D. William Molloy|Timothy I. Standish|David L. Lewis
Screening for Mild Cognitive Impairment: Comparing the SMMSE and the ABCS
St Peter's Hospital|McMaster University
objective compare sensitivity specificity ab cognitive screen abcs standardized minimental state examination smmse differentiate normal cognition mild cognitive impairment mci especially educational level age taken account method crosssectional study took place geriatric outpatient memory clinics participants communitydwelling adults aged 55 years referred primary care settings minority participants referred specialists assessment memory loss agematched control subjects complaint memory loss participant abcs smmse administered random order day results participants included 124 patients diagnosed mci 111 normal cognitive function abcs showed statistically significant difference normal cognition mci abcs score 1117 1046 points respectively p lt 0001 whole group difference significant abcs regardless participants age education significant difference normal cognition mci smmse scores smmse score 278 272 points respectively p 0040 differences significant age education taken account age education shown affect scores instruments except abcs scores mci subjects significantly affected education p 0059 conclusions abcs sensitive smmse differentiating normal cognition mci abcs appears less influenced education improved clinical utility wider range scoring gradations reduced ceiling effects shorter scoring administration times