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Thread: Mini mental-status examination.!

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    dr_kals is offline MedicalGeek Resident
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    Smile Mini mental-status examination.!




    Worth of having for all.!

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    Any score over 27 (out of 30) is effectively normal. Below this, 20-26 indicates mild dementia; 10-19 moderate dementia, and below 10 severe dementia. The normal value is also corrected for degree of schooling and age.[3] Low to very low scores correlate closely with the presence of dementia, although other mental disorders can also lead to abnormal findings on MMSE testing. The presence of purely physical problems can also interfere with interpretation if not properly noted; for example, a patient may be physically unable to hear or read instructions properly, or may have a motor deficit that affects writing and drawing skills.

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    Population-based norms for the Mini-Mental State Examination by age and educational level.
    Crum RM, Anthony JC, Bassett SS, Folstein MF.
    Department of Epidemiology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.


    OBJECTIVE--To report the distribution of Mini-Mental State Examination (MMSE) scores by age and educational level.

    DESIGN--National Institute of Mental Health Epidemiologic Catchment Area Program surveys conducted between 1980 and 1984.

    SETTING--Community populations in New Haven, Conn; Baltimore, Md; St Louis, Mo; Durham, NC; and Los Angeles, Calif.

    PARTICIPANTS--A total of 18,056 adult participants selected by probability sampling within census tracts and households.

    MAIN OUTCOME MEASURES--Summary scores for the MMSE are given in the form of mean, median, and percentile distributions specific for age and educational level.

    RESULTS--The MMSE scores were related to both age and educational level. There was an inverse relationship between MMSE scores and age, ranging from a median of 29 for those 18 to 24 years of age, to 25 for individuals 80 years of age and older.

    The median MMSE score was 29 for individuals with at least 9 years of schooling, 26 for those with 5 to 8 years of schooling, and 22 for those with 0 to 4 years of schooling.

    CONCLUSIONS--Cognitive performance as measured by the MMSE varies within the population by age and education. The cause of this variation has yet to be determined. Mini-Mental State Examination scores should be used to identify current cognitive difficulties and not to make formal diagnoses. The results presented should prove to be useful to clinicians who wish to compare an individual patient's MMSE scores with a population reference group and to researchers making plans for new studies in which cognitive status is a variable of interest.

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    Thats like Neurologist.! Huh.!

    Thanks drchinx.!

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    Do you know why it is called Mini Mental State Examination?
    In psychiatry we assess the mental status of a patient. This includes many things like General appearance and Behavior, Speech and Thought, Mood and Affect, and cognitive functions
    This test (MMSE) was originally described by Folstein in 1975 as a "practical method for grading the cognitive state".
    It was called "mini" because it did not test mood or thought disorders (all other points are included). It was intended to assist psychiatric residents in the cognitive part of the mental status examination

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    Quote Originally Posted by drchinx View Post
    Any score over 27 (out of 30) is effectively normal. Below this, 20-26 indicates mild dementia; 10-19 moderate dementia, and below 10 severe dementia. The normal value is also corrected for degree of schooling and age.[3] Low to very low scores correlate closely with the presence of dementia, although other mental disorders can also lead to abnormal findings on MMSE testing. The presence of purely physical problems can also interfere with interpretation if not properly noted; for example, a patient may be physically unable to hear or read instructions properly, or may have a motor deficit that affects writing and drawing skills.
    some source says that, score 24-30 indicate no cognitive impairment, 18-23 indicate mild cognitive impairment, and 0-17 indicate severe cognitive impairment. wheres that true?

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    The mini-mental state examination (MMSE) or Folstein test is a brief 30-point questionnaire test that is used to assess cognition. It is commonly used in medicine to screen for dementia. In the time span of about 10 minutes it samples various functions including arithmetic, memory and orientation. It was introduced by Folstein et al in 1975, and is widely used with small modifications. This test is not the same thing as a mental status examination. Various other tests are also used, such as the Hodkinson abbreviated mental test score (1972, geriatrics) and longer formal tests for deeper analysis of specific deficits.

    The test

    The MMSE test includes simple questions and problems in a number of areas: the time and place of the test, repeating lists of words, arithmetic, language use and comprehension, and basic motor skills. For example, one question asks to copy a drawing of two pentagons (shown on the right).

    Interpretation

    Any score over 27 (out of 30) is effectively normal. Below this, 20-26 indicates mild dementia; 10-19 moderate dementia, and below 10 severe dementia. The normal value is also corrected for degree of schooling and age. Low to very low scores correlate closely with the presence of dementia, although other mental disorders can also lead to abnormal findings on MMSE testing. The presence of purely physical problems can also interfere with interpretation if not properly noted; for example, a patient may be physically unable to hear or read instructions properly, or may have a motor deficit that affects writing and drawing skills.


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    Quote Originally Posted by drchinx View Post
    Population-based norms for the Mini-Mental State Examination by age and educational level.
    Crum RM, Anthony JC, Bassett SS, Folstein MF.
    Department of Epidemiology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.


    OBJECTIVE--To report the distribution of Mini-Mental State Examination (MMSE) scores by age and educational level.

    DESIGN--National Institute of Mental Health Epidemiologic Catchment Area Program surveys conducted between 1980 and 1984.

    SETTING--Community populations in New Haven, Conn; Baltimore, Md; St Louis, Mo; Durham, NC; and Los Angeles, Calif.

    PARTICIPANTS--A total of 18,056 adult participants selected by probability sampling within census tracts and households.

    MAIN OUTCOME MEASURES--Summary scores for the MMSE are given in the form of mean, median, and percentile distributions specific for age and educational level.

    RESULTS--The MMSE scores were related to both age and educational level. There was an inverse relationship between MMSE scores and age, ranging from a median of 29 for those 18 to 24 years of age, to 25 for individuals 80 years of age and older.

    The median MMSE score was 29 for individuals with at least 9 years of schooling, 26 for those with 5 to 8 years of schooling, and 22 for those with 0 to 4 years of schooling.

    CONCLUSIONS--Cognitive performance as measured by the MMSE varies within the population by age and education. The cause of this variation has yet to be determined. Mini-Mental State Examination scores should be used to identify current cognitive difficulties and not to make formal diagnoses. The results presented should prove to be useful to clinicians who wish to compare an individual patient's MMSE scores with a population reference group and to researchers making plans for new studies in which cognitive status is a variable of interest.

    hhhmmm, ex: someone 60 years with 7 years schooling... has 20 score of MMSE, what the interpretation???
    Patient is a book for doctors

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