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Comparison of the diagnostic accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the detection of cognitive impairment in nursing home residents.
Int J Geriatr Psychiatry. 2007 Apr; 22(4):286-93.IJ

Abstract

OBJECTIVE

To compare the diagnostic accuracy of an outcome measurement scale of the Minimum Data Set of the Resident Assessment Instrument for nursing homes (MDS/RAI-NH), the Cognitive Performance Scale (CPS) and the Mini-Mental State Exam (MMSE) for the detection of cognitive impairment. The Cambridge Examination for Mental Disorders of the Elderly--Revised (CAMDEX-R) was used as the reference standard.

STUDY DESIGN AND SETTING

This study was part of a larger prospective study (QUALIDEM) involving a diagnostic procedure and two-year follow-up on the quality of primary care for demented patients. CAMDEX-R and MDS/RAI-NH were administered to 198 residents, aged 65 or more, living in 42 low and high care institutions for aged people.

MAIN OUTCOME MEASURES

Indicators of diagnostic accuracy: sensitivity, specificity, predictive values, likelihood ratios, odds ratio and area under receiver operating characteristics curve (AUC).

RESULTS

The CAMDEX-based prevalence of cognitive impairment was 75%. The diagnostic values of a CPS score of two or more for the detection of cognitive impairment were: sensitivity = 0.81; specificity = 0.80; PPV = 0.92; NPV = 0.57. The diagnostic values of a MMSE score of less than or equal 23 were: sensitivity = 0.97; specificity = 0.59; PPV = 0.88; NPV = 0.85. For CPS, the area under the receiver operating characteristic (ROC) curve was 0.87 (95% CI, 0.81-0.91), and not significantly different (p = 0.63) from the MMSE score, 0.88 (0.83-0.93).

CONCLUSIONS

CPS and MMSE demonstrated similar performance to detect cognitive impairment in nursing home residents.

Authors+Show Affiliations

Department of General Practice, KULeuven, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17022109

Citation

Paquay, Louis, et al. "Comparison of the Diagnostic Accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the Detection of Cognitive Impairment in Nursing Home Residents." International Journal of Geriatric Psychiatry, vol. 22, no. 4, 2007, pp. 286-93.
Paquay L, De Lepeleire J, Schoenmakers B, et al. Comparison of the diagnostic accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the detection of cognitive impairment in nursing home residents. Int J Geriatr Psychiatry. 2007;22(4):286-93.
Paquay, L., De Lepeleire, J., Schoenmakers, B., Ylieff, M., Fontaine, O., & Buntinx, F. (2007). Comparison of the diagnostic accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the detection of cognitive impairment in nursing home residents. International Journal of Geriatric Psychiatry, 22(4), 286-93.
Paquay L, et al. Comparison of the Diagnostic Accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the Detection of Cognitive Impairment in Nursing Home Residents. Int J Geriatr Psychiatry. 2007;22(4):286-93. PubMed PMID: 17022109.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the diagnostic accuracy of the Cognitive Performance Scale (Minimum Data Set) and the Mini-Mental State Exam for the detection of cognitive impairment in nursing home residents. AU - Paquay,Louis, AU - De Lepeleire,Jan, AU - Schoenmakers,Birgitte, AU - Ylieff,Michel, AU - Fontaine,Ovide, AU - Buntinx,Frank, PY - 2006/10/6/pubmed PY - 2007/12/13/medline PY - 2006/10/6/entrez SP - 286 EP - 93 JF - International journal of geriatric psychiatry JO - Int J Geriatr Psychiatry VL - 22 IS - 4 N2 - OBJECTIVE: To compare the diagnostic accuracy of an outcome measurement scale of the Minimum Data Set of the Resident Assessment Instrument for nursing homes (MDS/RAI-NH), the Cognitive Performance Scale (CPS) and the Mini-Mental State Exam (MMSE) for the detection of cognitive impairment. The Cambridge Examination for Mental Disorders of the Elderly--Revised (CAMDEX-R) was used as the reference standard. STUDY DESIGN AND SETTING: This study was part of a larger prospective study (QUALIDEM) involving a diagnostic procedure and two-year follow-up on the quality of primary care for demented patients. CAMDEX-R and MDS/RAI-NH were administered to 198 residents, aged 65 or more, living in 42 low and high care institutions for aged people. MAIN OUTCOME MEASURES: Indicators of diagnostic accuracy: sensitivity, specificity, predictive values, likelihood ratios, odds ratio and area under receiver operating characteristics curve (AUC). RESULTS: The CAMDEX-based prevalence of cognitive impairment was 75%. The diagnostic values of a CPS score of two or more for the detection of cognitive impairment were: sensitivity = 0.81; specificity = 0.80; PPV = 0.92; NPV = 0.57. The diagnostic values of a MMSE score of less than or equal 23 were: sensitivity = 0.97; specificity = 0.59; PPV = 0.88; NPV = 0.85. For CPS, the area under the receiver operating characteristic (ROC) curve was 0.87 (95% CI, 0.81-0.91), and not significantly different (p = 0.63) from the MMSE score, 0.88 (0.83-0.93). CONCLUSIONS: CPS and MMSE demonstrated similar performance to detect cognitive impairment in nursing home residents. SN - 0885-6230 UR - https://www.unboundmedicine.com/medline/citation/17022109/Comparison_of_the_diagnostic_accuracy_of_the_Cognitive_Performance_Scale__Minimum_Data_Set__and_the_Mini_Mental_State_Exam_for_the_detection_of_cognitive_impairment_in_nursing_home_residents_ L2 - https://doi.org/10.1002/gps.1671 DB - PRIME DP - Unbound Medicine ER -