HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

10th Edition of International Conference on Neurology and Brain Disorders

October 21-23, 2024

October 21 -23, 2024 | Baltimore, Maryland, USA
INBC 2024

Factors other than dementia affecting performance in mini-mental state examination in elderly: Home health care based study

Speaker at Neurology Conferences - Amira Hanafey Mahmoud
Ain Shams University, Egypt
Title : Factors other than dementia affecting performance in mini-mental state examination in elderly: Home health care based study

Abstract:

Subjects & Methods: A cross sectional study was conducted on 240 elderly patients aged ≥ 60years both males and females who were included in home health care program in Aseer central hospital, south Saudi Arabia . All participants underwent comprehensive geriatric assessment, mental status assessment using validated Arabic version of Mini mental status examination ,assessment of various comorbidities ,functional status and depression assessment using geriatric depression scale.

Results: The study sample included 240elderly,50%males and 50% females. Mean age of subjects was73.8(±5.1) years. Out of 240,60 patients scored <24 in MMSE assessment,40 (16.6%)of them had difficulties in completing one or more item of MMSE,24 were males and 16 were females. Percent of those who had difficulties increased with increasing age, highest percent was in the age group >80 years of age. The most common cause of inability to complete one or more items in MMSE among both males and females was manual disability as a consequence of neurological disease mostly in stroke patients and Parkinson disease followed by low educational level then visual and hearing impairment followed by other causes as aphasia, depression and psychosis.78% of persons with poor test performance due to causes other than dementia were unable to complete the writing of a sentence, and(75%) could not draw pentagons.(62%) did not complete the reading and repetition test item and(55%) could not complete calculations.

Conclusion: Mini-mental status  protocol should contain components in which the heath care practitioner can report potential confounding factors which can lead to poor performance and false positive screening results of the test.

Audience Take Away Notes:

  • The mini-mental status examination (MMSE) is a widely used assessment instrument designed toscreen the cognitive impairments seen in a variety of dementia conditions, especially Alzheimer dementia.
  • Visual impairment, functional disability, very old age and lack of manual dexterity are also associated with lower MMSE scores and expose it to bias (7,8).
  • It is recommended that mini-mental assessment protocol should contain components in which the heath care practitioner can report potential factors which can lead to poor performance and false positive screening results
  • It is essential to consider confounding factors carefully, especially in very old individuals. This will be of interest not only to those who evaluate the patients for dementia, but also those who use the MMSE in research or who develop assessment tools.

Biography:

DR/ Amira Hanafey Mahmoud is a  Geriatric Medicine  consultant and Associate professor at  Ain shams  University, Egypt  graduated 2003. She then joined Geriatric department 2005 . She received her PhD degree in 2011 at the same institution. She is an active physician , researcher and lecturer ,she obtained the position of an Associate Professor at her university 2016 . She has published many research  articles in the field of Geriatric medicine to share in the development of her field.

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