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Veterans Affairs Saint Louis University Mental Status examination compared with the Montreal Cognitive Assessment and the Short Test of Mental Status.
J Am Geriatr Soc. 2014 Jul; 62(7):1341-6.JA

Abstract

OBJECTIVES

To compare the ability of the Veterans Affairs Saint Louis University Mental Status (SLUMS) examination to detect mild cognitive impairment (MCI) and dementia according to the Clinical Dementia Rating Scale (CDR) with that of two other well-known screening instruments, the Montreal Cognitive Assessment (MoCA) and the Short Test of Mental Status (STMS).

DESIGN

Cross-sectional validation study.

SETTING

Saint Louis Veterans Affairs Medical Center Geriatric Research Education and Clinical Center.

PARTICIPANTS

Veterans aged 60 and older (median 78.5) with a high school education or more (n = 136).

MEASUREMENTS

Participants were administered the SLUMS examination, the MoCA, and the STMS in random order. A blinded test administrator administered the CDR in a separate session. Receiver operating characteristic (ROC) curves were used to assess the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the SLUMS examination, the MoCA, and the STMS for MCI, dementia, and MCI or dementia. ROC contrasts were used to statistically compare the area under the ROC curve (AUC) for the screening tests' ability to detect cognitive dysfunction according to the CDR.

RESULTS

ROC contrasts demonstrated that the AUCs for detecting MCI (SLUMS examination 0.74, MoCA 0.77, STMS 0.77), dementia (SLUMS examination 0.98, MoCA 0.96, STMS 0.97), and MCI or dementia (SLUMS examination 0.82, MoCA 0.83, STMS 0.84) were equivalent. Sensitivity, specificity, PPV, and NPV were similar across measures of MCI, dementia, and MCI or dementia according to the CDR.

CONCLUSION

The SLUMS examination has validity similar to that of the MoCA and STMS for the detection of MCI, dementia, and MCI or dementia according to the CDR.

Authors+Show Affiliations

Jefferson Barracks Division, Geriatric Research Education and Clinical Center, Veterans Affairs Saint Louis Health System, Saint Louis, Missouri; Division of Geriatric Medicine, Department of Internal Medicine, School of Medicine, Saint Louis University, Saint Louis, Missouri.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Validation Study

Language

eng

PubMed ID

24916485

Citation

Cummings-Vaughn, Lenise A., et al. "Veterans Affairs Saint Louis University Mental Status Examination Compared With the Montreal Cognitive Assessment and the Short Test of Mental Status." Journal of the American Geriatrics Society, vol. 62, no. 7, 2014, pp. 1341-6.
Cummings-Vaughn LA, Chavakula NN, Malmstrom TK, et al. Veterans Affairs Saint Louis University Mental Status examination compared with the Montreal Cognitive Assessment and the Short Test of Mental Status. J Am Geriatr Soc. 2014;62(7):1341-6.
Cummings-Vaughn, L. A., Chavakula, N. N., Malmstrom, T. K., Tumosa, N., Morley, J. E., & Cruz-Oliver, D. M. (2014). Veterans Affairs Saint Louis University Mental Status examination compared with the Montreal Cognitive Assessment and the Short Test of Mental Status. Journal of the American Geriatrics Society, 62(7), 1341-6. https://doi.org/10.1111/jgs.12874
Cummings-Vaughn LA, et al. Veterans Affairs Saint Louis University Mental Status Examination Compared With the Montreal Cognitive Assessment and the Short Test of Mental Status. J Am Geriatr Soc. 2014;62(7):1341-6. PubMed PMID: 24916485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Veterans Affairs Saint Louis University Mental Status examination compared with the Montreal Cognitive Assessment and the Short Test of Mental Status. AU - Cummings-Vaughn,Lenise A, AU - Chavakula,Neeraja N, AU - Malmstrom,Theodore K, AU - Tumosa,Nina, AU - Morley,John E, AU - Cruz-Oliver,Dulce M, Y1 - 2014/06/10/ PY - 2014/6/12/entrez PY - 2014/6/12/pubmed PY - 2014/9/16/medline KW - CDR KW - MoCA KW - SLUMS examination KW - dementia KW - mild cognitive impairment SP - 1341 EP - 6 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 62 IS - 7 N2 - OBJECTIVES: To compare the ability of the Veterans Affairs Saint Louis University Mental Status (SLUMS) examination to detect mild cognitive impairment (MCI) and dementia according to the Clinical Dementia Rating Scale (CDR) with that of two other well-known screening instruments, the Montreal Cognitive Assessment (MoCA) and the Short Test of Mental Status (STMS). DESIGN: Cross-sectional validation study. SETTING: Saint Louis Veterans Affairs Medical Center Geriatric Research Education and Clinical Center. PARTICIPANTS: Veterans aged 60 and older (median 78.5) with a high school education or more (n = 136). MEASUREMENTS: Participants were administered the SLUMS examination, the MoCA, and the STMS in random order. A blinded test administrator administered the CDR in a separate session. Receiver operating characteristic (ROC) curves were used to assess the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the SLUMS examination, the MoCA, and the STMS for MCI, dementia, and MCI or dementia. ROC contrasts were used to statistically compare the area under the ROC curve (AUC) for the screening tests' ability to detect cognitive dysfunction according to the CDR. RESULTS: ROC contrasts demonstrated that the AUCs for detecting MCI (SLUMS examination 0.74, MoCA 0.77, STMS 0.77), dementia (SLUMS examination 0.98, MoCA 0.96, STMS 0.97), and MCI or dementia (SLUMS examination 0.82, MoCA 0.83, STMS 0.84) were equivalent. Sensitivity, specificity, PPV, and NPV were similar across measures of MCI, dementia, and MCI or dementia according to the CDR. CONCLUSION: The SLUMS examination has validity similar to that of the MoCA and STMS for the detection of MCI, dementia, and MCI or dementia according to the CDR. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/24916485/Veterans_Affairs_Saint_Louis_University_Mental_Status_examination_compared_with_the_Montreal_Cognitive_Assessment_and_the_Short_Test_of_Mental_Status_ L2 - https://doi.org/10.1111/jgs.12874 DB - PRIME DP - Unbound Medicine ER -