Table 3.
Sensitivity and Specificity of Mini Mental State Exam for detecting dementia.
Study | Sample | Cut-off | Sensitivity | Specificity |
---|---|---|---|---|
Chaves and Izquierdo,199255 | 31 patients with dementia, 31 patients with major depression and 22 healthy controls | 24 | 96% | 68% |
Bertolucci et al., 199456 | 94 patients with cognitive impairment and 530 adult controls | Illiterates: 13 Schooling <8 years: 18 Schooling ≥8 years: 26 |
82.4% 75.6% 80% |
97.5% 96.6% 95.6% |
Almeida, 199857 | 211 inds aged ≥60 years Dementia by CID-10 | Illiterates: 19 Schooled: 23 |
80% 84% |
71% 60% |
Caramelli et al., 199958 | Population-based sample, 1656 elderly
>64 ys, 570 illiterates, 188 with dementia - 10th , 25th and 50th percentiles defined |
Illiterates: 15, 18, 20
Schooling: 1-3 years: 21, 23, 25 4-7 years: 22, 25, 26 >7 years: 25, 26, 28 |
- | - |
Bertolucci et al., 200159 | 85 healthy elderly and 43 patients with AD | 26 | 97.6% | 75.3% |
Brucki et al., 200360 | 433 normal individuals | Illiterates: 20 By schooling 1-4 years: 25 5-8 years: 26.5 9-11: 28 >11: 29 |
- | - |
Laks et al., 200361 | 341 elderly | Younger old: 19.9 Older old: 16.9 Illiterates: 17.1 Schooled: 22.3 |
- | - |
Lourenço and Veras, 200662 | 303 elderly general outpatients 78 with
dementia by DSM-IV |
Illiterates: 18/19 Schooled: 24/25 |
73.5% 75% |
73.9% 69.7% |
Laks et al., 200763 |
870 elderly from community | Younger old Illiterates: 19.5 1-8 years: 23.9 Older old Least schooled: 18.1 Most schooled: 23.8 |
- | - |
Castro-Costa et al., 200864 |
1558 individuals (≥60 ys) from community | General 5th Percentile: 14 95th Percentile: 22 60-64 years: 5th Percentile: 17 95th Percentile: 24 ≥65 years: 5th Percentile: 13 95th Percentile: 16 |
- | - |
Lourenço et al., 200865 |
306 individuals ≥65 ys, outpatients105 sub-sample of 1 week retest | PC: 23/24 | - | - |
Kochhann et al., 201066 |
162 patients with dementia806 healthy elderly | Illiterates: 21 Low schooling: 22 Medium: 23 High: 24 |
93% 87% 86% 81% |
82% 82% 87% 87% |