obtained indicate that frail elders aged 90 years of older, with moderate dependence in daily functioning, moderate risk of falls and with a stride interval gait variability greater than 6% were most likely to suffer cognitive decline, representing what is called cognitive frails.

The NUCOG: Construction and Piloting of a Cognitive Screening Instrument in a Neuropsychiatric Unit

2003 ◽  
Vol 11 (3) ◽  
pp. 325-329 ◽  
Author(s):  
Mark Walterfang ◽  
Dennis Velakoulis ◽  
Andrew Gibbs ◽  
John Lloyd
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Screening Instrument ◽  
Face Validity ◽  
Diverse Population ◽  
Screening Instruments ◽  
Cognitive Screening ◽  
Cognitive Screen ◽  
High Degree ◽  
State Examination

Objective: To develop a cognitive screening instrument suitable for a neuropsychiatric inpatient, outpatient and consultation—liaison population. Methods: A number of cognitive screening instruments used clinically and published in the literature were reviewed. A new tool, the Neuropsychiatry Unit Cognitive Screen (NUCOG), was developed on the basis of this review, and piloted in a diverse population of patients in the unit. Conclusions: The NUCOG demonstrated a high degree of face validity, correlation with the Mini-Mental State Examination, and significant scoring differences between demented and non-demented patients.

scholarly journals Combining functional scales and cognitive tests in screening for mild cognitive impairment at a university-based memory clinic in Brazil

2008 ◽  
Vol 30 (4) ◽  
pp. 346-349 ◽  
Author(s):  
Izabella Dutra de Abreu ◽  
Paula Villela Nunes ◽  
Breno Satler Diniz ◽  
Orestes Vicente Forlenza
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Diagnostic Accuracy ◽  
Cognitive Decline ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Elderly Subjects ◽  
Cognitive State ◽  
State Examination

OBJECTIVE: To determine the diagnostic accuracy of the Mini-Mental State Examination combined to the Informant Questionnaire on Cognitive Decline in the Elderly for the identification of mild cognitive impairment. METHOD: 191 elderly subjects were assessed with the Mini-Mental State Examination, and their informants were assessed with the Informant Questionnaire on Cognitive Decline in the Elderly. Subjects were divided into three groups according to their cognitive state (controls: n = 67, mild cognitive impairment: n = 65 and dementia: n = 59), which was ascertained by clinical and neuropsychological evaluation. The diagnostic accuracy of each test in the discrimination of diagnostic groups (mild cognitive impairment vs. controls, mild cognitive impairment vs. dementia and dementia vs. controls) was examined with the aid of ROC curves. We additionally verified if the combination of both tests would increase diagnostic accuracy for mild cognitive impairment and control identification. RESULTS: The combination of the Mini-Mental State Examination and the Informant Questionnaire on Cognitive Decline in the Elderly scores did not increase the Mini-Mental State Examination diagnostic accuracy in the identification of patients with mild cognitive impairment. CONCLUSIONS: The present data do not warrant the combination of the Mini-Mental State Examination and the Informant Questionnaire on Cognitive Decline in the Elderly as a sufficient diagnostic tool in the diagnostic screening for mild cognitive impairment.

Exploring Time of Day Effects on Mini-Mental State Examination Performance in Alzheimer's Disease and Age-Associated Cognitive Decline

2005 ◽  
Vol 6 (3) ◽  
pp. 212-218 ◽  
Author(s):  
Michelle A. Brown ◽  
Margaret Newson ◽  
Judy Haworth ◽  
Gordon K. Wilcock
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Decline ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Neuropsychological Test ◽  
Time Of Day ◽  
Future Research ◽  
Cognitive Screening ◽  
State Examination

AbstractNeuropsychological assessment plays a prominent role in the diagnosis of Alzheimer's disease (AD) and other cognitive impairments. Increasingly, neuropsychological test results are also used to guide clinicians in the prescription of anti-dementia medication. There is evidence to suggest that the cognitive ability of an individual with AD may vary over the course of a day. If time of day can influence an individual's performance on cognitive tests, then it could potentially affect his or her diagnosis and eligibility for treatment. This study set out to explore the effect of time of day on Mini-Mental State Examination (MMSE) performance in individuals with AD and Age-Associated Cognitive Decline (AACD). No significant effect of time of day (TOD) on Folstein MMSE performance was found. However, some interesting results were highlighted and future research suggested. Overall, the study does not provide evidence that time of day needs to be considered when interpreting the result of a short cognitive screening test.

scholarly journals Déficit Cognitivo em Idosos Hospitalizados Segundo Mini Exame do Estado Mental (MEEM): Revisão Narrativa

2018 ◽  
Vol 20 (2) ◽  
pp. 131 ◽  
Author(s):  
Maristela Prado e Silva Nazario ◽  
Vitor Hugo Tomaz Silva ◽  
Ana Cristina Duarte Oliveira Martinho ◽  
Juliana Santi Sagin Pinto Bergamim
Keyword(s):  
Cognitive Decline ◽  
Mental State ◽  
Cognitive Deficit ◽  
Mini Mental State Examination ◽  
Functional Disability ◽  
Pathological Condition ◽  
The Elderly ◽  
Hospital Environment ◽  
Irreversible Damage ◽  
State Examination

ResumoO presente estudo teve como intuito realizar uma revisão narrativa sobre o déficit cognitivo em idosos hospitalizados e institucionalizados, que utilizaram como instrumento avaliador o Mini Exame do Estado Mental - MEEM. Sendo este, um exame de fácil e rápida aplicação, abrangendo todos os aspectos cognitivos em sete categorias, atribuindo de 0 a 30 pontos. Realizado no período de maio a novembro de 2017, nas bases de dados SciELO, Lilacs, Medline, Pubmed com publicações de 2001 a 2017. Os artigos selecionados apontaram um declínio cognitivo em idosos que foram submetidos à internações devido um quadro patológico agudo, ressaltando a existência de grupos de risco específicos. Questionando, assim, a idade como fator determinante no declínio cognitivo. A mudança de ambiente, imobilismo e depressão são os principais fatores responsáveis pelo déficit cognitivo gerado durante a hospitalização. Com o avanço desse processo, o idoso está susceptível a desenvolver incapacidade funcional e demência, tornando-o propenso a adquirir patologias segundarias. Os artigos deixam claro a importância do Mini Exame do Estado Mental (MEEM) ser aplicado na primeira anamnese, durante a avaliação inicial e em exames de rotina, para acompanhar de forma concisa a evolução cognitiva do paciente, a fim de mensurar fatores individuais que predispõe o desenvolvimento do declínio e tracejar objetivos que diminuam danos irreversíveis no paciente. Conclui-se que novos estudos devem ser realizados para verificar esse declínio no ambiente hospitalar e fora dele, possibilitando um comparativo de esclarecimento sobre os idosos apresentarem sinais de declínio cognitivo previamente á internação, cujo ambiente hospitalar apenas agravaria esse quadro ou se desenvolveram de forma aguda o declínio cognitivo.Palavras-chave: Idosos. Hospitalização. Avaliação. Cognição.AbstractThe present study aimed to conduct a narrative review of cognitive deficit in hospitalized and institutionalized elderly people using the Mini Mental State Examination (MMSE) as an evaluation tool. This being an examination of easy and quick application, covering all the cognitive aspects in seven categories, assigning from 0 to 30 points. Held in the period from May to November 2017, in the databases Scielo, Lilacs, Medline, Pubmed with publications from 2001 to 2017. The articles selected indicated a cognitive decline in the elderly who were submitted to hospitalizations due to an acute pathological condition, highlighting the existence of specific risk groups. Thus, questioning age as a determining factor in cognitive decline. The change of environment, immobility and depression are the main factors responsible for the cognitive deficit generated during hospitalization. With the advancement of this process, the elderly are susceptible to developing functional disability and dementia, making them prone to acquire secondary pathologies. The articles make clear the importance of the Mini Mental State Examination - MMSE to be applied in the first anamnesis, during the initial evaluation and in routine exams, to follow the patient’s cognitive evolution in a concise way, in order to measure individual factors that predispose The development of decline, and the development of goals that reduce irreversible damage to the patient. It is concluded that new studies must be carried out to verify this decline in the hospital environment and beyond, allowing a comparative explanation about the elderly presenting signs of cognitive decline before hospitalization, whose hospital environment would only aggravate this condition or if they developed acutely Cognitive decline.Keywords: Elderly. Hospitalization. Evaluation. Cognition

scholarly journals 1 GAMBARAN FUNGSI KOGNITIF PADA LANSIA DI TIGA YAYASAN MANULA DI KECAMATAN KAWANGKOAN

e-CliniC ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Daniar Aprilia Ramadian
Keyword(s):  
Cognitive Function ◽  
Elderly People ◽  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
Health Problems ◽  
Education Level ◽  
Trail Making Test ◽  
Trail Making ◽  
State Examination

AbstractBackground: An increasing number of elderly people raises various social, economic, and health problems. Health problems are often occur in the elderly is impaired cognitive function. The rapid examination and practical, high value is the examination of the Mini Mental State Examination (MMSE) and Trail Making Test (TMT). These checks are done by giving series of commands at someone and assess their accuracy.Objective: To knowing overview of cognitive function in the elderly at three elderly people foundation in district Kawangkoan by sex, age, and education.Methods: The descriptive research with cross-sectional method, was conducted in November 2012 held at the Elderly Foundation Centre Kawangkoan Minahasa, Maupusan Foundation, and Pakakamangen Foundation in District Kawangkoan.Results: From the research gained 61 people who met the inclusion criteria consisted of 4 men and 57 women. Based on age, and education level showed decline in cognitive function is most at 75-90 years old and last education level is Elementary School.Conclusion: The results of the MMSE and TMT in the elderly at three elderly people foundation in district Kawangkoan mostly with normal results on the MMSE and TMT abnormal.Keywords: Elderly, cognitive function, MMSE, TMT-A & B.AbstrakLatar belakang: Peningkatan jumlah penduduk lanjut usia menimbulkan berbagai masalah sosial, ekonomi, dan kesehatan. Masalah kesehatan yang sering terjadi pada usia lanjut ialah gangguan fungsi kognitif. Pemeriksaan yang cepat dan praktis namun nilainya tinggi adalah pemeriksaan Mini Mental State Examination (MMSE) dan Trail Making Test (TMT). Pemeriksaan ini dilakukan dengan memberi serangkaian perintah pada seseorang dan menilai ketepatannya.Tujuan: Untuk mengetahui gambaran fungsi kognitif pada lansia di tiga yayasan manula di kecamatan kawangkoan berdasarkan jenis kelamin, umur, dan pendidikan.Metode: Penelitian deskriptif dengan metode potong lintang, dilaksanakan pada bulan November 2012 bertempat di Yayasan Manula Pusat Kawangkoan Minahasa, Yayasan Maupusan, dan Yayasan Pakakamangen di Kecamatan Kawangkoan.Hasil: Dari penelitian diperoleh 61 orang yang memenuhi kriteria inklusi terdiri dari 4 laki-laki dan 57 perempuan. Berdasarkan usia, dan tingkat pendidikan menunjukkan penurunan fungsi kognitif terbanyak adalah pada usia 75-90 tahun dan tingkat pendidikan terakhir SD.Kesimpulan: Hasil pemeriksaan MMSE dan TMT pada lansia di tiga yayasan manula di kecamatan Kawangkoan sebagian besar dengan hasil normal pada MMSE dan abnormal pada TMT.Kata kunci: Lansia, fungsi kognitif, MMSE, TMT-A & B.

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