Journal
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS
Volume 32, Issue 5, Pages 308-317Publisher
KARGER
DOI: 10.1159/000334996
Keywords
Group-based trajectory analysis; Dementia; Aging; Cognitive decline; Mini-Mental State Examination; Clinical prediction; Sensitivity; Mild cognitive impairment
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Funding
- Fonds de la Recherche en Sante du Quebec
- Research Institute of the McGill University Health Centre
- Canadian Institutes of Health Research [MOP-97810]
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This study sought first to identify individual items of the Mini-Mental State Examination (MMSE) and demographic variables at baseline that predicted the trajectories of cognitive change among patients with mild cognitive impairment (MCI), and second to quantify the risk of cognitive decline in such patients based on their pattern of failure of MMSE items. 187 MCI patients were evaluated serially with the MMSE for up to 3.5 years. Patients who followed a declining cognitive trajectory differed from the stable reference group in their baseline profile of MMSE test performance. Patient age and performance on delayed recall, constructional praxis, attention, and orientation to time and floor predicted future cognitive decline with good accuracy (79.9%) and specificity (86.4%), and moderate sensitivity (67.2%). These results are presented in the form of a simple clinical tool for quantifying risk of future cognitive decline in MCI. Copyright (C) 2012 S. Karger AG, Basel
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