LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS
LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS
复制标题
DOI：
10.1017/s0033291700046730
复制
发表时间：
1982-01-01
影响因子：
6.9
通讯作者：
FOLSTEIN, MF
中科院分区：
文献类型：
--
作者：
ANTHONY, JC;LERESCHE, L;FOLSTEIN, MF
以精神科医生的标准化临床诊断为标准，“迷你精神状态”检查（MMSE）在普通病房的医院患者中检测痴呆和谵妄的敏感性为87%，特异性为82%。假阳性率为39%，假阴性率为5%。所有假阳性患者的受教育年限均低于9年；许多人年龄在60岁以上。在特定MMSE项目上的表现与教育或年龄有关。这些发现证实了MMSE作为痴呆和谵妄筛查工具的价值，之后，更深入的诊断查询是可能的；它们强化了早期的建议，即MMSE不能单独诊断这些疾病。
With a psychiatrist's standardized clinical diagnosis as the criterion, the ‘Mini-Mental State’ Examination (MMSE) was 87% sensitive and 82% specific in detecting dementia and delirium among hospital patients on a general medical ward. The false positive ratio was 39% and the false negative ratio was 5 %. All false positives had less than 9 years of education; many were 60 years of age or older. Performance on specific MMSE items was related to education or age. These findings confirm the MMSE's value as a screen instrument for dementia and delirium when later, more intensive diagnostic enquiry is possible; they reinforce earlier suggestions that the MMSE alone cannot yield a diagnosis for these conditions.