Table 2. Pooled predictive parameters of the Mini-Cog based on cognitive status and healthcare settings.
Cognitive status | |||
Predictive parameters | Dementia | MCI | CI |
(6 studies, n = 4,772) [26,28,31,35–37] | (2 studies, n = 270) [33,34] |
(8 studies, n = 2,152) [11,27–30,32,38] |
|
Prevalence | 0.25 (0.24–0.26) | 0.38 (0.32–0.44) | 0.34 (0.32–0.36) |
Sensitivity | 0.76 (0.73–0.78) | 0.84 (0.75–0.90) | 0.67 (0.63–0.70) |
Specificity | 0.83 (0.82–0.84) | 0.79 (0.72–0.85) | 0.83 (0.81–0.85) |
PPV | 0.60 (0.58–0.63) | 0.71 (0.62–0.79) | 0.68 (0.64–0.71) |
NPV | 0.91 (0.90–0.92) | 0.89 (0.83–0.94) | 0.83 (0.81–0.85) |
DOR | 15.67 (13.37–18.38) | 20.43 (10.66–39.15) | 10.98 (4.44–27.2) |
SROC | AUC = 0.85 (0.73–0.90) | AUC = NA | AUC = 0.84 (0.75–0.87) |
Healthcare settings | |||
Predictive parameters | Primary/community care | Secondary care/ memory clinic | Emergency department |
(8 studies, n = 5,620) [11,26–31] |
(7 studies, n = 1,499) [32–37] |
(1 study, n = 75) [38] |
|
Prevalence | 0.20 (0.19–0.22) | 0.58 (0.55–0.60) | 0.21 |
Sensitivity | 0.73 (0.71–0.76) | 0.73 (0.70–0.77) | 0.75 (0.48–0.93) |
Specificity | 0.84 (0.83–0.85) | 0.76 (0.73–0.80) | 0.85 (0.73–0.93) |
PPV | 0.54 (0.51–0.56) | 0.81 (0.78–0.83) | NA |
NPV | 0.92 (0.92–0.93) | 0.67 (0.64–0.71) | NA |
DOR | 14.20 (12.19–16.55) | 8.59 (6.78–10.88) | NA |
SROC | AUC = 0.84 (0.76–0.89) | AUC = 0.83 (0.74–0.89) | NA |
Abbreviations: AUC, area under the curve; CI, cognitive impairment; DOR, diagnostic odds ratio; MCI, mild cognitive impairment; NA, not available; NPV, negative predictive value; PPV, positive predictive value; SROC, summary receiver operating characteristic. Studies that detect cognitive impairment include patients with MCI or dementia. Pooled predictive parameters based on healthcare setting detect cognitive impairment (defined as either dementia or MCI).